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Member ombuds

The Aetna® OhioRISE Ombuds Office works to resolve conflicts. You can bring up any OhioRISE-related concern that affects your health and well-being. After hearing your concerns, we'll work together to review your options and next steps.

Questions?

Call 1-833-711-0773 (TTY: 711). We're here for you Monday to Friday, 8 AM to 5 PM.

What is an ombuds?

What is an ombuds?

The ombuds is a resource you can use when you need help with a concern about OhioRISE. Our team follows the highest code of ethics outlined by the International Ombuds Association. An ombuds is:
 

  • Independent: While they are part of Aetna OhioRISE, they work independently to serve you.
  • Confidential: They respect your privacy and share your concerns only with those you choose, except when there is a risk of harm to yourself or others, or when the law requires it.
  • Impartial: They promote fair practices and leave their point of view outside the process.
  • Informal: They try to make members feel comfortable with the process. Conversations are open, friendly, and off the record.

What an ombuds does

What an ombuds does

Here are some things an ombuds can do:
 

  • Provide guidance and support about hard issues.
  • Process concerns in a confidential and non-judgmental space.
  • Be a partner to find options and solutions.
  • Bring your concerns and ideas to our team to enhance the program.
  • Help you learn how to file a formal complaint or grievance, if you wish to do so.

The Aetna OhioRISE Ombuds Office is a resource for OhioRISE:
 

  • Members
  • Families
  • Caregivers
  • Providers
  • Community partners

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