Texas Consumer Assistance
CAP Resource
The Texas Department of Insurance offers help with health insurance questions or problems. You can contact them at 800-252-3439 for additional information.
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Find Answers and Help
The agencies listed below can help you understand your rights, access benefits, and answer your questions about different types of coverage.
If you have questions about insurance you bought for yourself and/or your family or you have insurance provided by an employer who does business only in Texas, contact:
Texas Department of Insurance
Address: 1601 Congress Avenue
Austin, TX 78701
Mailing Address: P.O. Box 12030,
Austin, TX 78711
Phone: 800-252-3439
512-676-6000
Website: www.tdi.texas.gov/consumer/index.html
If you have a hard time affording health coverage and you have questions about eligibility or current Medicaid benefits, go to:
Texas Medicaid Program
Phone: 800-335-8957
General Assistance Line: 800-252-8263
Texas HHS line: 877-541-7905
Website: www.hhs.texas.gov/services/health/medicaid-chip
Local consumer assistance: www.211texas.org/
If you are not eligible for Medicaid, your child may still be eligible for the Children’s Health Insurance Program. For questions about eligibility or benefits, go to:
Texas Children's Health Insurance Program (CHIP)
Phone: 877-541-7905
Website: www.hhs.texas.gov/services/health/medicaid-chip
To apply: yourtexasbenefits.com
Local consumer assistance: www.211texas.org/
If you have a question, complaint, or dispute regarding insurance you get through a “self-insured” employer (typically a large company or one with locations in multiple states or countries), go to:
U.S. Department of Labor
Employee Benefits Security Administration
200 Constitution Ave., NW
Washington, DC 20210
(866) 444-3272
http://www.askebsa.dol.gov
If you are on Medicare and have a question, or if you have a disability or end stage renal disease and want to enroll or find out if you are eligible for Medicare, contact:
Health Information Counseling & Advocacy Program of Texas (HICAP)
Texas Legal Services Center (TLSC)
Address: 1920 E Riverside Drive
Suite A-120, #501
Austin, TX 78741
Phone: 800-622-2520 ext 3
Website: www.tlsc.org/hicap
If you are a veteran and have a question or concern about veterans’ health care benefits, go to:
US Department of Veterans Affairs
(877) 222-VETS (8387)
https://www.va.gov/health-care/
If you have questions about your health insurance that are not covered by the above resources, call the Health Insurance Assistance Team of the U.S. Center for Consumer Information and Insurance Oversight at (888) 393-2789.