Puerto Rico Consumer Assistance
The agencies listed below can help you take advantage of some of these protections and benefits. They can answer your questions about different types of coverage.
If you live in Puerto Rico, you’re not eligible to use the Marketplace to enroll in health coverage. Check with your territory’s government offices to learn about Medicaid, CHIP, and other health care options.
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 Puerto Rico, contact:
Puerto Rico Department of Insurance (Oficina del Comisionado de Seguros)
Address (Direccion Fisica):
Edificio World Plaza
268 Ave. Muñoz Rivera,
Piso 9, San Juan, PR 00918
Mailing Address (Direccion Postal):
PO Box 195415,
San Juan, PR 00919
Phone: 787-304-8686
Fax: 787-273-6082
Website: www.ocs.pr.gov
If you have a hard time affording health coverage and you have questions about eligibility or current Medicaid benefits, go to:
Puerto Rico Medicaid
Address: Calle Eleanor Roosevelt #117
Hato Rey, PR
Phone: 787-641-4224
Alternate line: 787-765-2929
TDD: 787-625-6955
Email: prmedicaid2@salud.pr.gov
Website: www.medicaid.pr.gov/
Local consumer assistance: www.medicaid.pr.gov/Home/OficinasLocales
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:
Puerto Rico Medicaid
Address: Calle Eleanor Roosevelt #117
Hato Rey, PR
Phone: 787-641-4224
Alternate line: 787-765-2929
TDD: 787-625-6955
Email: prmedicaid2@salud.pr.gov
Website: www.medicaid.pr.gov/
Local consumer assistance: www.medicaid.pr.gov/Home/OficinasLocales
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:
Medicare
1-800-633-4227
TY: 1-877-486-2048
https://www.medicare.gov/
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.