Steps to appeal
Get your notice: Review the eligibility or coverage notice you received from the Marketplace. It explains what decision was made and why.
Complete an appeal request form: Fill out the official Marketplace appeal request form. You can also write a letter that includes your name, address, and details of the decision you’re appealing.
You can either file online through your Marketplace account or download and submit the paper form.
Appeal forms & instructions (HealthCare.gov): https://www.healthcare.gov/marketplace-appeals/appeal-forms/. HealthCare.gov
Direct PDF (Marketplace Appeal Request Form A — fillable/downloadable): https://www.healthcare.gov/downloads/marketplace-appeal-request-form-a.pdf.
Quick steps:
If you have a HealthCare.gov account, you can file the appeal online via your account’s “Eligibility & appeals” section.
Send your request: Mail or fax your appeal request to the address or number listed on your notice. Keep a copy for your records.
Await confirmation: The Marketplace Appeals Center will contact you to confirm your appeal and explain the next steps.
Timelines
Appeals usually must be filed within 90 days of the date on your Marketplace notice.
You’ll receive instructions if additional information or documents are needed.
What happens during an appeal
Your case will be reviewed by the Marketplace Appeals Center.
In some situations, you can request that your eligibility continue (“continued coverage”) while the appeal is pending.
Need help?
Call the Marketplace at 1-800-318-2596 (open 24/7) for questions about the appeal process, or contact our Consumer Support team at 855-772-2663, Monday–Friday, 6am–4pm PT.