Appeal
A request for your health insurance company or the Health Insurance Marketplace® to review a decision that denies a benefit or payment.
- If you don't agree with a decision made by the Marketplace, you may be able to file an appeal. Small businesses can also appeal Small Business Health Options Program (SHOP) decisions.
- If your health plan refuses to pay a claim or ends your coverage, you have the right to appeal the decision and have it reviewed by a third party.