How to appeal a Marketplace decision

Decisions you can appeal

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Marketplace Matters: Appeals

If you don’t agree with a decision made by the Health Insurance Marketplace, you may be able to file an appeal.

You can appeal the following kinds of Marketplace decisions:

  • Whether you’re eligible to buy a Marketplace plan
  • Whether you can enroll in a Marketplace plan outside the regular open enrollment period
  • Whether you’re eligible for lower costs based on your income
  • The amount of savings you’re eligible for
  • Whether you’re eligible for Medicaid or the Children’s Health Insurance Program (CHIP)
  • Whether you are eligible for an exemption from the individual responsibility requirement