If you don’t agree with a decision made by the Health Insurance Marketplace®, you may be able to file an appeal.
You generally have 90 days from the date of your Eligibility Notice to ask for an appeal. (The “Next steps” section in that notice will tell you if you can file an appeal.)
Don’t file an appeal if the Marketplace told you to submit documents to confirm information on your application. Get details on submitting documents.
End highlighted textIf the Marketplace said you aren’t eligible to:
You can also appeal:
You can appeal: | If you live in: |
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The state said you aren’t eligible for Medicaid or CHIP | Alabama, Alaska, Louisiana, Montana, Virginia, West Virginia, or Wyoming
You can appeal through the Marketplace Appeals Center, but appealing through your state may be faster. |
A decision made by your state’s Marketplace program | California, Colorado, Connecticut, District of Columbia, Idaho, Kentucky, Maine, Maryland, Massachusetts, Minnesota, Nevada, New Jersey, New Mexico, New York, Pennsylvania, Rhode Island, Vermont, or Washington |
You disagree with:
Your health insurance company:
You also can’t appeal if you:
If you miss the 90 day timeframe to file an appeal, you may be able to get an extension. When you file your appeal, explain the reason why you missed the deadline in your appeal request.