File your appeal online – The fastest way to appeal. You can also get the appeals form to print and fill out. Be sure to:
Or, mail or fax your appeal – You can send in your completed appeals form or write a letter asking for an appeal. Include your name, phone number, address, and the reason for the appeal. If the appeal is for someone else (like a child), also include their name.
If you send documents to support your appeal, include copies — not the originals.
Send your completed paper form or letter to the Marketplace:
Note: We’ll mail you a letter telling you if you’re eligible keep your coverage and continue to get financial help during your appeal. If you get tax credits during your appeal and your appeal is unsuccessful, you’ll have to pay back the tax credits you got during your appeal when you file your federal income tax return.