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How to appeal a Marketplace decision

What happens after I file an appeal?

After we get your request, we'll send you a letter that lets you know we got it.
  • If your appeal request is accepted: We’ll review your appeal and any documents that you sent.
  • If the letter says your appeal request is invalid: You may need to submit more information or find other ways to get help. Learn what to do if your Marketplace appeal is invalid (PDF, 171 KB).
If you have a Marketplace account, you can check its status:
  1. Log into your Marketplace account.
  2. Select your current application.
  3. Select "Eligibility & appeals," and the link "File new appeal or check your appeal's status."
Generally, we process appeals in the order we get them. How long it takes for a decision usually depends on the issue you're appealing, if your appeal is expedited, and if we need documents.

Steps to resolve your appeal

  1. Appeal submitted: We got your appeal.
  2. In review: We'll review your appeal form and any documents that you submitted.
  3. Informal resolution: After our review, we'll follow up with you if we have questions or need more information. Then, we'll send you a letter called "Informal Resolution" with the results of your appeal.
  4. Hearing: If you disagree with your informal resolution results, you can request a formal hearing.
  5. Decision: When your appeal has a final decision, you'll get a letter with next steps.
Notice:
Save copies of all forms and letters related to your appeal. If you want all the documents related to your case, contact the Marketplace Appeals Center at 1-855-231-1751 (TTY users can call 711), or fill out and submit this form (PDF, 1.22 MB).
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