Healthcare gov appeal form texas 2025

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If you disagree with the decision and plan to appeal the claim, make sure you submit the appeal within 10 days from your first notification. The refund amount is the full price of the item, tax and shipping fees. Note: Purchase Protection applies only to items purchased with checkout and shipping.
You have the right to get help and information about appeals and other Marketplace issues in your language at no cost. To talk to an interpreter about an appeal, call 1-855-231-1751 Monday - Friday 7:00 a.m. - 8:30 p.m. Eastern time (ET). TTY users can call 711. For other Marketplace issues, call 1-800-318-2596.
Appeals Center at 1-855-231-1751, Monday Friday from 7:00 a.m. 8:30 p.m. Eastern time (ET). TTY users can call 711. at 1-800-318-2596. TTY users can call 1-855-889-4325.
Consumers can get additional help with Marketplace eligibility appeals: The Marketplace Call Center can help explain how to request an appeal at 1-800- 318-2596. (TTY users should call 1-855-889- 4325.)
If you think waiting for a standard decision may seriously jeopardize your life, health, or ability to attain, maintain, or regain maximum function, you can ask for a fast (expedited) appeal.
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To fill out this Marketplace Appeal Request Form (PDF), youll need to download it onto your computer first. Step 1: Download the Marketplace Appeal Request Form. Step 2: Save the form on your computer. Step 3: Open the form and fill it out. Step 4: Submit the form by mail or fax.
The Marketplace Call Center can help explain how to request an appeal at 1-800-318- 2596. (TTY users should call 1-855-889- 4325.) After appeals are submitted, the Marketplace Appeals Center can answer appellants questions about their appeal at 1-855-231-1751.

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