Health Care Renewal Notice Page 24
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46Nov 24, 2014 7:35 PM
Reference Number : 10166532
7 -of- 9
IMPORTANT APPEAL RIGHTS! READ THIS NOW!
What if I disagree with the action taken on my application?
If you think the decision in your Health Care Notice is incorrect, you have the right to appeal. This is a legal process
where an appeals examiner reviews a decision made by MNsure. You can learn more about how this works at
How do I appeal?
1. Internet
2. Phone
3. Mail
4. In-person
Login to your account at
MNsure Contact
MNsure
Minnesota Department
Center:
81 Seventh Street East
of Human Services
1-855-366-7873
Suite 300
Information Desk
St. Paul, MN 55101-2211
444 Lafayette Road North
St. Paul, MN 55101
What can I appeal?
•
If MNsure did not act on your request about health care coverage or processed your request too slowly
•
If you do not agree with the action taken
Important: You must file your appeal within 90 days of the date on your Health Care Notice. If your appeal involves
Medical Assistance or MinnesotaCare, you must file your appeal within 30 days of receiving your Health Care Notice. If
you show good cause for not appealing a Medical Assistance or MinnesotaCare action within 30 days, you may be able to
appeal up to 90 days after receiving your Health Care Notice. See below for more information about time limits for
Medical Assistance and MinnesotaCare appeals.
Important: An appeal decision for one household member may affect the eligibility of other household members.
Household eligibility may need to be redetermined.
What do I do after I file my appeal?
•
Gather information related to the action that you are appealing that you think will prove or explain your position.
•
You will get a letter telling you the date and time of the appeal hearing. Many hearings are done over the phone.
•
Continue to report changes (such as start or stop of a job, or people moving in or out of your household) within:
•
30 days if you receive any MinnesotaCare, Advanced Premium Tax Credit, Cost Sharing Reduction, or Qualified
Health Plan
•
10 days if you get Medical Assistance
To report changes, call the MNsure Contact Center at 1-855-366-7873.
What if it’s an emergency?
You have a right to ask for an expedited (sped up) appeal in an emergency. An emergency happens when your life or
health or ability to get, keep, or regain maximum function is in serious danger. If this applies to you, check “yes” when
asked whether the appeal involves a medical emergency. This question is on the appeal request form. Or call the MNsure
Contact Center at 1-855-366-7873.
What happens to my benefits during an appeal involving a redetermination of eligibility?
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