What happens to my benefits during an appeal involving a redetermination of eligibility?
Your benefits will automatically continue at the rate of prior coverage. But if you lose your
appeal, you will have to pay back the benefits that you were not eligible to receive. You may
want to ask to have your benefits reduced during your appeal so you do not have to pay them
back if you lose. Check “I want to reduce or stop my benefits...” on the appeal request form, or
call the MNsure Contact Center at 1-855-366-7873.
For Medical Assistance or MinnesotaCare, your benefits continue only if you follow these time
frames. You must appeal:
• Within 10 days of the date on the Health Care Notice or
• Before the date when the action takes place
Important: If you do not appeal within 10 days of the date on the Health Care Notice, you can
still appeal within 30 days. Your benefits will only go back to your prior coverage if you win the
appeal.
What if I lose my appeal?
If you lose your appeal, you will have to pay back the benefits you got while your appeal was
pending.
Important: You have the right to apply for Medical Assistance or MinnesotaCare again if your
benefits stop.
Can I get help with my appeal?
You may represent yourself at the hearing. You may also have someone else speak for you.
You must let us know in writing who the person is that you want to speak for you. You can do
that on the appeal request form. If your income is below a certain limit, you may be able to get
legal advice or help with an appeal from your local legal aid office.
Discrimination is against the law
The U.S. Department of Health and Human Services’ Office for Civil Rights prohibits
discrimination in its programs because of race, color, national origin, age, disability and sex,
including sex stereotypes and gender identity. If you believe you have been discriminated
against, you have the right to file a complaint directly with the federal agency. Write to the U.S.
Department of Health and Human Services Office for Civil Rights Region V at 233 North
Michigan Avenue, Suite 240, Chicago, IL 60601 or call at (312) 886-2359 (Voice) and (800)
368-1019 (Toll-Free) (800) 537-7697 (TTY).
In Minnesota, if you believe you have been discriminated against because of race, color,
national origin, religion, creed, sex, sexual orientation, public assistance status, age, or
disability, you have the right to file a complaint with:
• Minnesota Department of Human Services, Equal Opportunity and Access
Division, P.O. Box 64997, St. Paul, MN 55164-0997. Telephone (651) 431-3040.
Minnesota Relay 711 or (800) 627-3529.
• Minnesota Department of Human Rights, Freeman Building, 625 Robert Street
North, St. Paul, MN 55155. Telephone (651) 539-1100 and Toll-Free (800) 657-3704.
TTY (651) 296-1283.