Health Care Renewal Notice Page 34

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IMPORTANT APPEAL RIGHTS! READ THIS NOW!
How do I appeal?
1. Internet
2. Phone
3. Mail
4. In person
Log in to your account at
MNsure Contact Center:
MNsure
Minnesota Department
1-855-366-7873
81 Seventh Street East,
of Human Services
Suite 300
Information Desk
St. Paul, MN 55101-2211
444 Lafayette Road North
St. Paul, MN 55101
What if I disagree with the action taken on my application?
If you do 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 .
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.

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