The Exchange Appeals Process
Request an Appeal
You have the right to request an appeal if you think Washington Healthplanfinder’s decision about your health insurance coverage is wrong. For more information about appeals click on the FAQ link on the left side of this page.
- Get Answers: If you have general questions about the Affordable Care Act, Washington’s Healthplanfinder, or how to buy health insurance, call the Customer Support Center toll-free at 1-855-WAFINDER (1-855-923-4633).
- Request an Appeal: Don’t delay, you have 90 days from the date on your letter to request an appeal or you may lose your right to a hearing.
- Hearing: The hearing will be held on the phone, so you don’t have to attend in person. You have the right to bring documents and witnesses that support your position. You may ask someone to represent you during the appeal, although it is not required. Your representative could be an attorney, relative, or friend.
- Language Interpreter: If you want a language interpreter, we will provide one at no cost to you. We will send notices and the final decision in a language that you understand. To ask for an interpreter, contact the Appeals Program at email@example.com or call 1-855-859-2512.
< Return to www.wahealthplanfinder.org
Interpreter and Translation Services
The Washington Health Benefit Exchange Appeals Program has access to comprehensive language translation services. We are committed to eliminating language barriers for Limited English Proficient (LEP) and Deaf individuals.
If you let us know, we will provide telephonic interpreting and document translation, including support for American Sign Language.
Request a Translator
WA Relay Service: At your request the Washington Health Benefit Exchange Appeals Program can use Washington Relay Service. This is a free service provided by the Washington State Office of the Deaf and Hard of Hearing (ODHH). It ensures equal communication access to the telephone service for people who are deaf, deaf-blind, hard of hearing and speech disabled.
This service allows appeals program staff to communicate with text-telephone (TTY) users. If you are deaf or hard of hearing and need to contact the Appeals Program, simply dial 711 to connect with a relay operator. The relay operator will dial the requested number and relay the conversation between the two callers.
For more information about your rights regarding interpreter or translation services, visit www.lep.gov.
Information for Persons with Physical or Mental Disabilities Who Need Accommodations to Access Hearings: Anyone with a disability who needs assistance in order to participate in an appeal ask the Appeals Program for assistance. Please email or call the Appeals Program to explain why they need an accommodation and what accommodation you would like. Any medical records and medical information you give us to support your request will be sealed and held confidentially.
You may request any assistance that will help you fully and meaningfully participate in the appeals process, so please request the accommodation that will best allow you to do that. Some possible accommodations could be:
- a sign language interpreter;
- large print or high contrast documents and forms;
- extended time for hearings and recesses;
- assistive listening and seeing devices;
Please make your request as soon as you know you will need an accommodation.
Request Accommodation or Assistance Now
Notice of Equal Access/Equal Opportunity and Nondiscrimination: The Washington Health Benefit Exchange (WAHBE) is committed to providing services that embrace diversity, respect the rights of all individuals, are open and accessible, and are free of bias or discrimination based on, but not limited to, ethnicity, race, creed, color, religion, age, disability, sex, marital status, national origin, political opinions or affiliations, veteran status, and genetic information.
Anyone with questions about compliance or a complaint regarding bias, harassment or discrimination should contact the Washington Health Benefit Exchange Legal Department at:
ATTN: Legal Division Equal Access/Equal Opportunity Coordinator PO Box 1757 Olympia, WA 98507-1757
Procedural Rules and Federal Regulations
Affordable Care Act Information
U.S. Department of Health and Human Services
- Washington operates its own exchange and hears appeals on eligibility decisions. The U.S. Department of Health and Human Services (HHS) appeals entity serves as the second-level review once the Washington Health Benefit Exchange appeals process has been exhausted. Individuals who wish to appeal the Exchange's decision may file an appeal with the U.S. Department of Health and Human Services by completing and submitting the form found at the Healthcare.gov Marketplace Appeals landing page. Scroll down the page to find the appeals form.