Learn what preventive services for women — like pregnancy benefits and mammograms — are covered by Marketplace insurance
To fill out this Marketplace Appeal Request Form (PDF), you’ll need to download it onto your computer first.
Find out what immigration statuses qualify for coverage in the Marketplace.
Are you a U.S. citizen or U.S. national?
- U.S. citizen is someone who was born in the United States (including U.S. territories except for American Samoa) or who was born outside the U.S. and who:
Lawfully present immigrants can get Marketplace coverage and may qualify for premium tax credits and other savings on Marketplace plans.
Do you have eligible immigration status?
You may be asked if you have eligible immigration status.
Review your situation to get info about losing health coverage.
You may be able to get a Marketplace plan if you recently lost or were denied Medicaid or CHIP coverage.
If you get a notice from the Marketplace saying you need to submit documents to confirm your loss of coverage, you can upload or mail documents. Find types of documents to submit.
Before you can start using your coverage, learn how to send documents to confirm your Special Enrollment Period
Outside Open Enrollment, you can enroll in or change a Marketplace plan if you have a life event that qualifies you for a Special Enrollment Period.
You may be asked these optional questions about your life changes to see if you (and anyone else on your application) may be eligible for a Special Enrollment Period.