If you do not agree with Healthy DC Plan’s decision about your health insurance coverage, you have a right to appeal the decision and receive a hearing before an independent administrative law judge. You can appeal an eligibility denial or termination. Once you appeal, you can go before an administrative law judge and explain why you do not agree with our decision.
You have 90 days following the postmark of the notice informing you of the eligibility decision, denial, termination, or change, to appeal the decision stated in the notice you received. If you do not appeal within 90 days, you may lose your appeal right.
How to Request an Appeal
You may request an appeal by doing any of the following:
- Calling the Healthy DC Plan Contact Center toll free at (855) 432-7526 / TTY: 711.
- Completing an Appeal Request Form and faxing it to (202) 724-2041, or e-mailing to [email protected].
- Going to the Office of Administrative Hearings Resource Center, located at 441 4th Street NW, Suite 450-North, Washington, DC 20001 and filling out an Appeal Request Form.
Refer to our Individual & Family Appeal Rights page for details on your appeal rights, what will happen during the appeal process, and organizations that may be able to represent you during the appeal process.