To receive assistance with an appeal regarding a Qualified Health Plan (QHP), Tax Credits and/or Cost Sharing Reductions (CSR), you can call ND Navigator Project (800-233-1737).
Important: You have 30 days from the date of your eligibility notice to submit an appeal request for yourself or anyone in your household who applied for health insurance. To appeal means you tell someone at (the Marketplace) that you think the determination is wrong and ask for a fair review of the determination. You may appeal either being denied Tax Credits and the amount of Tax Credits or CSR you received, or your eligibility determination for a QHP. You may still enroll in a QHP and receive your Tax Credit and/or your CSR benefits while you appeal, if you are already qualified.
If someone in your household qualifies for a QHP, they may still enroll in a QHP even if they have been denied Tax Credits and/or CSR. They do not need Tax Credits and/or CSR in order to enroll in a QHP and be covered. If someone in your household appeals their eligibility for Tax Credits and/or CSP and does not enroll in a plan, they might not be able to enroll if they delay beyond the open enrollment period. Someone who has submitted an appeal but has not enrolled in a plan will be able to enroll in a plan outside of the open enrollment period only if they become newly eligible for financial assistance as the result of a successful appeal.
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Help and Assistance
ND Navigator provides education on the topic of affordable health insurance options. They can provide assistance with enrollment and the application for financial assistance to reduce your monthly costs. Call us at 1-800-233-1737 or e-mail firstname.lastname@example.org
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