Filing an Appeal

You have the right to appeal your application results when you apply to buy a health plan or receive financial help from Connect for Health Colorado. If you were denied Health First Colorado (Colorado’s Medicaid program) or CHP+, you must file an appeal with the county office in which you reside. Connect for Health Colorado cannot process appeals for Health First Colorado or CHP+.

To receive the most timely and thorough assistance with completing the Appeal Request Form, please call the Office of Appeals directly at 1-855-492-2420 (303-590-9640).

Why File an Appeal?

To appeal means to ask for an assessment of the information listed in your application and the application results, to determine whether the application results are accurate.

Timeline to File an Appeal

You have 60 days from the date of your notice of determination- the letter which explains your application results- to submit an appeal request for yourself or anyone in your household who applied for health insurance or financial help.

Results that You Can Appeal with Connect for Health Colorado

• Your eligibility for Advance Premium Tax Credits (APTC) and/or Cost-Sharing Reductions (CSR).
  • The amount of Advance Premium Tax Credits.
  • The level of Cost-Sharing Reductions.

  Disputes that You Cannot Appeal

  • Coverage start dates and end dates.
  • Information listed in your Form 1095-A.
  • Health care services, such as the benefits your plan offers, access to doctors or specialists, or a denial of prior authorization for services.

  Ways to File an Appeal

  You can file an appeal in any of the following ways:

  1. Upload online by logging into your Connect for Health Colorado account. Upload your appeal request form under “Documents and Notices.” This method is preferred since it shortens processing time.

  2. Fax your appeal request form to 303-322-4217. This method is also preferred since it shortens processing time.

  3. Mail your completed appeals request form to:

  Office of Appeals
  4600 South Ulster Street
  Suite 300
  Denver, CO 80237

  Please note that mailing your Appeal Request Form results in a longer processing time. If possible, please upload the form to your Connect for Health Colorado account or send the form via fax.

  Our Customer Service Center representatives can assist you in completing the form by answering questions objectively, however, they cannot fill out the form or submit it on your behalf. To receive the most timely and thorough assistance with completing the Appeal Request Form, please call the Office of Appeals directly at 1-855-492-2420 (303-590-9640).