FILE AN APPEAL

If you disagree with a decision regarding your eligibility or enrollment, you have the right to file an appeal with Your Health Idaho.

To file an appeal:

• Download and complete the Appeal Request Form 
• Email the completed form to appeals@yourhealthidaho.org with “Appeal Request” in the subject line
• If you are submitting a medically urgent* appeal, please include “Medically Urgent” in the subject line

OR

• Mail the completed form to:

You can also call Your Health Idaho for help at 855-944-3246.

* A case is medically urgent if waiting the standard period could seriously jeopardize the individual’s life, health, or ability to attain, maintain, or regain maximum function. 

The date of your email, postmark, or call is considered the date you filed your appeal.

Once you have filed an appeal, it may take up to 30 days for Your Health Idaho to complete the appeal process and issue a decision. You will receive an email once the process is completed, and a determination has been made.

If you disagree with the initial appeal decision, you may request a formal hearing to present your case before the Appeals Hearing Committee.

Appeals Decisions
To maintain our commitment to transparency, Your Health Idaho appeals decisions are available here. Identifying information has been removed to protect our customers’ privacy.

Employer Appeals
If you receive a notice stating you may be subject to the Employer Shared Responsibility Payment, you have the right to file an appeal with the Federal Health Insurance Marketplace, HealthCare.gov here within 90 days of notice.