Glossary · Claims and appeals
What is an appeal?
An appeal is a request for your health insurer or the Marketplace to review a decision that denies a benefit or payment.
Definition and figures from HealthCare.gov glossary, checked October 23, 2026. This page explains the term; it does not recommend a plan.
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Appeal: the facts
| Item | Fact | Source |
|---|---|---|
| If the plan denies the appeal | You can request an external review | HealthCare.gov glossary: External review |
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What does appeal mean in health insurance?
An appeal is a request for your health insurer or the Marketplace to review a decision that denies a benefit or payment.