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Massachusetts Health Connector fax number

(617) 933-3099

Massachusetts Health Connector Appeals Unit

Used for: Submitting appeals or hearing requests for Health Connector/MassHealth decisions (e.g., eligibility, plan enrollment, subsidies). The fax number 1-617-933-3099 is used to send the Hearing Request Form to the Health Connector Appeals Unit, which handles appeal hearings; you can also mail your Hearing Request Form to the Appeals Unit at P.O. Box 960189, Boston, MA 02196.

Fax destination details

Department
Massachusetts Health Connector Appeals Unit
Purpose
Submitting appeals or hearing requests for Health Connector/MassHealth decisions (e.g., eligibility, plan enrollment, subsidies). The fax number 1-617-933-3099 is used to send the Hearing Request Form to the Health Connector Appeals Unit, which handles appeal hearings; you can also mail your Hearing Request Form to the Appeals Unit at P.O. Box 960189, Boston, MA 02196.
Form
Hearing Request Form — Health Connector Hearing Request Form
Voice phone
1-877-623-6765

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Complete the Hearing Request Form (include your Eligibility ID) and submit by fax to 1-617-933-3099 or mail to the Health Connector Appeals Unit, P.O. Box 960189, Boston, MA 02196. If you need help, contact Health Connector customer service.

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