How to Appeal a Medicaid Termination — And What to Do While You Wait

If you lost your Medicaid and think it’s a mistake, you can appeal. Here’s how to fight the decision — and how to stay covered while your appeal is being reviewed.

Your Medicaid Got Terminated. Now What?

You just got the letter:

If you weren’t expecting it — or think it’s wrong — you have the right to appeal.

But here’s the part most people miss:While you're appealing, you still need coverage to avoid going unprotected.

Let’s break down what to do step by step.

⚖️ Step 1: Review Why You Were Cut Off

Most terminations happen because of:

• Missing your redetermination paperwork

• A mistake in your income or household info

• Administrative errors (they lost your response or used outdated info)

Start by carefully reading the notice. Look for:

• The reason for the denial

• The date coverage ends

• Instructions for requesting an appeal

📝 Step 2: File Your Appeal Immediately

You typically have 30–90 days (depending on your state) to file an appeal.In Florida, you must request a fair hearing within 90 days of the date on your denial letter.

To appeal:

• Follow the instructions in your termination letter

• Submit the form by mail, phone, or online

• Keep a copy or confirmation for your records

💡 Step 3: Apply for ACA Insurance as a Backup

Even if you’re appealing, don’t risk a gap in coverage.You qualify for a Special Enrollment Period through the Affordable Care Act (ACA).

Most people qualify for:

• $0 to low-cost plans

• Coverage that starts on the first day of the next month

• Free preventive care and low copays

And if your appeal is approved? You can cancel the ACA plan at any time — no penalty.

📄 Step 4: Gather Documents to Support Your Case

To strengthen your appeal, include:

• A copy of the denial letter

• Proof of income or job status (if that was the issue)

• Proof you submitted documents on time (email, fax receipts, mail records)

• Letters from doctors or case workers if needed

💬 Step 5: Get Help — You Don’t Have to Do This Alone

This process is confusing, especially when you’re stressed or sick.

SentiumHealth offers free, one-on-one support to:

• Help you understand your Medicaid denial

• Set you up with an ACA plan while you wait

• Explain how to switch back if your appeal is approved

We work for you — not the government, not the insurance companies. Just real help.

📞 Let’s Get You Covered While You Wait

Don't wait until you're sitting in the ER with no insurance. Let’s make sure you're protected — starting today.

📱 Call or text now: 407-815-5238💬 Chat live: SentiumHealth.com get an answer right away

Protect Your Health While You Fight for What’s Right

You can win your Medicaid back — but make sure you don’t lose your peace of mind in the meantime.

👉 Let’s review your options now.