More On Appeals

Need Help Making an Appeal?

Here are resources you may wish to use if you decide to ask for any kind of exception or appeal a decision:

  • You can call us at Member Services and we will walk you through the process.
  • Your doctor can make a request for you.
  • You can ask someone to act on your behalf. If you want to, you can name another person to act for you as your representative to ask for an exception or make an appeal. This can be a relative, close friend, or a lawyer. Learn how to assign a representative to make healthcare requests on your behalf.

You have the option to file an appeal with MassHealth

You may request a fair hearing from MassHealth no later than 30 calendar days from the date you received a written denial letter from Boston Medical Center HealthNet Plan. This request must include:

  • Your name
  • Your address and phone number
  • Your MassHealth ID number or Social Security number
  • Reason for your appeal
  • If you would like your hearing to be scheduled as soon as possible
  • If you need an interpreter to be provided

Please send your request to:

Executive Office of Health and Human Services
Board of Hearings
100 Hancock Street, 6th Floor
Quincy, MA 02171
Fax (617) 847-1204

Requesting a report of all grievances, appeals, and exceptions

You may request a report from us showing the total number of grievances, appeals, and exceptions filed with our plan. To request this report, please call our Member Services Department.