Choose Your HEAU Online Complaint Form
Use this form if you would like our assistance in filing an
appeal of a Maryland Health Connection decision denying Qualified Health Plan
coverage or denying Advanced Premium Tax Credits or Cost-Sharing Reductions.
Use this form if you have
a billing dispute with your hospital, doctor, dentist, or other healthcare
provider. You can use this form if you are seeking a refund for medical
equipment that is defective or was never delivered, or if you have other medical
Use this form if your health plan has
refused to pay for a service, is refusing to pay for future treatment, or has
paid less than you think they should have paid for your treatment/service. You
can also use this form for other health insurance disputes.
Use this form if you are a healthcare provider filing a
complaint on behalf of your patient.
Use this form if your complaint is not about medical healthcare
200 St. Paul Place, Baltimore, MD 21202
410-576-6300 / 1-888-743-0023 toll-free / TDD: 410-576-6372