Appealing Medicare Decisions
If you believe you have wrongly been denied services by Traditional Medicare, a Medicare Advantage plan or a Prescription Drug Plan, by all means, appeal. The notification form informing you of a denial will also have information about how to appeal the decision. All Medicare providers are required to have an appeal process that meets certain guidelines, to give participants notice of their rights and how to assert them. The appeal process is not always easy to negotiate, but about half of those who file appeals are successful in reversing the adverse decision. The Area Agency on Aging legal service provider in your area may be able to help.
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