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Medicare Insurance
Medicare beneficiaries rights to appeal an denial
Under the rules of the Medicare program, you have the right to request an appeal for any services, which were denied. Below are a few examples appeals:
1). When requests for health care services or prescription drug coverage was denied and you believe services should be provided.
2). When a notice is give regrading a chance to the amount that must be paid for health care services.
3). If you are receiving health care services and have received a notice that your services will stop and you disagree with this notice.
If you are enrolled in original Medicare, you must contact a Medicare administrative contractor or Medicare to handle your appeal. However, if you are enrolled in Medicare Part C, then you must contact them directly for an appeal of their determination.
Appeal decisions are usually made within 60 days after you have filed an appeal.
