Appeal

The action you can take if you disagree with a coverage or payment decision made by Medicare or your Medicare plan/Medicare Prescription Drug Plan. You can submit an appeal for the following cases:

• Medicare denies your request for a health care service, item, supply, or prescription that you believe you should be able to get

• Medicare denies your request for payment for a health care service, item, supply or prescription that you already received

• Medicare denies your request to change the amount you must pay for a health care service, item, supply, or prescription

• Medicare or your Medicare plan stops providing or paying for a service, item, supply, or prescription you think you still need