Medicare appeals issues, claims, problems, etc.
Medicare Complaint Form on Medicare.Gov
Medicare Appeals Publication # 11525 60 pages
Medicare Rights & Protections Publication 11534
Rights & Protections for
Everyone with Medicare
Original Medicare
Medicare Advantage Plan or Other Medicare Health Plan
Prescription Drug Plan
The Medicare Beneficiary Ombudsman
- This is NOT sales literature, but is provided as a public service for educational purposes.
See our general section on Appeals & Grievances
AARP Procedures on problems, complaints & appeals from EOC To get immediate quotes, information and enroll ONLINE, |
Filing an appeal with Medicare
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Question
FAQs / Ask Us a Question
With all your experience, is there any effective [grievance] agency for me to go to with the HMO Medicare advantage plan [UHC – AARP] I have?
One of UCLA, Endocrinologists made a huge medication error, from which I am very ill. UCLA has denied me a second opinion or a higher level of care.
Answer
***One of the very best places to view your rights and procedures for claim problems, appeals, grievances is in the full EOC – Evidence of Coverage that you have a right to view before purchasing or when you get it in the enrollment paperwork or shortly thereafter. Get your EOC go to Table of Contents – Then look for Appeals, claims procedures, etc. and of course the explanation of benefits and if your issue is actually covered.
Click here to read more of Patty’s situation, she has certainly been there, done that and got the T Shirt.
Sibling & Child Pages
Our general section on Appeals & Grievances
