Learn about your right to appeal Medicare issues, claims, problems, etc.
With all your experience, is there any effective 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.
It is political, but I am very sick for far too long.
Is going to Medical Board my only option?
***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. Here’s a typical EOC from Blue Cross – Anthem, 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.
To answer Patty’s question, let’s look at the 304 page 2017 Evidence of Coverage for AARP This is NOT sales literature, but is provided as a public service for educational purposes.
- Medicare Complaint Form on Medicare.Gov
- Medicare Appeals Publication # 11525 60 pages
- See our general section on Appeals & Grievances
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