medicare.appeal.rights
Medicare & You – Appeal Rights – From Table of Contents
Medicare Appeals - Publication # 11525
Medicare Appeals – Publication # 11525
AARP Procedures on problems, complaints & appeals
AARP Procedures on problems, complaints & appeals
medicare.claim.processing.manual
Medicare Claim Processing Manual

Learn about your right to appeal Medicare issues, claims, problems, etc.

Hi Steve,
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?
Thank you,

 

Patty

***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.

Click here to read more of Patty’s situation, she has certainly been there, done that and got the T Shirt.

Sibling & Child Pages

Leave a Reply

Your email address will not be published.