If you are a beneficiary in Original fee-for-service Medicare, you have the right to appeal if Medicare denies payment for the services you receive. You have similar rights if you are in a Medicare Advantage (MA) plan and/or Medicare Part D prescription drug plan. Here, we explain these rights as well as your rights to file a grievance.
In this section:
If you have Original fee-for-service Medicare and have been denied coverage for a claim, you have specific protections and appeal rights.
If you are enrolled in a Medicare Advantage (MA) plan, different rules apply when a service or treatment is denied by your plan. Learn about these rules and your rights to appeal such decisions.
Medicare Part D has its own appeals process for denied coverage. Learn the important steps in appealing decisions.
Helpful tools and resources to support you when appealing a decision or filing a grievance.