How do I appeal a decision by Medicare or my plan if they deny coverage for a procedure or medication I need?
Answered by 2 licensed agents
Under traditional Medicare, you will appeal directly to Medicare, and Medicare supplemental/Medigap coverage must follow Medicare's lead in paying your coverage cost. With Medicare Advantage, you will deal directly with the insurance companies that write those plans.
Answered by Larry Dalton on March 26, 2025
Broker Licensed in OK & TX
You call the plan directly and file an appeal. The number will be on the back of your card. Also, if this is a drug plan, you can request a formulary exception if all other options have been exhausted.
Answered by Adam Simon on March 27, 2025
Broker Licensed in MI, AZ, CA & 7 other states
Tags: Advice for Seniors Coverage The Medicare System
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