If you have Medicare and other health insurance (like from a group health plan, retiree coverage, or Medicaid), each type of coverage is called a “payer.” When there’s more than one payer, “coordination of benefits” rules decide who pays first. The “primary payer”…

Medicare Part B (Medical Insurance) covers:

When the BFCC-QIO gets your request within the fast appeal time frame, it will notify the plan and the hospital. Once your plan and the hospital are notified by the BFCC-QIO, your plan or the hospital will provide you a…

If you’re getting Medicare services from a hospital, skilled nursing facility, home health agency, comprehensive outpatient rehabilitation facility, or hospice, and you think your Medicare‑covered services are ending too soon (or that you’re being discharged too soon), you can ask…

You may have the right to a fast appeal if you think your services are ending too soon from one of these facilities: While you’re getting SNF, HHA, CORF, or hospice services, you should get a notice called “Notice of…

You have the right to a fast appeal if you think your Medicare-covered services are ending too soon. This includes services you get from a hospital, skilled nursing facility, home health agency, comprehensive outpatient rehabilitation facility or hospice. Your provider…

Contact your State Health Insurance Assistance Program (SHIP) if you need help filing an appeal. Or, you can appoint a representative to help you. Your representative can be a family member, friend, advocate, attorney, doctor or someone else who will act on…

If you disagree with your plan’s initial decision, you can file an appeal. The appeals process has 5 levels. If you disagree with the decision made at any level of the process, you can generally go to the next level.…

An appeal is the action you can take if you disagree with a coverage or payment decision by Medicare or your Medicare plan. For example, you can appeal if Medicare or your plan denies: You can also appeal:

To check the status of Medicare Part A (Hospital Insurance) or Medicare Part B (Medical Insurance) claims: Check the status of a claimTo check the status of Medicare Part A (Hospital Insurance) or Medicare Part B (Medical Insurance) claims: Log…