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How to appeal a Medicare denial

Original Medicare and Medicare Advantage appeals: the deadlines and the first steps.

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Original Medicare

Ask for a redetermination within 120 days of the date you receive your Medicare Summary Notice.

Medicare Advantage

Ask your plan for a reconsideration within 65 days of its decision.

Five levels

Medicare appeals have five levels. If the first level says no, the decision letter explains how to go to the next one.

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Sources

  1. Medicare.gov: How do I file an appeal?