If you need help filing an appeal, you can appoint a representative (a relative, friend, advocate, attorney or someone else ...

If you have Original Medicare and disagree with a coverage or payment decision, or the amount of a claim that’s been paid, you can complete and return a Medicare appeal form. When a doctor, healthcare ...

Dear Savvy Senior: What steps do I need to take to appeal a denied Medicare claim? — Frustrated Retiree Dear Frustrated Retiree: If you disagree with a coverage or payment decision made by Medicare, ...

You must complete the Medicare Redetermination Request form if you’re appealing a claim denial by Medicare for the first time. This leads to the first phase of the Medicare appeals process. If you’re ...

Health insurance companies don’t always pay for items the first time coverage is requested, and they don’t cover everything they’re asked to. You, the consumer, may need to file an appeal to get the ...

Dear Savvy Senior: Is there anything I can do to reduce my high Medicare premium surcharges? Because of my past income, I pay $329.70 per month for my Part B premium and $64.50 a month for Part D, but ...

Retirees are paying slightly higher premiums for Medicare Part B in 2025, with an increase of almost 6% from 2024. The premium rose to $185 in 2025, up $10.30 from $174.70 in 2024. Price hikes ...

Usually, a person or their healthcare professional must file a claim within a year of the person receiving care, but certain situations may extend timely filing. If Medicare rejects the claim, a ...

Contact Medicare to get the deadline for filing the claim. Complete the Patient’s Request for Medical Payment (CMS-1490S) form. Get an itemized bill for the medical service as it validates the claim.

1. In a 49-page opinion, the U.S. Court of Appeals for the District of Columbia Circuit reversed a 2018 decision that vacated Medicare’s overpayment rule, which requires insurers to refund payment to ...