When Medicare Denies Coverage

Sometimes Medicare denies coverage for a service we think they should have approved. You can file an appeal and ask them to reconsider which you should do especially if you feel they may have made their decision based on wrong information.

Always review the Medicare Summary Notices you receive – those forms that say “this is not a bill”. They include all the information that Medicare uses in determining the status of your medical and hospital claims including your dates of service and providers of care. They also advise you how to file an appeal when you have Original Medicare. For more