{"id":17537,"date":"2021-01-22T10:05:19","date_gmt":"2021-01-22T15:05:19","guid":{"rendered":"https:\/\/medicarereport.org\/?p=17537"},"modified":"2021-01-22T10:05:19","modified_gmt":"2021-01-22T15:05:19","slug":"what-is-the-appeal-process-for-original-medicare","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=17537","title":{"rendered":"What is the appeal process for original Medicare?"},"content":{"rendered":"<p>If Medicare denies coverage for any service, you may appeal their decision. The appeals process involves five levels so if you do not win on the first level, you may move on to the second.\u00a0 So what are the reasons for filing an appeal?\u00a0 You may file an appeal for several reasons, including:\u00a0 When Medicare, a health plan, or drug plan makes a decision that results in denial to cover or pay for a piece of durable medical equipment (DME), healthcare service or mediation, to change the fee that an individual must pay for DME, healthcare service or medication. In Mary West\u2019s article appearing on\u00a0<a href=\"http:\/\/www.medicalnewstoday.com\/\">www.medicalnewstoday.com<\/a>\u00a0she writes on how to win a Medicare appeal. Read Ms. West\u2019s article\u00a0<a href=\"https:\/\/www.medicalnewstoday.com\/articles\/how-to-win-a-medicare-appeal\">here\u2026<\/a><\/p>\n<p><a href=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/iStock_000025513411Small-700x559-medicare.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-9838\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/iStock_000025513411Small-700x559-medicare-300x240.jpg\" alt=\"\" width=\"300\" height=\"240\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/iStock_000025513411Small-700x559-medicare-300x240.jpg 300w, https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/iStock_000025513411Small-700x559-medicare.jpg 700w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<pre><strong>Notice:<\/strong> The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org<\/pre>\n","protected":false},"excerpt":{"rendered":"<p>If Medicare denies coverage for any service, you may appeal their decision. The appeals process involves five levels so if<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,9,15],"tags":[],"class_list":["post-17537","post","type-post","status-publish","format-standard","hentry","category-medicare-general","category-medicare-advantage","category-part-dprescription-drugs"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/17537","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=17537"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/17537\/revisions"}],"predecessor-version":[{"id":17538,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/17537\/revisions\/17538"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17537"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17537"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17537"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}