What do I do if Medicare is not paying for an item or service that I feel should be paid for?

September 20, 2009 by admin

If you are in the Original Medicare Plan, you can file an appeal if you think Medicare should have paid for, or did not pay enough for, an item or service you received. If you file an appeal, ask your doctor or provider for any information related to the bill that might help your case. Your appeal rights are on the back of the Medicare Summary Notice (MSN) that is mailed to you from a company that handles bills for Medicare. The notice will also tell you why your bill was not paid and what appeal steps you can take.Additional information about the appeal process and downloadable appeal forms can be found in the Medicare Claims, Appeals Information, and Medicare Summary Notices section of www.medicare.gov.