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What can I do if the Original Medicare plan (Part A Hospital Insurance or Part B Medical Insurance) says it won't cover an item/service that I think should be covered?

September 20, 2009 by admin

AnswerId: 
1973
QuestionLong: 
What can I do if the Original Medicare plan (Part A Hospital Insurance or Part B Medical Insurance) says it won't cover an item/service that I think should be covered?

The Medicare Summary Notice (MSN) that you receive from the company that handles claims for Medicare will tell you if Medicare has paid your medical claim or denied it. If your medical claim is denied and you believe Medicare should have covered it, you can request a redetermination (first level appeal). The MSN will explain how to file an appeal.

DateCreated: 
2007-09-19
DateUpdated: 
2009-04-08
FAQ_Category: 
Medicare Appeals
RelatedAnsIds: 
1963,11,49,7,2037

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