How do I file a Medicare complaint (grievance)?
To file a Medicare complaint, you have several options depending on your issue. Call 1-800-MEDICARE (1-800-633-4227) to speak with a representative who can help you file your complaint directly. You can also file online by logging into your Medicare.gov account and selecting the complaint option under your plan details. For quality of care issues, contact […]
What happens if a Medicare Advantage denies a claim or pre-authorization request?
When your Medicare Advantage plan denies a claim or pre-authorization request, you have the right to appeal through a five-level process. Start by requesting reconsideration from your plan within 60 days of receiving the denial notice. The plan must respond within 72 hours for expedited requests or 30 days for standard requests. If your plan […]