If Social Security denies your request for a lower Part B premium and you disagree, you have the right to four levels of appeal.

1. Request for Reconsideration.

You can appeal in writing by completing a Request for Reconsideration form. You can find the appeal form online at Social Security’s website or request a copy by calling SSA’s national hotline (800-772-1213). You may also contact your local Social Security office in person or by telephone to file your appeal.

To find your local Social Security office, either call SSA's national hotline (800-772-1213) or click on the "Local Social Security Office Locator" link in the LINKS box.

To get a copy of Social Security's "Request for Reconsideration" form, click on the link in the LINKS box.

You should present any evidence you have that shows that your income is lower than what Social Security has on record for you, such as a letter from your employer about your retirement or an insurance claim for income-generating property that has been destroyed. Each piece of evidence should have your Social Security number clearly written on it. If you apply online or by phone, you should mail a copy of the form with your evidence.

2. Administrative Law Judge (ALJ) Hearing

If you disagree with Social Security’s reconsideration decision, you can ask for a hearing before an Administrative Law Judge (ALJ) within 60 days (two months) of receiving the reconsideration decision. You will need to submit two forms to your local Social Security office. You can request these forms, and get the address for the local office from SSA’s hotline or find them on their website:

1. Request for Hearing by Administrative Law Judge form.
2. IRS Form 8821 that allows Social Security to send your tax information to the ALJ.

To get copies of these forms online, click on the links in the LINKS box.

If you are going to submit any new evidence to the ALJ, you must do so within 10 days of filing your request. If you are unable to submit new evidence within 10 days, you can ask the ALJ for an extension.

3. Medicare Appeals Council (MAC) Review

If you disagree with the ALJ’s decision, you can ask for a Medicare Appeals Council (MAC) review within 60 days (two months) of receiving the ALJ’s decision. You can ask for a MAC review by making your request in writing. You can either fill out the form titled Request for Review of Hearing Decision/Order available on SSA’s web site, or submit a letter requesting that MAC review your case. You can submit your appeal to your local Social Security office or directly to the MAC. The address for the MAC is on the form.

To get the form "Request for Review of Hearing Decision/Order," click on the link in the LINKS box.

4. Federal District Court

If the MAC denies your appeal, you can request a judicial review in a Federal District Court within 60 days (two months) of receiving the MAC’s decision.

You local Social Security office can assist you with the appeals process at all stages of your appeal.

To find out what to do if Medicare won't pay for care you received, click on the link in the GO TO box.