Index

IX. Medicare Rights and Protections
      e. Appealing Medicare Private Health Plan (HMO, PPO, PFFS, PSO) Denials

1. What do I do if my Medicare Advantage plan says "no" to the care I need?   Go to
2. What to do if your HMO doctor refuses to provide you care or refuses to refer you to a specialist   Go to
3. What to do if your Medicare Advantage plan refuses to pay for care you already received   Go to
4. What to do if your Medicare Advantage plan refuses to let you get care you need   Go to
5. What to do if your Medicare Advantage plan refuses to let you get care you need immediately   Go to
6. If I win my appeal, how long can it take for my Medicare private health plan to approve or pay for my care?   Go to
7. Timeline for filing a Medicare private health plan appeal (standard)   Go to
8. Timeline for filing a Medicare private health plan appeal (expedited)   Go to
9. You have a Medicare Advantage plan and your home health agency, skilled nursing facility, hospice agency or comprehensive outpatient rehabilitation facility wants to end your care   Go to
10. Appealing at upper levels if you are in a Medicare Advantage plan and your home health agency, skilled nursing facility, hospice agency, or comprehensive outpatient rehabilitation facility wants to end your care   Go to

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