This level offers students more familiar with Medicare the information and skills needed to assist Medicare beneficiaries in appealing denials of coverage and navigating issues related to Medicare premium penalties. Throughout advanced MI Pro Level 3 courses, you will learn more about the different types of Medicare appeals and the steps necessary to successfully navigate the appeals process. Preview courses by clicking on individual course titles below.

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You will have access to courses and related materials for one month. If you have any questions about MI Pro or would like to inquire about subscription periods longer than one month, please contact the MI Pro Team at mi@medicarerights.org.

NEW CFP® practitioners can learn the fundamentals of Medicare and earn continuing education hours. Visit cfp.medicareinteractive.org to find out more about these two programs: Medicare Intensive for Financial Planners (17 CE hours) and Medicare Overview for Financial Planners (5 CE hours).

NEW Social workers in many states can learn the fundamentals of Medicare and earn continuing education hours. Visit socialworkers.medicareinteractive.org to learn more about the Medicare Intensive for Social Workers (14 CE hours).

  1. Level 3: Appeals and Penalties

    Cost: $64.00 Add to cart
  2. Course 1: Original Medicare Appeals

    Cost: $20.00 Add to cart
    A person with Medicare will file different types of appeals depending on the type of service they receive and the type of coverage they have. In this course, we will talk about Original Medicare appeals, which beneficiaries may file if they are denied a health care service or item and think that it should be covered. You will learn about the five steps of filing a standard appeal and also how to file an expedited appeal for hospital and non-hospital care.
  3. Course 2: Medicare Advantage Appeals

    Cost: $20.00 Add to cart
    In this course, you will learn about Medicare Advantage (MA) appeals, or appeals beneficiaries make to their Medicare Advantage Plan if the plan is denying a health care service or item that they would like to receive or have already received. You will learn about standard appeals for both pre-service and post-service denials. We will also review standard and expedited appeals and their applicable timelines.
  4. Course 3: Medicare Part D Appeals

    Cost: $20.00 Add to cart
    This course guides you through the Medicare Part D appeals process, which is the same whether a person has a stand-alone Part D plan (PDP) or a Medicare Advantage Plan with prescription drug coverage (MAPD). We will review the reasons beneficiaries might want to appeal, including the drug they need is not covered by their plan, the drug is covered but there are coverage restrictions on the drug, or the drug is covered but they want to request a tiering exception in order to pay a lower copay. You will learn the specifics of the first pre-appeal step, and then we will detail the five levels of appeal within both standard and expedited timeframes. You will gain valuable tips to help people with Medicare move effectively through the appeal process, such as how to properly complete paperwork and how to enlist a doctor to support your appeal.
  5. Course 4: Medicare Late Enrollment Penalties and IRMAA

    Cost: $20.00 Add to cart
    Many beneficiaries have questions about late enrollment penalties and Medicare Income-Related Monthly Adjustment Amounts (IRMAA), and this course will help people with Medicare avoid penalties wherever possible. You will learn that penalties are incurred if individuals do not enroll in Medicare Parts A, B, and/or D when they are first eligible to do so, and we will explore how these penalties may be eliminated. The course reviews all key IRMAA considerations: what IRMAA is, when it must be paid and who is likely to pay it, and how to appeal or request a new initial determination if there is disagreement with Social Security’s IRMAA decision.
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