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Appeals Process For Medicare Beneficiaries Explained: Individuals on Medicare have the right to appeal the amount they pay for Medicare Part B Coverage shares the American Association for Medicare Supplement Insurance (AAMSI).
“Covid has impacted many Americans on Medicare who are not aware of this right,” states Jesse Slome, AAMSI’s director. “As a Medicare beneficiary, you can appeal if you believe you meet one of the qualifying reasons.”
The Association has added a webpage providing an overview of the Medicare appeals rules and process. The first step is to request a reconsideration of the Social Security Administration’s initial determination (the amount being charged or deducted).
According to the organization, individuals can appeal for two reasons. “First, you believe that the income information used by Social Security to calculate your premium was incorrect or outdated,” Slome explains. “For example, you filed an amended (corrected) tax return.”
In addition, the organization’s webpage lists a number of life-changing events that have resulted in an income decrease. “Many people chose to stop working rather than be exposed to Covid while others had hours reduced,” Slome notes. “That would constitute a valid reason to appeal.”
The American Association for Medicare Supplement Insurance advocates fore the importance of awareness and understanding regarding Medicare insurance related matters. The organization operates the largest free national directory enabling consumers to find local Medicare insurance agents nationwide. For access, visit the organization’s website at www.medicaresupp.org.
Find Local Medicare Insurance Agents
Choosing the best Medicare insurance coverage can be complex. There are choices to be made. And, it can be very specific depending on exactly where you live. You may have great Medicare Advantage plans available. Or you may prefer a Medicare Supplement (also commonly called Medigap) plan that generally gives you far more flexibility and options. But even here, there are so many options and choices. All of these are the reasons we strongly encourage consumers to speak with a knowledgeable Medicare insurance agent who knows specifics about the various plans available in your immediate area. Use the Association’s online directory to connect with one for your Zip Code.