Disclaimer arrow_icon

By shopping with third-party insurance agencies, you may be contacted by a licensed insurance agent from an independent agency that is not connected with or endorsed by the federal Medicare program.

These agents/agencies may not offer every plan available in your area. Please contact Medicare.gov or 1-800-Medicare to get information on all options available.

Learn about Medicare plans.^*

Explore plans from a licensed agency!

These agents/agencies may not offer every plan available in your area. Please contact Medicare.gov or 1-800-Medicare to get information on all options available.

Home > Glossary > detailed explanation of non-coverage (DENC)

detailed explanation of non-coverage (DENC)

What is a detailed explanation of non-coverage?

A detailed explanation of non-coverage (DENC) is provided by a home health agency, skilled nursing facility, hospice, or outpatient rehabilitation facility if they determine you are no longer eligible for Medicare services, and you appeal that decision.

If you don’t appeal, you will not receive a DENC, and will instead only receive a Notice of Medicare Non-Coverage (NOMNC). The NOMNC will explain how to appeal (request an expedited determination). If the beneficiary chooses to do that, they will then receive a DENC.¹

Footnotes

”FFS & MA NOMNC/DENC” Centers for Medicare & Medicaid Services. Accessed June 26, 2025 ⤶

A guide to Medicare eligibility

Eligibility for Medicare coverage depends on factors that include your work history, health status, and residency status. Check your eligibility today.

Who should I contact if I have an issue with my Medicare coverage?

You can usually address many Medicare Advantage or Part D enrollment issues by contacting Social Security or 1-800-MEDICARE. But you have to appeal coverage denials directly to your insurer.

A guide to Medicare eligibility

Eligibility for Medicare coverage depends on factors that include your work history, health status, and residency status. Check your eligibility today.

Who should I contact if I have an issue with my Medicare coverage?

You can usually address many Medicare Advantage or Part D enrollment issues by contacting Social Security or 1-800-MEDICARE. But you have to appeal coverage denials directly to your insurer.

See more articles

detailed explanation of non-coverage (DENC)

What is a detailed explanation of non-coverage?

What is a detailed explanation of non-coverage?

Related Articles

A guide to Medicare eligibility

Who should I contact if I have an issue with my Medicare coverage?

A guide to Medicare eligibility

Who should I contact if I have an issue with my Medicare coverage?