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appeal
An appeal is a formal request to Medicare to have an official decision reviewed in respect to a payment or policy you may wish to dispute.
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.
Enrollees in a Medicare health plan may file a grievance if they are unsatisfied with their treatment by those who administer their health plan. Conversely, an enrollee would file an appeal to complain about a treatment decision or service that is denied coverage.