Appeals

Browse our articles about appeals

March 24, 2026

Medicare and AI: How Artificial Intelligence Is Changing Coverage Decisions

How AI is reshaping Medicare coverage decisions in 2026, from the WISeR prior authorization pilot to insurer controversies, and what beneficiaries should know.

Understanding Your Medicare Summary Notice

Learn how to read your Medicare Summary Notice, spot billing errors, track your spending, and use the MSN to protect your rights as a beneficiary.

Prior Authorization in Medicare: What You Need to Know

Understand how prior authorization works in Medicare, when it applies, how it differs from pre-certification, and recent CMS streamlining rules.

How to Appeal a Medicare Decision

Learn the five levels of Medicare appeals, key deadlines, how to write an effective appeal letter, and where to get free help from SHIP counselors.

Medicare for Caregivers: What You Need to Know When Helping a Loved One

A guide for family caregivers navigating Medicare enrollment, plan choices, and support resources on behalf of a loved one.

Medicare Part D Drug List: How Formulary Tiers and Coverage Work

Understand how Part D formularies are structured, how medications are grouped into tiers, and how to verify your drugs are covered.

How to Appeal Your IRMAA Surcharge After a Life-Changing Event

Learn how to request an IRMAA reduction from Social Security after retirement, divorce, or other qualifying life events using Form SSA-44.

Does Medicare Cover Ambulance Services?

Understand when Medicare pays for ambulance transportation, including emergency and non-emergency rules, air ambulance coverage, and cost-sharing.

Medicare Prior Authorization: New Rules for 2026

New 2026 Medicare prior authorization rules bring faster decisions, electronic requirements, and an AI-assisted pilot in six states. Learn what changed.

This content is for educational purposes only and does not constitute a recommendation of any specific Medicare plan. Benefits, costs, and availability vary by plan and location. For complete information about your Medicare options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, available 24 hours a day, 7 days a week.