The 5 levels of Medicare appeals
| Level | Who reviews | Deadline |
|---|---|---|
| 1. Redetermination | Your plan or Medicare contractor | 120 days from denial |
| 2. Reconsideration | Qualified Independent Contractor (QIC) | 180 days from Level 1 |
| 3. ALJ Hearing | Administrative Law Judge | 60 days from Level 2 |
| 4. Medicare Appeals Council | Departmental Appeals Board | 60 days from Level 3 |
| 5. Federal Court | U.S. District Court | 60 days from Level 4 |
How to start an appeal
When you receive a denial (called a Medicare Summary Notice for Original Medicare, or an Explanation of Benefits from your MA plan), it will include instructions for filing an appeal. The most important thing is to act quickly — you have 120 days for the first level, but earlier is better.
Getting help with appeals in Colorado
- Colorado SHIP: Free counseling and appeal assistance — 1-888-696-7213
- Disability Law Colorado: Legal help for Medicare appeals — 303-722-0300
- Senior Medicare Patrol (SMP): If you suspect fraud or improper billing — 1-800-503-5190
