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Medicare Appeals Council

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Nov 19, 2025
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What appeal options exist if Medicare denies coverage for extended skilled nursing services?

If Medicare denies coverage for extended skilled nursing services you have multiple appeal pathways: for ongoing care you can request an expedited (fast) appeal to the BFCC‑QIO which can keep coverage...

Dec 7, 2025

How and when can someone appeal or request a Medicare IRMAA reconsideration in 2025?

You can request a Medicare IRMAA reconsideration when you receive an Initial IRMAA Determination letter or when a qualifying “life‑changing event” reduces your income; for 2025 IRMAA determinations th...