Lawsuit Claims Medicare Beneficiaries Were Denied Meaningful Review Of Claims

In a class action federal lawsuit filed by four Connecticut plaintiffs, the Center for Medicare Advocacy is claiming that the U.S. Secretary of Health and Human Services Kathleen Sebelius denied its clients a meaningful review of their Medicare claims during the first two levels of appeal. The plaintiffs state that instead of getting a meaningful review of their cases, they received an initial denial of coverage.

Although the new review system was supposed to be more efficient, it has actually hindered beneficiaries from “obtaining an efficient and meaningful review of their claims by requiring them to take their claims to third level of review, a hearing before an Administrative Law Judge, if they want any realistic chance of coverage.” The Center for Medicare Advocacy argues that people are going without necessary care because they’re being wrongly denied for coverage or have decided to drop out of the years-long appeals process after waiting for a hearing.

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One thought on “Lawsuit Claims Medicare Beneficiaries Were Denied Meaningful Review Of Claims

  1. Pingback: Monday Morning Recap | hmsabc

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