Your parent's Medicare Advantage plan said no. Here's what to do next.
Upload the denial letter or bill. We explain why it was denied, citing the actual Medicare rule, tell you the exact deadline, and draft the appeal.
The nursing home or rehab sent a bill for days your parent's Medicare Advantage plan wouldn't cover? You have 65 days to appeal — and more than 8 in 10 appeals win.
A denial letter for equipment, imaging, home health, or a procedure works the same way: there's a real deadline, a real appeal level, and a real chance of winning if you appeal.
What the numbers say
4.1 million Medicare Advantage prior-authorization denials in 2024 — only 11.5% were appealed, and 80.7% of those appeals were overturned.
95% of appealed skilled-nursing-facility denials were overturned.
You have 65 days from the date on the notice to ask the plan to reconsider.
How it will work
- 1Upload the letter or bill.
- 2We explain why it was denied, citing the actual Medicare rule.
- 3We tell you the exact deadline and which appeal level you're at.
- 4We draft the appeal and track both your clock and the plan's.
Is your parent in the hospital right now?
If you just got a Notice of Medicare Non-Coverage or an Important Message from Medicare, you may only have hours to act.
Get the free fast-appeal steps →Frequently asked questions
- Is CaseWhy Appeals affiliated with Medicare, CMS, or my parent's plan?
- No. CaseWhy Appeals is an independent product of CaseWhy LLC. It is not affiliated with or endorsed by Medicare, CMS, or any health plan, and nothing here is legal advice.
- What does CaseWhy Appeals cost?
- Right now it's free — join the waitlist. Pricing hasn't launched yet.
- What if my parent is in the hospital right now and I only have hours?
- Use the free fast-appeal page — it doesn't require signing up. It tells you the exact deadline on your notice and who to call (the QIO) in the next few hours.
- Is this only for Medicare Advantage?
- Medicare Advantage is the first appeal type CaseWhy Appeals supports. The product is built to add other appeal types (Part D, Original Medicare, Medicaid managed care, and more) over time.
