How it works
Free to understand. Appeals Plus for $39 to fight, per case, every level, 12 months.
- 1
Upload the notice
FreeA service determination denial, a PACE appeal decision, or an IRE/state-fair-hearing decision. We read it and tell you the deadline and what happens next.
- 2
Get the explanation
FreeIn plain language: what the actual rule requires, and — if a service is being reduced or stopped — whether the required in-person reassessment actually happened.42 CFR § 460.122
- 3
See your real deadline
FreeThe interdisciplinary team must decide a new request within 3 calendar days; the PACE organization's own appeal takes up to 30 days standard or 72 hours expedited; external review (IRE) must be requested within 60 days of the appeal decision.
- 4
Fight it — Appeals Plus
$39, per caseWe write the request first and show you the preview. If we can't write it, you're never asked to pay. This is the appeal packet:
- The service determination request, with the in-person reassessment demand.
- The PACE appeal request (standard or expedited).
- The external review election letter.
- The CMS-1696 Appointment of Representative form.
- Every follow-up letter as the case moves, at every level, for 12 months.
- 5
Keep going until it's done
FreeUpload each decision as it arrives and the case moves to the next level with a new deadline and a new letter. One payment covers this case at every level for 12 months.
What $39 is compared to
| Option | Price | Knows the PACE rules and deadlines | Cites the rule | CMS-1696 form |
|---|---|---|---|---|
| Doing it yourself | $0 | You look it up | — | — |
| Free AI letter tools | $0–25 | No | No | No |
| CaseWhy Appeals Plus | $39 per case | Yes | Yes, on every claim | Yes |
| An elder-law attorney | Hourly | Yes | Yes | Yes |
Prices for other services as observed September 2026.
Then we keep track of it
Every step, every form, every date, in one place — free, for as long as the case takes.
Sample case — not a real family
Notice date
Sep 18, 2026
Appeal sent
Sep 22, 2026
Decision expected by
Oct 22, 2026
Next deadline
12 days left
4 of 8 steps done · next: send it was Sep 22
- Read your notice
- Know your deadline
- Decide who acts
- Get the letter
- Gather what goes with it
- Send it
- Wait for the decision
- Decision received
Why not free?
The explanation is free because you shouldn't have to trust us before you've seen that we read your notice correctly. The packet costs money because it costs us money to build and keep current.
Questions people ask
- What if you can't write my letter?
- Then there's nothing to pay for. We prepare your letter first and show you the preview; the $39 unlocks the download.
- Is this legal advice?
- No. CaseWhy Appeals explains the rules and prepares documents; it isn't a law firm and doesn't replace one.
Not legal advice. Not affiliated with or endorsed by Medicare, CMS, or any health plan. A product of CaseWhy LLC. See Terms of Service and Privacy Policy.
