A note from the founder: why CaseWhy Appeals exists

CaseWhy Appeals started from a simple, frustrating fact: in a recent year, Medicare Advantage plans denied 4.1 million requests for care. Only about 1 in 9 of those denials was ever appealed. Of the appeals that were filed, more than 8 in 10 got the denial overturned.

That means roughly 3.6 million denials a year go unchallenged — not because they were right, but because nobody had the time, the confidence, or the plain-language explanation of what the rule actually said to make appealing feel worth it. A denial letter is dense, the deadline is buried, and the person dealing with it is often already stretched thin — frequently an adult child managing a parent's care from a distance.

CaseWhy Appeals reads the actual notice, explains what the governing Medicare rule requires in plain language, tells you the real deadline (both the one you're on and the plan's own clock), and drafts the appeal letter itself — citing the real rule, not a generic template.

Understanding the denial is, and will stay, free. Fighting it costs $49 once, after your letter already exists — you see it before you're ever asked to pay.

If a denial like this has happened to your family, I hope this saves you the hours it would otherwise take to piece together on your own.