The Takeaway
- Social Security and Medicare denials are more common than you think — and many are overturned
- Appeals have strict deadlines, so act fast
- You can appeal on your own or with help from a representative
- Common denial reasons include missing info, coding errors, or misunderstandings
Let’s say you just got a letter from Medicare saying they won’t cover your recent hospital stay. Or Social Security denied your disability benefits — again. It feels like hitting a brick wall. But here’s the truth: a denial isn’t the end. It’s just a starting point.
Whether it’s Medicare or Social Security, you have the right to appeal. And better yet, many people win their appeal when they know how the system works.
Here’s your guide to making that “no” turn into a “yes.”
Step-by-Step: How to Appeal a Denied Medicare Claim
Step 1: Review the denial
Your Medicare Summary Notice (MSN) or Explanation of Benefits (EOB) will tell you what was denied and why. Look for codes like “non-covered service” or “not medically necessary.” These can often be challenged.
