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Your Medicare Rights: Information, Privacy and Appeals

Know where to ask for an explanation, protect personal information and challenge a Medicare coverage decision.

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You can ask questions and seek an explanation before making a coverage decision. Medicare rights include fair treatment, protection of personal information and processes for challenging certain decisions. Keep the notice or document connected to your concern.

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Choose the right next step

Concern Starting point
A service was denied Read the decision and its appeal instructions
Poor service or conduct Ask about the complaint or grievance process
A bill seems wrong Compare the bill with the Medicare or plan explanation
Possible identity misuse Contact Medicare through its official number

Keep a simple record

Write down the date, organization, person you spoke with and reference number. Save letters and screenshots. Describe what happened and what correction you are requesting. A short, organized account is often easier to act on than a long collection of unrelated documents.

Protect your information

Use a verified contact method before sharing your Medicare number or other sensitive details. Do not include those numbers in public reviews or ordinary website comments. If another person helps you, ask what authorization is required for them to discuss your case.

Contact 1-800-MEDICARE for official program assistance or your SHIP for free counseling. For a decision with a deadline, follow the notice promptly; a complaint does not automatically replace an appeal or extend its deadline.

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Official information

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