Medicare Rights and Appeals Medicare consumers have four basic rights:

  • You have the right to be admitted to the hospital when it is medically necessary. If you are a Medicare Advantage plan member, the plan guides your admission. Read more about the right of hospital admission.
  • You have the right to stay in the hospital until it is medically safe to leave. This right protects you from being discharged from the hospital too soon. Read more about early hospital discharge.
     
  • You have the right to receive quality health care that meets established standards and guidelines. Read more about quality of care complaints.
     
  • You have the right to appeal any time a provider plans to stop your care due to a lack of medical necessity. To learn more about this right, visit the appeals page. You have this right when you are receiving care from any of the following:

    • a hospital
    • a home health agency
    • a skilled nursing facility, also known as a nursing home
    • a comprehensive outpatient rehabilitation facility, also known as a rehabilitation center
    • hospice

    If you are a member of a Medicare Advantage plan, you can’t appeal hospice care.

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Download the Just Ask flyer for more information.


Contact our helpline at
1-800-322-1914 or through Medicare's helpline at
1-800-MEDICARE
(1-800-633-4227).