Your Rights Under Medicare

If you have Medicare, you are by law entitled to appeal decisions about continuing your health care services. 

For example, if you’re in the hospital and should, at some point, receive an official document (“An Important Message from Medicare” or possibly a Notice of Provider Non Coverage) that tells you that your health care services will be discontinued on a certain date, hopefully, you are well enough that your services can be discontinued.  But if you believe you are not well enough for services to be discontinued, you can and should request an appeal. This applies to other health care settings as well, such as skilled nursing facilities, rehabilitation hospitals, hospice or home health care.

Here’s How it Works

Oklahoma Foundation for Medical Quality is hired by Medicare to review cases where services and payment for services may be terminated too soon. It’s our job to examine your situation – we have doctors and nurses on staff that do this – and determine the right solution.

Call us at 1-800-522-3414 and an expert reviewer will walk you through everything. You will provide some information about your situation and we’ll take it from there. We work with your health care providers to get all the information from their end.

We can’t of course guarantee that the outcome of our review will be the same as your opinion. But in the end, you will have had a Medicare-appointed expert make a fair and efficient determination on your health care coverage. And if your care needs to be continued, it will be.

OFMQ is available to help you seven days a week between 8:00am and 4:30pm.

Call 1-800-522-3414.

For additional information about your Medicare rights and protections, call Medicare at 1-800-633-4227 (1-800-Medicare)

Or visit www.medicare.gov.

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