Medicare Advantage Appeal Ladder
The next Medicare Advantage appeal level and its filing deadline.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Decision notice you have
- Organization determination (plan)
- Date printed on the notice
- 2026-10-01
Result: 42 CFR 422.582: request reconsideration by the plan within 60 calendar days of receiving the notice, so by December 5, 2026.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- Decision notice you have
- Date printed on the notice (YYYY-MM-DD)
- Date received, only with proof of later receipt (YYYY-MM-DD)
- Amount at stake, for an ALJ hearing
How this is calculated
Citation
42 CFR 422.582 (reconsideration: 60 days after receipt, presumed 5 days after the notice), 422.590 (30 days service, 60 payment, 7 Part B drug, 72 hours expedited; upheld denials go to the IRE), 422.602 (ALJ: 60 days). Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.