Part D Appeal Ladder
The next Part D 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
- Coverage determination (plan)
- Date printed on the notice
- 2026-03-03
Result: 42 CFR 423.582: request redetermination by the plan within 60 calendar days of receiving the notice, so by May 7, 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 423.582 (redetermination: 60 days after receipt, presumed 5 days after the notice), 423.590, 423.600, 423.2002, 423.2016. Amount in controversy: $200 ALJ in CY2026 (FR 2025-21879) and CY2027 (FR 2026-19016). Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.