What is Medicare Part C? - HHS.gov
Jul 22, 2024 · A Medicare Advantage Plan (like an HMO or PPO) is another Medicare health plan choice you may have as part of Medicare. Medicare Advantage Plans, sometimes called “Part …
Who’s eligible for Medicare? - HHS.gov
Dec 8, 2022 · Generally, Medicare is for people 65 or older. You may be able to get Medicare earlier if you have a disability, End-Stage Renal Disease (permanent kidney failure requiring …
Office of Medicare Hearings and Appeals (OMHA) - HHS.gov
Nov 24, 2025 · OMHA administers the nationwide Administrative Law Judge (ALJ) hearing program for appeals arising from individual claims for Medicare coverage and payment for …
Level 1 Appeals: Medicare Advantage (Part C) - HHS.gov
Jun 30, 2017 · Please note that the Office of Medicare Hearings and Appeals is responsible only for the Level 3 claims appeals and certain Medicare entitlement appeals and Part B premium …
The contents of this chapter are governed by regulations set forth in 42 CFR 422, Subpart C, and consequently, the discussion in this chapter is generally limited to the benefits offered under …
Filing an Appeal - HHS.gov
Nov 24, 2025 · The Office of Medicare Hearings and Appeals (OMHA) is in charge of Level 3 of the Medicare appeals process. In order to appeal to OMHA, you must have passed through …
The Appeals Process - HHS.gov
Jun 30, 2017 · OMHA is responsible for Level 3 claims appeals. The entry point of the appeals process depends on the part of the Medicare program that covers the disputed benefit or …
What’s the difference between Medicare and Medicaid? - HHS.gov
Dec 8, 2022 · Medicare Medicare is federal health insurance for people 65 or older, and some people under 65 with certain disabilities or conditions. A federal agency called the Centers for …
Requesting an ALJ Hearing | HHS.gov
Jan 7, 2025 · What do I need to know to request a Medicare hearing with an Administrative Law Judge (ALJ)? You have the right to appeal any issue not decided entirely in your favor …
What health insurance programs are available for aging and/or …
Jul 7, 2021 · Medicare is a Federal health insurance program for people 65 years or older, certain people with disabilities, and people with end-stage renal disease (ESRD). When you first enroll …