Insurance CE >> Florida >> Life / Health

Medicare Appeals: Helping Your Clients Through the Process

Overview

One area of Medicare that remains little understood by the average consumer is the appeals process and the rights of Medicare recipients to ask for reconsideration of a decision by Medicare or their Medicare Advantage or Part D plan. The purpose of this course is to provide a comprehensive study of the Medicare appeals process so producers and advisors can help guide their clients through that process if it were to become necessary or advisable.

Summary Details

Hours

3.0

Price

$13.95





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Learning Objectives

  • Understand how Medicare claims are submitted and reviewed
  • Identify the standards for initial Medicare cost and coverage decisions
  • Recognize common causes of negative Medicare decisions
  • Appeal negative decisions for Original Medicare, Medicare Advantage, and Medicare Part D plans
  • Appeal the imposition of an income-related monthly adjustment amount (IRMAA) on Medicare Part B and/or Part D premiums
  • Appeal premium penalties for late Medicare enrollments


Designed For:

Life and health insurance producers and finance professionals

Repetition Rule: The Florida DOFS does not permit agents to repeat the same course within 2 years of the original completion date.

This course has been approved by the Florida Department of Financial Services for insurance continuing education.

Provider of Record: WebCE
Provider Number: 364621


Course Information

Adding additional credit may change exam requirements.

Access Period: 12 months
Prerequisites: None
Delivery Method: Self-Study
PDF Download: Not Available
Course Approval Number: 129260
Provider of Record: WebCE
Provider Number: 364621
Last Reviewed: February 2024
Study Level: Intermediate
Approved For: FL-215 Life, Health & Variable Annuity

Exam

Proctor: No
Passing Grade: 70
Questions: 20



Recent Customer Course Comments

Comments are from students across the country who have recently completed the latest version of the course(s).


RH Roy H.
Course completed 4/8/2025

Simple choices made



DR Debra R.
Course completed 4/1/2025

The financial data should be updated from 2024 to 2025.



LT Lisa T.
Course completed 3/12/2025

This was very informative and not necessarily information that is easy to find as an agent. Understanding the appeals process and how it works is an important piece of helping clients.



CR Cherry Anne R.
Course completed 3/7/2025

I am a visual and audio learner, WebCE meets all my needs and expectations regarding the completion of my CE. Thank you



SW Stephen W.
Course completed 2/12/2025

Hard time navigating to my courses.



SW Stephen W.
Course completed 2/12/2025

Hard time navigating to my courses.



AB Andrea B.
Course completed 2/5/2025

This was a great course. A lot of it was information that I already knew but I did learn a few things. I enjoy broadening my education so that I can better assist my clients.



LP Laura P.
Course completed 1/31/2025

The financial amounts from 2022 or 2023 are out of date in this course. It needs to be updated to 2024 and 2025 now.



SC Sharon C.
Course completed 1/30/2025

I've never seen a course that goes beyond the basics of Medicare, this should be a prerequisite added for all agents! Great course!



SF Steven F.
Course completed 12/8/2024

Excellent and very interesting



MM Melinda M.
Course completed 10/7/2024

Loved that this is an advanced Medicare subject matter for those of us in the business for a while! More, please!



TS Tammy S.
Course completed 10/7/2024

I am glad my company came back to WebCE. I find these courses informational. To improve...proof read, errors can change meaning. Review the audio, inflection , pauses/non-pauses and pronunciation can change meaning.



SR Susan R.
Course completed 10/6/2024

This was probably one of the BEST and INFORMATIVE courses I have ever taken. It was excellent material coverage. Loved it!



AK Alena K.
Course completed 8/31/2024

I am really glad that this topic was added. I enjoy taking classes on things I don't know about. This was a very beneficial course.



SK Sally K.
Course completed 8/27/2024

Some questions were a little confusing.



RR Ronald R.
Course completed 8/1/2024

Very well put together



LS Lisa S.
Course completed 7/25/2024

I really like that there are many gems packed in your courses as well as a lot of refresher material that I may have forgotten from the past. It is easy to log in, navigate and progress through your courses.



PG Patricia G.
Course completed 7/24/2024

Some tricky questions.