ApparentPlan works closely with the Centers for Medicare Advocacy (CMA) in Connecticut. Lately they have been getting calls from Medicare beneficiaries who have been waiting over a year to hear from an Administrative Law Judge to set up a hearing or hear the decision for their appeal. Medicare rules require that a beneficiary wait no longer than 90 days to from the time they request a hearing. Astonishingly, the average wait, according to the Office of Medicare Hearings and Appeals, is now almost 14 months and CMA is seeing much longer delays.
This is a serious problem. How many older adults are desperately trying to access care and are being denied coverage simply because their appeal is stalled in the backlog. Waiting this length of time for an answer regarding coverage is not only frustrating but can quickly become a financial crisis for most seniors.
If you, or any one you know, has been waiting more than 90 days to have your case heard by an Administrative Law Judge (ALJ), please let us know. Together with the Centers for Medicare Advocacy, we would like to help you get your case resolved.