Office of Medicare Hearings and Appeals (OMHA)

Text Only Version of Table: Entities Responsible for Medicare Appeals by Level and Medicare Part

Level of the Appeals Process	Medicare Part A & B	Medicare Part C	Medicare Part D
Level 1	Medicare Contractor [see note at end of table]	Medicare Advantage Plan	Medicare Prescription Drug Plan
Level 2	QIC	Independent Review Entity	Independent Review Entity
Level 3	Office of Medicare Hearings and Appeals	Office of Medicare Hearings and Appeals	Office of Medicare Hearings and Appeals
Level 4	Medicare Appeals Council	Medicare Appeals Council	Medicare Appeals Council
Level 5	Federal Court	Federal Court	Federal Court

Medicare Contractor Note: In each part of the Medicare program, the Medicare contractor administering the program (usually an insurance company) makes a decision about your Medicare benefits.  In most cases, the decision is whether or not a medical service or item is covered and how much the Medicare program will pay for the service or item.  There are different names for these decisions depending on the part of the Medicare program covering the benefits. 

<< Back