Appeals information for Medicare and plans we don't regulate

Find who to contact if you're appealing a decision from Medicare or another type of plan not subject to certain state and federal requirements.

Some health plans are not required to meet state or federal requirements. If you’re appealing a health insurance denial from one of these plans, find important contact information in the tables below.

Medicare plans

Where you can find appeals information for Medicare plans
Medicare plans	Where to look for appeal information
Original Medicare	On the back of your Medicare Summary Notice Medicare claims and appeals Your Medicare rights The current version of Medicare & You
Medicare Advantage	In your plan's materials Call your plan Your Medicare rights The current version of Medicare & You
Medicare Prescription Drug (Part D)	In your plan's materials Call your plan Your Medicare rights The current version of Medicare & You
Social Security Administration (SSA) (Some Medicare-related issues are decided by SSA)	Go to your local SSA office Call 800-772-1213 Go to SSA Note: SSA determines Medicare eligibility and effective dates, Medicare late enrollment penalties, Medicare premiums for Extra Help and Part D, Social Security Disability Insurance and Supplemental Security Income.

Non-Medicare plans

Where you can find appeals information for non-Medicare plans
Non-Medicare plans	Where to look for appeal information
Apple Health (Medicaid for kids and adults)	Call 800-562-3022 The state merged Medicaid into Apple Health, which now serves all ages, kids and adults.
Washington State Health Insurance Pool (WSHIP)	Call 800-877-5187 Go to WSHIP
Self-funded health plans	In your plan's materials Contact your human resource department
Military personnel with TRICARE	Call the appropriate TRICARE contact number for your area Go to the TRICARE appeals process
Uniform Medical Plan (UMP)	Call 888-849-3681 Go to Complaint and Appeal Procedures This is a health plan offered to Washington state public employees (active and retired) and their dependents. This coverage falls under the jurisdiction of the Washington State Health Care Authority and is subject to Washington state’s Patient Bill of Rights. This means that while it has a plan-specific appeal process, many of the rights available to consumers in state-regulated plans will also be available to consumers with this coverage.