2614. Overview of the Appeals Process

The appeal process for extra help determinations consists of one formal SSA administrative step. The individual can choose a hearing either by telephone or case review. Case review will be based on the information in the file and any additional information the individual or his or her personal representative provides. Both, the hearing by telephone and the hearing by case review are the same level of the administrative appeal process for extra help determinations. If an individual is dissatisfied with SSA's final decision, he or she may file an action in Federal district court.

2614.1 What can you do if you do not agree with Social Security's decision about your claim for extra help with Medicare prescription drug costs?

If you are not satisfied with the decision you may request an appeal by calling the national toll-free 800 number (1-800-772-1213) or by calling, writing, or visiting any Social Security office to request an appeal. You can also obtain a copy of the SSA-1021 (Appeal of Determination for Help with Medicare Prescription Drug Plan Costs) from the internet.

Last Revised: Apr. 18, 2006