Health Care Appeals / Fraud Hearings

• Appeal of Determination for Help with Medicare Prescription Drug Plan Costs

  Fill out this form if you want to appeal Medicare's decision about your eligibility for Prescription Drug benefits. For instructions on how to fill out this form go to http://www.ssa.gov/online/ssa-1021-inst.pdf Content Detail

  By:

  U.S. Social Security Administration

• Public Assistance Appeals - Form and Instructions

  If you were denied public benefits or your benefits were cut off, you can use this form to appeal the decision. After reading the instructions on the second page, you can fill out the form, print it off, and mail it in. Read More

  By:

  Minnesota Department of Human Services