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How do I file an appeal? An appeal is the action you can take if you disagree with a coverage or payment decision made by Medicare, your Medicare health plan, or your Medicare Prescription Drug Plan. You can appeal if Medicare or your plan denies one of these: 1  Your request for a health care service, supply, item, or prescription drug that you think you should be able to get.  Your request for payment for a health care service, supply, item, or prescription drug you already got.
If you think about whan an appeal is, it's a challenge to a ruling or order or verdict in a lower court. In essence, you're asking a higher court to overturn or reverse that lower court's order. So when the appellate court states that the decision will be affirmed, it is rejecting your request to overturn that lower court's order. So the lower court's order remains in tact.