To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage.

This bill proposes to amend Title XVIII of the Social Security Act, specifically targeting the process for denied coverage determinations within Medicare Advantage plans . Its primary purpose is to eliminate the current requirement that enrollees must actively request a reconsideration of a denied claim, thereby making the process automatic. The legislation mandates that Medicare Advantage plans automatically reconsider each determination denying coverage , rather than only upon an enrollee's request. This change aims to streamline the appeals process for beneficiaries by initiating reconsideration immediately after an adverse determination is made, removing a procedural hurdle for individuals seeking review of denied services or items.