Make your Free
Medicare Peer Review Letter

  • Answer simple questions to make your document
  • Sign & share your document online
  • Save progress and finish on any device; download & print at home

How it works

  • Build your
  • Save, print
    & share
  • Sign it &
    Make it legal
Sample Medicare Peer Review Letter Form Template
How it Works
Build your Document
Save, Print & Share
Sign it & make it legal


rocket lawyer 5 star rating

Kasia M.

"Rocket Lawyer is a helpful tool for professionals who need legal documents at an affordable price."

Medicare Peer Review Letter basics

A Medicare Peer Review Letter helps you pen a formal survey of how you were treated under Medicare. Maybe you've received a Notice of Noncoverage informing you that Medicare will no longer cover hospital care and you want that decision reviewed. A Medicare Peer Review Letter helps you get your voice heard.

Use the Medicare Peer Review Letter document if:

  • You want to write a review, good or bad, about recent Medicare treatment or a hospital stay.
  • You got a Notice of Noncoverage and want it formally reviewed.

You have certain rights as a Medicare recipient. Keep the agency accountable with a Medicare Peer Review Letter. There's a Peer Review Organization (PRO) that keeps hospitals and facilities in check. Let's say you received fantastic treatment recently; you may want to praise them for how well you were treated. Maybe the treatment you received was unacceptable and you want to make sure the hospital changes their practices; either way, a Medicare Peer Review Letter lets you share your experiences. Perhaps you were just notified that Medicare won't be paying for hospital coverage in the future and you want to fight that decision. A Medicare Peer Review Letter helps you be heard and maybe even change policy.

Other names for this document: Medicare peer Review Form, Medical Peer Review Letter

Read {{ showMore ? 'Less' : 'More' }}

Sample Medicare Peer Review Letter

More than just a template, our step-by-step interview process makes it easy to create a Medicare Peer Review Letter.

Save, sign, print, and download your document when you are done.

Get legal advice

From Rocket Lawyer On Call® attorneys.

Characters remaining: 600

Ready to make your Free Medicare Peer Review Letter?

Your document is free within your one week membership trial.

Meet ALL your legal needs with a Rocket Lawyer membership.
Document Defense®
Have an attorney ready to defend your document
Document Review
Review up to 6 documents a year with an attorney
Ask a Lawyer
Get 2 Q&A sessions with an attorney every month
1-on-1 Legal Advice
Enjoy 30-minute consultations  on each new legal matter
Exclusive Discounts
Save on additional legal services from our nationwide network of lawyers
Unlimited Documents
Access hundreds of legal documents, plus extra features like electronic signatures