Appeals and Client Advocate Services

Appeals

You may appeal to the Insured Services Appeal Committee if you do not agree with a decision made by New Brunswick Medicare about your case or the case of an immediate family member. This includes decisions about eligibility, refusal of a claim for entitled services or the amount paid on a claim. The Committee is made up of three members from the general public. It meets three to four times a year based on the number of cases it receives. It then reviews each case and presents recommendations to the Minister of Health and Wellness who makes the final decision regarding an appeal.

Appeals should be addressed to the Insured Services Appeal Committee, c/o New Brunswick Medicare, Department of Health and Wellness, P. O. Box 5100, Fredericton, N.B., E3B 5G8. Please include all background information.

Client Advocate Services

Client Advocate Services was established to: inform patients of their rights when dealing with New Brunswick Medicare; provide help and guidance on matters of dispute or disagreement; ensure the Medical Services Payment Act is appropriately applied; and ensure the process of the different sections of the Act is respected. Examples of issues that can be brought to the attention of the Client Advocate Services include: non-payment of services and eligibility issues.

You can contact Client Advocate Services at:

Client Advocate Services
New Brunswick Medicare
Department of Health and Wellness
P.O. Box 5100
Fredericton, N.B.
E3B 5G8
Phone: (506) 453-4227
Fax: (506) 453-2726