Just fill out the form and wait…
Part D Late Enrollment Penalty Reconsideration Request Form
If you are being charged a Late Enrollment Penalty (LEP), you may request an LEP Reconsideration appeal with MAXIMUS Federal Services, the Part D Qualified Independent Contractor.
An enrollee may use this form to request an appeal of a Late Enrollment Penalty decision. The enrollee must complete the form, above, sign it, and send it to the Independent Review Entity – Maximus as instructed in the form. CMS.gov *
Please be sure to read our main page on the penalities for late enrollment in Part D, so that you understand how and what Maximus is looking for you to prove in an appeal.
Email: [email protected]
Frequently-asked-questions Part D in General
Reconsideration Process Manual I don’t see anything about LEP though
Medicare and You 2020 #10050
Everything you want to know
Different Parts of Medicare
Understanding your Medicare Choices
Medi Gap vs Medicare Advantage
How to sign up for Parts A & B
Is your test, service, or item covered?
Original Medicare Parts A & B
Medicare Advantage Plans & Part D Rx
Supplement Insurance (Medigap)
Low Income Help LIS