Part D Late Enrollment Penalty – Appeals
How is the penalty calculated?
See page 21 of Part D Rx Guide for ways to avoid the penalty.
Appeals form & Where to send it
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.
Here’s the Part D Late Enrollment Penalty
to request an appeal of a Late Enrollment Penalty decision. Just complete the form, above, sign it, and send it to the Independent Review Entity – Maximus as instructed in the form. CMS.gov * Just fill out the form and wait… Be sure to read the form below for reasons to file an appeal. There are not that many.
Resources & Links
Email: [email protected]
Click to visit Medicare’s Website on Part D Appeals
Consumer Links & Resources
Part D Prescription Drug Guide #11109 84 pages pdf
Medicare & You – See link in Side Panel
How to avoid penalty
Part D Late Enrollment Penalty Reconsideration Request Form cms.gov Appeals-and-Grievances/
Part D Rx 42 USC §1395 Late Enrollment Penalty on Cornell Law Website
Our Webpage on Late Penalties?
Our Webpage on High Income?
How Part D Late Enrollment Penalty is calculated
Click on the link, If you don’t see the Part D Reconsideration Form
FAQ from Calculation Page
Part D in General
Reconsideration Process Manual I don’t see anything about LEP Late Enrollment Penalty though
Q & A
I am 75. When Part D became available I did not enroll because I found another supplier at a substantial discount. If I understand the program, I am now subject to a 1% per month penalty from the date I became eligible to join Part D or in my case about a 50% penalty on the premium cost. Can this be so? Of course when it comes to the U.S. government stupid is the norm. Lately I have found that as Generics become available, I can switch back to purchasing them at Costco at substantial discount.
So what happened to the $ 31.80 you quoted earlier?
I did not quote that. It’s from the Official Medicare Manual. “national base beneficiary premium” ($31.08 in 2012) Or was that the low premium in 2006?It changes ($32.34 in 2011) See the links below.
And on which the 1% is being calculated?
$31.08 Now it appears we are at $ 54.82 p/m or $657.84 per year for the “Standard” plan. Math sounds close. The answer to the annual income from regular taxable earnings is less than $ 170,000.00. The good side is you do not have that “extra” tax. Can this figure be relied upon and have premiums increased by 19% since 2006?The penalty is only for the period of time that you have not been covered. So, it’s $15 forever.
On the other hand… Since the “national base beneficiary premium” may increase each year, the penalty amount may also increase every year. You may have to pay this penalty for as long as you have a Medicare drug plan. More Info. (Unfortunately, it says the exact same thing) .medicare.gov q1medicare.com
At 06:07 PM 4/30/2012, Is that $ 31.08 X 50 months X 1% penalty per month = $ 15.52 for a total monthly premium of $ 47.34??????
***My numbers do not quite match, but the concept is correct. It would be $15.52 on top of what ever premium you choose. healthreformquotes.com/ Do you and your wife have more than $170k in income? healthreformquotes.com/
If I understand the program, I am now subject to a 1% per month penalty from the date I became eligible to join Part D or in my case about a 50% penalty on the premium cost. Can this be so?
***2006 Effective Date = 50 months x ($31,08/1%) = $15/month penalty
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