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Medicare Answers

Medicare answers help people with Medicare, their families and caregivers–understand Medicare benefits and options. Articles feature Medicare coverage advice, basic health tips, and links to vital health care resources. For in-depth Medicare information and resources, visit the Medicare Rights Center’s free and independent online reference tool, Medicare Interactive.

What is a benefit period?

Dear Marci,

I have Original Medicare and am going to get inpatient surgery at a hospital soon. I want to understand some of the costs I may have. Can you explain what a benefit period is?

– Ramona (Watertown, SD)

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a roll of bills from which spill out pills of many colors

Can I Appeal a Part D Late Enrollment Penalty (Lep)?

Dear Marci,

I enrolled in Medicare Parts A and B a few years ago when I turned 65, but I only recently signed up for a Part D plan. Then I received a notice from the plan telling me that my monthly Part D premium payment will go up because I have a late enrollment penalty on top of my regular premium. Is there any way I can get this penalty to go away?

Carter (Tupelo, MS)

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Does Medicare cover durable medical equipment (DME)?

Dear Marci,

My doctor recommended that I get a manual wheelchair to get around my home. Does Medicare cover wheelchairs? If so, what do I need to do so that they will cover it?

– Gabrielle (Bardstown, KY)

What is a benefit period?

Dear Marci,

I have Original Medicare and am going to get inpatient surgery at a hospital soon. I want to understand some of the costs I may have. Can you explain what a benefit period is?

– Ramona (Watertown, SD)

a roll of bills from which spill out pills of many colors

Can I Appeal a Part D Late Enrollment Penalty (Lep)?

Dear Marci,

I enrolled in Medicare Parts A and B a few years ago when I turned 65, but I only recently signed up for a Part D plan. Then I received a notice from the plan telling me that my monthly Part D premium payment will go up because I have a late enrollment penalty on top of my regular premium. Is there any way I can get this penalty to go away?

Carter (Tupelo, MS)

How does retiree insurance work with Medicare?

Dear Marci,

I have retiree insurance from my previous job, and I will be turning 65 in a few months. Do I have to sign up for Medicare even though I already have coverage?

– Jean (Yakima, WA)

How does Medicare work with my current employer insurance?

Dear Marci,

I will turn 65 soon and be eligible for Medicare. I am still working and receive health insurance from my employer. If I sign up for Medicare, how will it work with my current employer-based insurance?

Marco (Montclair, NJ)