Rus one option, if the letter has not changed from the 2008 version, is to call the Medicare folks. They even provided me the phone number. Under the rules of the game if you can show this event is a one time deal, you get a chance to change/avoid the increase. Gordon, thanks for the info. I already checked out the info on the Medicare site, and what happend to us is not one of the listed issue. The letter I got today is even more specific, and it states that the listed reasons are the only reasons that they will consider. Should I bother calling them anyway? Just wondering what to do.