Usually yes, a cut-down skills test.
A short nav element (usually to get yourself to the LFA) then skills at the descretion of the examiner.
Usually nothing too taxing. If you've been flying ME/IR then your probably not too out of practice. However, practice is now no longer the issue as you have let the rating lapse it needs renewing rather than revalidating and that can only be done through a LPC.
You could also have revalidated by electing to LPC within the last three months of the original validity period - or by 12/6/1 thus keeping the same expiry date. Even if it transpired that you did meet the 12/6/1 criteria within the period, it would now be too late for you as the ratings page must be signed by an examiner before the expiry of the last period of validity.
But you probably knew that anyway.
DD