Form SSA-44 is a form provided by the Social Security Administration (SSA) that allows you to claim a discount on your IRMAA. If you have been notified that your Medicare Part B or prescription drug premiums include an ARMR, you can complete and submit this form if you are experiencing a life-changing event that reduces your income. Note: If you are using a screen reader, we recommend that you open the form in Adobe Reader. If you do not have Adobe Reader, please click on the following link. Thank you very much! IRMAA is based on information from the person`s tax return, which is received by the Internal Revenue Service (IRS) and calculated according to a mathematical formula established by law. The IRMAA is then added to the standard premium amount to calculate the total monthly insurance premium for the beneficiary`s Part B. If you have limited resources and income, you may be able to get additional help with the costs – monthly premiums, annual deductibles, and prescription co-payments – related to Medicare coverage for prescription drugs. Visit Additional Help on the Cost of Your Medicare Prescription Drugs for more information. All forms are FREE. Not all forms are listed. If you can`t find the form you need or need help filling out a form, please call us at 1-800-772-1213 (TTY 1-800-325-0778) or contact your local Social Security office and we`ll help. If you are downloading, printing and filling out a paper form, please mail it or take it to your local social security office or the office that requested it.
If Social Security determines that you need to pay an IRMAA, they will send you a notice called the first provision. This notice should contain information on how an initial new determination may be requested. A new first provision is a revised decision that Social Security makes with respect to your IRMAA. You can ask Social Security to reconsider your decision if you experienced a life-changing event that led to a drop in income, or if you think the income information used by Social Security to determine your IRMAA was incorrect or outdated. See the following equation for specific information about each component of your premium. The fourth step is to provide documentation. You need to prove both your MAGI and your life-changing event. A copy of your federal tax return is sufficient as proof of your MAGI.
The right evidence of your life-changing event depends on your event. Visit the SSA website for more information on what can be considered proof for each event. Your documentation must be either original documents or certified true copies. You also don`t have to fill out this form if you don`t already pay for an IRMAA. This would be the case if your income is above a certain threshold. You can determine if you need to pay an ARMCI by calculating your Modified Adjusted Gross Income (MAGI). Your MAGI is your adjusted gross income (line 37 on your IRS Form 1040) plus your tax-exempt interest income (line 8b on your 1040). You can use the tables below to determine if your MAGI is large enough to require an IRMAA on your part.
You can also see if your income reduction would justify a change in your IRMAA. To request a new first provision, submit an IRMAA Life-Changing Event Medicare form or make an appointment with Social Security. You need to document your correct income or the event that changed your life and caused your income to drop. You can also request an appeal in writing by completing a Request for Reconsideration (Form SSA-561-U2) or by contacting your local Social Security office. You can use the online complaint form or request a copy via our toll-free number at 1-800-772-1213 (TTY 1-800-325-0778). You do not need to appeal if you are requesting a new decision because you have experienced one of the listed events and your income has decreased, or if you have shown us that the information we use is incorrect. For more information about monthly income-related adjustment amounts or to apply for Medicare Part A or B, visit our Medicare Resources website. You can argue that Social Security used outdated or incorrect information when calculating your IRMAA, for example: To determine your monthly income-related adjustment amounts for 2022, we use your last federal tax return, which the IRS provides to us. Typically, this information comes from a 2021 tax return for the 2020 tax year. Sometimes the IRS only provides information from a return filed in 2020 for the 2019 tax year. If we use data from the 2019 tax year and you filed a tax return for the 2020 tax year or did not need to file a tax return for the 2020 tax year, call us or visit a local Social Security office.
We will update our records. If you have changed your tax return and it changes the income we count to determine the monthly income adjustment amounts (your MAGI), let us know. We will need a copy of the amended tax return you filed and your acknowledgement of receipt from the IRS. We will update our records with the information you provide and correct or delete your monthly income adjustment amounts if necessary. To submit your completed form, you can either send the form and documents to your local social security office or receive them in person. The advantage of an in-person visit to an office is that you can show your documents to an SSA employee instead of sending them to the office and being without them for a while. The last step is to sign the form and provide your contact information. The SSA needs your contact information in case it needs to contact you.
If your income has decreased and the change makes a difference in the income level we are considering, contact us to explain that you have new information. We may make a new decision about the amount of your monthly income adjustment for the following reasons: You must complete Form SSA-44 if you are experiencing a life-changing event that reduces your income. Life-changing events include marriage, divorce, death of a spouse, stoppage of work, job cuts, loss of income-generating property, loss of retirement income, and payment of employer bills. If you encounter more than one of these events in a row, do not fill out this form. Instead, contact the SSA at 1-800-772-1213. You can read the Medicare & You 2022 manual. To sign up for Medicare prescription drugs or for more information about what Medicare covers, visit the Medicare website or go to 1-800-MEDICARE (1-800-633-4227; TTY 1-877-486-2048). Your State Health Insurance Advice and Support Program (SHIP) can also help you answer your questions about Medicare.
You can find your local SHIP contact information on the back of your Medicare & You 2022 manual online or you can request it when you call. If you disagree with the MAGI amount we received from the IRS, you must correct the information with the IRS. If we determine that you need to pay a higher amount for Medicare coverage for prescription drugs and you do not have that coverage, you will need to call the Centers for Medicare & Medicaid Services (CMS) to make a correction to 1-800-MEDICARE (1-800-633-4227; TTY 1-877-486-2048). We receive information about your coverage with prescription drugs from CMS. In the third step, you estimate the impact of your life-changing event on your MAGI for next year. You specify the next taxation year, your estimated adjusted gross income, your estimated tax-exempt interest income, and the status of your expected tax return. If your estimated MAGI is not lower than the one you set in step two, skip this step. The Social Security Administration determines your monthly income-related adjustment amount (IRMAA). Part B helps pay for your doctors` outpatient services and care.
It also includes other medical services such as physiotherapy and occupational therapy, as well as some home health services. For most beneficiaries, the government pays a significant portion — about 75% — of the Part B premium, and the recipient pays the remaining 25%. Determined by the Centers for Medicaid and Medicare Services (CMS) Here are the situations that may qualify a beneficiary for a new Part B provision: OMHA is handling appeals against the Medicare program`s determination of a beneficiary`s monthly income-related adjustment amount (IRMAA), which determines a Party B beneficiary`s total monthly insurance premium. * Determined by the Centers for Medicaid and Medicare Services (CMS).** Monthly Income Adjustment Amount (IRMAA) The Social Security Administration (SSA) notifies a beneficiary of its Part B and each IRMAA insurance premium with the annual notification of the Recipient of Social Security benefits (called the first provision). The SSA is responsible for publishing all initial and verification findings. It is important to remember that IRMAAs are only valid for one year. .
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