What form do I need to appeal my Part B premium?

Asked by: Merl Kilback  |  Last update: September 7, 2023
Score: 4.6/5 (12 votes)

An IRMAA appeal is a petition that you can file with Social Security to reduce your Part B premium if you feel there is a compelling reason why you should NOT pay this higher premium. You'll complete Form SSA-44 to report to Medicare that you've had a life-changing event which has affected your income.

How do I file an appeal for Medicare Part B premium?

A request for reconsideration can be done orally by calling the SSA 1-800 number (800.772. 1213) as well as by writing to SSA. There are 7 qualifying life-changing events: Death of spouse.

What is the SSA-44 form?

What Is Form SSA-44? Form SSA-44 is a form provided by the Social Security Administration (SSA) that you can use to apply for a reduction in your IRMAA.

How to fill out a SSA-44 form?

How to Fill Out Form SSA-44
  1. Step 1: Indicate Life-Changing Event. Individuals who use the form should check one life-altering incident and provide the date it occurred. ...
  2. Step 2: Fill in Reduction in Income. ...
  3. Step 3: Input Your MAGI Information. ...
  4. Step 4: Provide Documentation. ...
  5. Step 5: Sign & Provide Contact Information.

How do I appeal Irmaa in 2023?

How to appeal IRMAA? Medicare requires you to complete a specific form to request a review of your IRMAA fee. You can appeal these by completing the Social Security Administration form SSA-44.

How to Appeal Your Part B Premium

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How do I appeal Medicare Part B Irmaa?

To request a new initial determination, submit a Medicare IRMAA Life-Changing Event form or schedule an appointment with Social Security. You will need to provide documentation of either your correct income or of the life-changing event that caused your income to decrease.

How much are part b irmaa premiums for 2023?

Your 2023 IRMAA is based on your Modified Adjusted Gross Income (MAGI) from 2021. The Medicare Part B 2023 standard monthly premium is $164.90.

Can you file form SSA 44 online?

You can't file Form SSA-44 online. As mentioned above, you can either mail your SSA-44 form to your local Social Security office or deliver it to that location in person. Find the Social Security office closest to your ZIP code.

What is the income threshold for Irmaa?

It applies only to Medicare beneficiaries who have a modified adjusted gross income above $97,000 for an individual return and $194,000 for a joint return. If your earnings are below this threshold, IRMAA doesn't apply to you.

How to fill out SSA 795 form?

To complete a Form SSA-795, you will need to provide the following information:
  1. Name.
  2. Social security number.
  3. Name of person making statement.
  4. Relationship to wage earner, self-employed person, or SSI claimant.
  5. Certified statement that is for the Social Security Administration.
  6. Signature of person making statement.
  7. Date.

What is form SSA 24 used for?

This application form, SSA-24, is an Application for Survivors Benefits Payable under Title II of the Social Security Act, as amended. Under authority of section 202(o) of the Social Security Act, the application requests information in order to determine eligibility to social security benefits.

What is the SS 5 form?

Form SS-5 is the form needed to apply for your social security number (SSN). Upon acceptance, you will also get your SSN card, which will be sent to you in the mail. You will file the SS5 social security application with the Social Security Administration (SSA).

What is the purpose of form SSA 21?

SSA collects the information to determine eligibility for U.S. Social Security benefits for those months an alien beneficiary or claimant is outside the United States, and to determine if tax withholding applies.

How to write a letter of appeal for Medicare?

Include this information in your written request:
  1. Your name, address, and the Medicare Number on your Medicare card [JPG]
  2. The items or services for which you're requesting a reconsideration, the dates of service, and the reason(s) why you're appealing.

What should I say to my Medicare appeal?

Explain in writing why you disagree with the decision or write it on a separate piece of paper, along with your Medicare Number, and attach it to the MSN. Include your name, phone number, and Medicare Number on the MSN. Include any other information you have about your appeal with the MSN.

How do I appeal a Medicare Part B late enrollment penalty?

To appeal, follow the directions on the letter informing you about the penalty. If you do not have an appeal form, you can use SSA's request for reconsideration form. You can appeal to remove the penalty if you think you were continuously covered by Part B or job-based insurance.

Will there be a increase in Medicare Part B in 2023?

The Centers for Medicare & Medicaid Services (CMS) has announced that the standard monthly Part B premium will be $164.90 in 2023, a decrease of $5.20 from $170.10 in 2022.

What income is used for Medicare Part B premiums?

We use the most recent federal tax return the IRS provides to us. If you must pay higher premiums, we use a sliding scale to calculate the adjustments, based on your “modified adjusted gross income” (MAGI). Your MAGI is your total adjusted gross income and tax-exempt interest income.

Is Medicare Part B based on income?

The Medicare Income-Related Monthly Adjustment Amount (IRMAA) is an amount you may pay in addition to your Part B or Part D premium if your income is above a certain level. The Social Security Administration (SSA) sets four income brackets that determine your (or you and your spouse's) IRMAA.

Where do I send my SSA 44 form?

Fill out the Medicare Income-Related Monthly Adjustment Amount-Life-changing Event (SSA-44) (PDF) form. Fax or mail your completed form and evidence to a Social Security office.

How do I get SSA forms?

By calling our national toll-free service at 1-800-772-1213 (TTY 1-800-325-0778) or visiting your local Social Security office.

What is form SSA 2?

Form SSA-2. | Information You Need to Apply for Spouse's or Divorced Spouse's Benefits. | Social Security Administration.

How do you qualify to get $144 back from Medicare?

To qualify for the giveback, you must:
  1. Be enrolled in Medicare Parts A and B.
  2. Pay your own premiums (if a state or local program is covering your premiums, you're not eligible).
  3. Live in a service area of a plan that offers a Part B giveback.

What will Part B premium be in 2023?

The minimum monthly Medicare Part B premium in 2023 is $164.90 per person, and they only go higher, depending on your income. Understanding Medicare Part B premiums is an important part of your retirement planning process.

What is the projected 2023 Medicare Part D premium?

The Centers for Medicare and Medicaid Services (CMS) announced that the average 2023 Medicare Part D basic monthly premium for standard coverage is projected to be approximately $31.50. This amount is a slight decrease from the average premium of $32.08 in 2022.