You may use this form if you received a notice that your monthly Medicare B (medical insurance) or prescription drug coverage premiums include an income-related monthly adjustment amount (IRMAA) and you experienced a life-changing event that may reduce your IRMAA.
Form SSA-44: Medicare Income-Related Monthly Adjustment Amount – Life-Changing Event
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Form SSA-44
Form SSA-44: Medicare Income-Related Monthly Adjustment Amount – Life-Changing Event FAQs
What is Form SSA-44?
Form SSA-44 is a form used by those with major life-changing events to request a reduction in income-related monthly adjustment amounts.
What is considered a major life-changing event for Form SS-44?
Please visit www.ssa.gov for more information on what qualifies as a major life-changing event.
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