Form SSA-44 Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event

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Form SSA-44 Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event

What Is Form SSA-44?

This is a legal form that was released by the U.S. Social Security Administration on December 1, 2021 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form SSA-44?
A: Form SSA-44 is a form used to request a lower Medicare Income-Related Monthly Adjustment Amount (IRMAA).

Q: What is Medicare Income-Related Monthly Adjustment Amount (IRMAA)?
A: Medicare Income-Related Monthly Adjustment Amount (IRMAA) is an additional amount that some Medicare beneficiaries have to pay for their Part B and/or Part D premiums, based on their income.

Q: Who can use Form SSA-44?
A: Form SSA-44 can be used by Medicare beneficiaries who experience a life-changing event that causes a significant reduction in their income.

Q: What are some examples of life-changing events?
A: Examples of life-changing events include marriage, divorce, death of a spouse, retirement, or reduction in work hours.

Q: How can Form SSA-44 help lower the IRMAA?
A: By submitting Form SSA-44 and providing documentation of the life-changing event, Medicare beneficiaries may be able to have their IRMAA reduced.

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Form Details:

  • Released on December 1, 2021;
  • The latest available edition released by the U.S. Social Security Administration;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form SSA-44 by clicking the link below or browse more documents and templates provided by the U.S. Social Security Administration.

Download Form SSA-44 Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event

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