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This version of the form is not currently in use and is provided for reference only. Download this version of
Form SSA-44
for the current year.
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 June 1, 2019 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 apply for a Medicare Income-Related Monthly Adjustment Amount (IRMAA) based on a life-changing event.
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 Part D premiums based on their income.
Q: What qualifies as a life-changing event?
A: Some examples of life-changing events include marriage, divorce, death of a spouse, work reduction, and loss of income-producing property.
Q: Why would I need to fill out Form SSA-44?
A: You would need to fill out Form SSA-44 if you have experienced a life-changing event that caused a decrease in your income, which could potentially lower your Medicare IRMAA.
Q: What information do I need to provide on Form SSA-44?
A: You will need to provide personal information, details about your life-changing event, and supporting documentation such as tax returns or proof of income.
Q: When should I submit Form SSA-44?
A: You should submit Form SSA-44 as soon as possible after experiencing a life-changing event that affects your income.
Q: What happens after I submit Form SSA-44?
A: After you submit Form SSA-44, the Social Security Administration will review your application and determine if you are eligible for a Medicare IRMAA adjustment based on your life-changing event.
Form Details:
- Released on June 1, 2019;
- 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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