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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 November 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 modified adjusted gross income.
Q: What is a life-changing event?
A: A life-changing event is a specific event that results in a significant change in a person's income, such as retirement, reduction in work hours, or the death of a spouse.
Q: Why would I need to use Form SSA-44?
A: You would need to use Form SSA-44 if you experienced a life-changing event that caused a decrease in your income, and you want to apply for a lower Medicare IRMAA.
Q: How do I fill out Form SSA-44?
A: To fill out Form SSA-44, you will need to provide your personal information, details about the life-changing event, and information about your modified adjusted gross income.
Q: Is there a deadline for submitting Form SSA-44?
A: Yes, there is a deadline for submitting Form SSA-44. Generally, you have to submit the form within 60 days of the life-changing event.
Q: Will my Medicare IRMAA be adjusted immediately after submitting Form SSA-44?
A: No, your Medicare IRMAA will not be adjusted immediately after submitting Form SSA-44. It may take some time for the Social Security Administration to process your application.
Q: What should I do if my circumstances change after submitting Form SSA-44?
A: If your circumstances change after submitting Form SSA-44, such as a further decrease in income, you should contact the Social Security Administration to update your information.
Q: Who can help me fill out Form SSA-44?
A: You can seek assistance from the Social Security Administration or a representative at your local Social Security office to help you fill out Form SSA-44.
Form Details:
- Released on November 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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