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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 December 1, 2020 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 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 IRMAA is an additional amount that high-income Medicare beneficiaries have to pay for their Medicare Part B and Part D premiums.
Q: What is a life-changing event?
A: A life-changing event is a significant change in income that may qualify a Medicare beneficiary for a reduction in their Medicare IRMAA.
Q: What types of life-changing events are considered for the reduction of Medicare IRMAA?
A: Examples of life-changing events that may qualify for a reduction in Medicare IRMAA include marriage, divorce, death of a spouse, retirement, and loss of income-producing property.
Q: How can I request a reduction in my Medicare IRMAA based on a life-changing event?
A: You can request a reduction in your Medicare IRMAA based on a life-changing event by completing and submitting Form SSA-44 to the Social Security Administration.
Q: What information do I need to provide on Form SSA-44?
A: On Form SSA-44, you will need to provide your personal information, details about your life-changing event, and information about your income.
Q: What should I do if my life-changing event occurred more than two years ago?
A: If your life-changing event occurred more than two years ago, you may still be able to request a reduction in your Medicare IRMAA by providing additional documentation and explaining the delay.
Q: Can I request a reduction in my Medicare IRMAA if my income decreased due to COVID-19?
A: Yes, if your income decreased due to COVID-19, you may be eligible to request a reduction in your Medicare IRMAA based on a life-changing event.
Form Details:
- Released on December 1, 2020;
- 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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