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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, 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.
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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