Medicare Part B premium appeal form
The standard Medicare Part B monthly premium for 2022 will be $171.00. Medicare Part B is what you use to pay for medical costs of doctor’s visits, medical equipment and outpatient procedures. If you have a MAGI that is over the Medicare maximum amount, you can file a Medicare Part B premium appeal form.
However, if you have a high income level, Medicare might make you pay a higher amount for your part B premium. Medicare uses your modified adjusted gross income or MAGI to decide the amount you will pay for your Part B premium. They take this amount from your tax return from 2 years ago. This means that if you have Medicare Part B in 2022, your premium is based on your MAGI from your 2020 tax return.
If your income has gone down from what it was 2 years ago, you can use the Medicare Part B appeal form below to file an appeal and have your Part B premium lowered. In some circumstances, a life changing event can significantly reduce your income. There are many reasons that you can experience a reduction in income. These instances include divorce, death of a spouse, loss of a pension just to name a few.
Medicare Part B Appeal Form Click here for an appeal form
If you are more comfortable with an in-person meeting, you can call 1-800-772-1213 to schedule a meeting t your local Social Security office.
If you want a better idea of what the IRMAA is, take a look at the chart below:
THE INFORMATION BELOW HAS BEEN UPDATED. CLICK HERE TO ACCESS THE CURRENT TABLE.
| This chart is for 2019 Part B premiums, if your yearly income in 2017 was: | You pay each month (in 2019) | ||
|---|---|---|---|
| Individual tax return | File joint tax return | File married & separate tax return | |
| $85,000 or less | $170,000 or less | $85,000 or less | $135.50 |
| $85,000 up to $107,000 | $170,000 up to $214,000 | Not applicable | $189.60 |
| $107,000 up to $133,500 | $214,000 up to $267,000 | Is not applicable | $270.90 |
| $133,500 up to $160,000 | $267,000 up to $320,000 | Not applicable | $352.20 |
| $160,000 and less than $500,000 | $320,000 and less than $750,000 | $85,000 and less than $415,000 | $433.40 |
| $500,000 or above | $750,000 and above | $415,000 and above | $460.50 |
Medicare Part B Appeal Form – Income for extra help
If you fall below certain income levels you may qualify for extra help paying for your Part B or Part D premiums. Click here for details.
Would you like help with your Medicare coverage? Please feel free to contact our office. You can reach us either by phone (203)796-5403 or email teal@croweandassociates.com.