IRMAA

What Is IRMAA? How Higher-Income New Yorkers Can Appeal It

You open a letter from the Social Security Administration and learn you'll be paying more than the standard premium for Medicare Part B and Part D. That extra charge is called IRMAA — the Income-Related Monthly Adjustment Amount — and for many new retirees it comes as an unwelcome surprise. The good news: in many situations, you can get it reduced or removed.

How IRMAA Works

IRMAA is a surcharge added to your Part B and Part D premiums if your income is above a threshold set each year. Two things catch people off guard:

Why this hits new retirees hardest: the tax return being used is often from your final, highest-earning working years — even though your income today is much lower. You may be charged as a "high earner" precisely when your paycheck has stopped.

You Can Appeal — Here's When

Social Security lets you request a reduction if your income has dropped because of a life-changing event, including:

The appeal is filed on form SSA-44 ("Medicare Income-Related Monthly Adjustment Amount — Life-Changing Event"), along with evidence of the event and your more recent, lower income. If Social Security agrees, they recalculate using the newer figure — and the savings apply to both spouses' premiums if you each pay IRMAA.

If There Was No Life-Changing Event

You can still ask for a correction if the tax information Social Security used was wrong or amended. And even when this year's IRMAA stands, smart income planning — how you time withdrawals, Roth conversions, and capital gains — can help you avoid crossing a bracket in future years. That's a conversation worth having before December, not after.

What To Do When the Letter Arrives

  1. Don't ignore it — the surcharge starts whether or not you respond.
  2. Check which tax year Social Security used.
  3. If your income has dropped since then, gather proof and file form SSA-44.
  4. Reassess each year — IRMAA is recalculated annually, so a one-time spike in income only affects one year.

This article is for general education only and is not tax or legal advice. Income thresholds and premium amounts are set annually by CMS and the Social Security Administration. For official information visit ssa.gov or Medicare.gov.

Got an IRMAA Letter?

We help New Yorkers understand their IRMAA notice and prepare an appeal when one is warranted — at no cost to you.

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