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ssa 44

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Form SSA-44 12-2017 Discontinue Prior Editions Social Security Administration Page 1 of 8 OMB No. 0960-0784 Medicare Income-Related Monthly Adjustment Amount Life-Changing Event If you had a major life-changing event and your income has gone down you may use this form to request a reduction in your income-related monthly adjustment amount. See page 5 for detailed information and line-by-line instructions. If you prefer to schedule an interview with your local Social Security office call...
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What is Form SSA 44?

Form SSA 44 is called the Medicare Income-Related Monthly Adjustment Form. You must complete this form if you have faced some crucial life changing events which have decreased your total income.

What is Form SSA 44 for?

This form is specially designed for requesting some reduction in the income-related premium of your Medicare Part B. If an applicant receives a notice informing about the reduction of income, the next step must be filing Form SSA 44.

When is Form SSA 44 Due?

The form does not have a deadline. The time frame of the document depends on some factors. It may be different for different people as their life changing events may never coincide.

Is Form SSA 44 Accompanied by Some Other Documents?

You must attach the evidence of the life changing event to your Medicare Income-Related Monthly Adjustment Form. All copies must be certified and signed by the public notary. Pay attention that you provide correct documents with all necessary information.

What is the Structure of Form SSA 44?

First of all, you must indicate your full name and social security number in the form. The document itself includes the detailed guidelines how to complete every single field in the form. After that you must indicate what life changing event has occurred. It may be a marriage, work reduction, divorce, annulment, spouse death, loss of pension income, work stoppage, loss of income due to property loss, etc. Type the date of this event. The next part of the form is devoted to the reduction of income. You must indicate the tax year, adjusted gross income, tax exempt interest and filing status. Your next step is to describe your modified adjusted gross income and provide the documentation that proves the reduction. The last step is your signature.

Where do I Send Form SSA 44?

Your form must be sent to the Social Security Administration.

Video instructions and help with filling out and completing ssa 44
Instructions and Help about form ssa 44 for 2021
hi everybody this is Elia with Martin and associates insurance and today Im going to talk about how you can apply to get your Part B and Part D income related monthly adjustment amount reduced because what happens is Medicares going to look at your gross adjusted income from two years ago theyre always going to look back two years and if you were a higher income earner what theyre gonna do is theyre gonna charge you more for Part B and Part D and its called thermal which stands for income related monthly adjustment amount and if youve had a life-changing event and these are things like youve stopped working or youve had a reduction in your work hours if youve lost a spouse things like that would qualify you for possibly qualify you for a lower amount that you would have to pay for your Part B and Part D extra herma and what youll do is theres a form from the Social Security Administration that you can complete and youll want to complete it fill out all the information and send it to the Social Security Administration and they will you know decide whether or not you qualify to get the reduced amount and today the reason why Im filming this video today is that because I got an email from a client of mine who was making a higher income and she was getting charged more for Part B of Medicare and Part D of Medicare so I just sent her the forms and she kind of did it all on her own since really we cant get involved with anything between you and the Social Security Administration thats got to be done all on your own but she completed all the forms sent out whatever was required on that form sent it over the Social Security Administration and today she emailed me back saying that she was approved to the lowest amount which in this year 2017 is a hundred and thirty four dollars for Part B and no extra income related adjustment amount for Part D so instead of paying you know upwards of two hundred sixty three hundred dollars a month for Part B now shes paying one thirty-four a month for Part B and what theyre gonna do is theyre gonna refund her previous months that shes paid extra for since she stopped working I think it was back in May theyre going to refine her you know May June July that extra premium amount that she was paying so thats how you can apply and see if you qualify to get your Part B and Part D income related adjustment amount reduced to the standard rate which would be you know depending on what you could qualify for you can get it reduced all the way down to one hundred and thirty-four dollars a month you
What is ssa 44 form?
You may use this form if you received a notice that your monthly Medicare Part B (medical insurance) or prescription drug coverage premiums include an income-related monthly adjustment amount (IRMAA) and you experienced a life-changing event that may reduce your IRMAA.
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