A surcharge tied to income
Your client's modified adjusted gross income and tax filing status help determine whether they pay an extra amount for Medicare Part B and Part D.
IRMAAssist helps you identify which clients may qualify for a Medicare IRMAA appeal or new initial determination. It then estimates their potential savings, allows you to track the list of documents to be gathered, and then generates pre-filled forms and instructions — all branded with your logo and colors.
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IRMAA is an income-related surcharge added to Medicare Part B and Part D premiums. Social Security generally bases it on federal tax information from two years prior, so a past income spike may not reflect your client's circumstances today. Your client has the right to request a reconsideration or new initial determination, which could reduce or even eliminate IRMAA surcharges. Help them draft the confusing paperwork and understand how to submit their request with the SSA.
IRMAA catches more retirees than most expect. An estimated 5+ million Medicare beneficiaries—roughly 7% of everyone enrolled—pay an income-related surcharge on their Part B and Part D premiums each year, and it isn't a small add-on: for one person it can mean hundreds of dollars more a month, thousands more a year, and significantly more for a couple who are both affected. Retirees consistently describe IRMAA as confusing, frustrating, and unfair—especially when it's triggered by a single unusual year, like a Roth conversion, a home sale, or the year they actually retired. Appealing it requires specific documentation and falls under a narrow set of SSA-recognized reasons, so many retirees who could qualify for a reduction never file, simply because the process is unfamiliar.
Your client's modified adjusted gross income and tax filing status help determine whether they pay an extra amount for Medicare Part B and Part D.
Retirement, reduced work, marriage, divorce, a spouse’s death, or certain losses may support a request to use a more recent income estimate.
An amended return, an IRS correction, or other qualifying circumstances may support a request for a new initial determination.