Medicare IRMAA 2019 – Part B and Part D Premiums

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What is IRMAA?
I will explain how Part B and Part D premiums can be higher based on income.
Find out how to download the guide and appeal form.

We just talked about how Part A is covered but what about Part B or Part D? IRMAA is not like taxes, but it is another added fee that you pay for IRMAA part D or IRMAA part B if your monthly income is above a certain level. This fund will go directly to the Medicare, not an insurance company which funds your medical plans.
If you are someone who has high annual earnings, IRMAA or Income Related Monthly Adjustment Amount is an added amount that you pay for the monthly Medicare Part-B as well as Medicare Part-D premiums. IRMAA is based on the modified adjusted gross income (MAGI).
The gross income of a person is based on his/her wage along with the tips, profits from investments and business, unemployment benefits and also the alimony. This is adjusted based on the IRS-approved deduction such as expenses ranging from the IRA contribution to the student loan interests. Then, the total value is modified by the addition of the tax-exempt interest monthly or daily income a person makes. Then, the government uses modified adjusted gross income for determining how much they pay for the taxes and if they are eligible for tax credit, Medicaid or any other federal government sponsored subsidy.
For Medicare, modified adjusted gross income is used for determining whether you will pay IRMAA. The single individuals filing 85,000 dollars or less on their tax returns or the married couple jointly filing 170,000 dollars or less will not have to pay for IRMAA.
For the year 2018, IRMAA part B are 53.30 dollars, 133.90 dollars, 214.30 dollars and 294.60 dollars monthly as you go towards higher income bracket. For the IRMAA part D, the amounts are 13.30 dollars, 34.20 dollars, 55.20 dollars and 76.20 dollars every month.
For the eligible individuals the income bracket is 85,001 dollars to 107,000 dollars, and for the married couples, it is 170,001 dollars to 214,000 dollars.
How will I pay for IRMAA?
This is not exactly a part of your premium plan; you do not pay the money for IRMAA part D or part B to your plan provider. Instead, it is paid to the centers for Medicare services itself. If the amount for Income-Related Monthly Adjustment Amount is not automatically deducted from your Social Security check, then you will get a bill from either RRB-Railroad Retirement Board or Medicare, if you are enjoying benefits rather than the Social Security.
There are many ways to pay your Income-Related Monthly Adjustment Amount:
1. You pay through your bank account or by accessing the online bill payment service of your bank. However, you need to know that every bank has the facility to pay for this service. So, if you want to pay through your bank account, know which banks can help you with this payment.
2. You can register for using Medicare Easy Pay. This will deduct the amount of money every month from your bank account. This deduction takes place within the 20th of the month.
3. You can also send a money order or paycheck. Just enclose the payment and mail it to the Medicare Premium Collection Center. You can find the details on the website of Medicare.
4. You can also pay by your debit or credit card. There must be a payment coupon on the Medicare bill where you can give your payment information details.
But if you receive a bill from RRB, then you will not be able to pay thru any of the ways as mentioned above. Rather, the payment must be mailed to the RRB, Medicare Premium Payments.
In case, if you fail to pay, you will receive two notices before the delinquent notice. Every notice will show up on 25th of the moth. Suppose, the billing notice is 25th of the current month then the due date will be 25th of the next month. Your total coverage will be canceled if you fail to pay even after the delinquent notice.
What if my income has gone down?
If your income has gone down for any of the reasons mentioned-below then, all you need to do contact and explain to them that you have new information and need a new decision about IRMAA amount.
• You got married, divorced or become a widow
• You or/and your spouse have stopped working or decreased the work hour
• You or/and your spouse lost business, work or income-producing property because of an event beyond your control
• You or/and your spouse went through termination, a scheduled cessation or canceled pension plan
• You or/and your spouse received the settlement from the employer company because the company experienced reorganization, bankruptcy or closure
If you are going through any of the given situations, then meet the SSA with the right documentation that verifies the event and your current income. The documentation can be a letter from your employer company, retirement letter, a death certificate or something related.

Medicare IRMAA 2019 – Part B and Part D Premiums

 

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5 thoughts on “Medicare IRMAA 2019 – Part B and Part D Premiums

  1. Thanks for your videos Keith. I am currently 62 years old, but I have been watching the videos in preparation for when I need to be on Medicare. Will be definitely giving you a call when the time comes. Thanks again!!

  2. Thanks for all you do Keith.
    My IRMAA experience: yes you can and should contest their decision if it raises your rates, but there are some pitfalls. Perhaps I could have done everything by mail, but I did not so I can’t say if that would have been easier. The system is somewhat rigged to get you to accept the higher premiums because of the time you need to spend. I was not allowed to make an appointment for IRMAA. I had to go to the Social Security office and sign it at a kiosk. There is no IRMAA select-able item on the machine, but I got a number and waited about 2 hours to be called. If you’re lucky the agent that calls you will be a specialist and can help with IRMAA. If not (as was my case) you’ll wait another hour or two to see a specialist. From there you’ll likely get it taken care of if you have enough supporting evidence, which I did. Since I retire in 2019 I will make a lot less money. They accepted a spreadsheet projection of what I expected to make in 2019 along with supporting documents from my pension plan. It took about 2 weeks for them to notify me by mail with the new lower rate. So, its a pain in the **s but definitely worth it.

  3. Thank you so much!!! I kinda understand this since I have this. But still unclear with all these documents. I’m on disability and I’m only 36 :/ . Every time I go to the doctors I hear the nurses at the desk saying to me I have both coverage and have part d. My disability check went down and now pay for some of my medication. I just fill out whatever forms they give me. Just wondering how I can optimize my situation. Great video!!!!

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