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The New York State Senate has introduced a bill to eliminate Income-Related Monthly Adjustment Amount (IRMAA) reimbursement for New York State Health Insurance Plan (NYSHIP) enrollees and their covered dependents who are eligible for Medicare primary coverage and who pay a Medicare Part B Income-Related Monthly Adjustment Amount (IRMAA) that is higher than the standard Medicare Part B premium.NYSHIP automatically reimburses the standard Medicare Part B premium on a monthly or quarterly basis, but you must request IRMAA reimbursement and provide acceptable proofs of payment if you are subject to the higher IRMAA.

There is a push in the State Senate to eliminate Income-Related Monthly Adjustment Amount (IRMAA) reimbursement.  The IRRMA reimbursement refers to the money that the District sends you every 3 months if you are enrolled in Medicare.  The reason you get this money is because you have been charged twice for Medicare, once from the pension and once from Social Security.  The money comes from your payment to the pension. Also, some of the newer retirees have considerably higher pensions.  Couple that with spouse income and we are talking about real money.  Your Medicare premium is based on the TOTAL income.

Every recipient of Medicare receives a base charge for the plan.  This year every recipient is charged about $104 per month.  That is the maximum you will be charged if yout TOTAL family income is about $84,000.  But let’s say your TOTAL income is above this number, Medicare will charge you a premium so you will be charged more that $104 per month.  As of this year the additional premium can be as high as $250 per month.

When you file an IRMMA claim with Northport they will reimburse the $104+premium.  This is your money because you have paid for it twice.

The bill introduced in the State Senate aims to prevent you from getting the premium back.