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  1. 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 …

  2. Download and Submit Form SSA-44 | HelpAdvisor.com

    Nov 28, 2023 · Download Form SSA-44 to apply for a change in IRMAA status for your Medicare Part B or Part D premiums. Learn more about Medicare premiums and find out how to access …

  3. Social Security Form SSA-44: How to Fill It Out and Submit It

    Feb 21, 2025 · But your income can change from year to year and when it does, you need a way to notify the Social Security Administration (SSA) so you don’t end up overpaying for …

  4. Medicare Income Appeal Form (SSA-44) Guide 2025 | Greenbush …

    Sep 3, 2025 · Greenbush Financial Group explains how to file Medicare Form SSA-44 to appeal IRMAA and lower your Part B and Part D premiums in 2025.

  5. Form SSA-44 Instructions - An IRMAA Guide for 2025

    Dec 9, 2024 · The SSA-44 allows the Social Security Administration (SSA) to make the necessary corrections to lower or eliminate your IRMAA costs. In this article, we’ll walk you step by step …

  6. We are required by section 1839(i) of the Social Security Act to ask you to give us the information on this form. This information is needed to determine if you qualify for a reduction in the …

  7. Form SSA-44 Download Fillable PDF or Fill Online Medicare …

    Dec 1, 2023 · Download Fillable Form Ssa-44 In Pdf - The Latest Version Applicable For 2025. Fill Out The Medicare Income-related Monthly Adjustment Amount - Life-changing Event Online …

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    • 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 …

    • Request to lower an Income-Related Monthly Adjustment Amount (IRMAA) | SSA

      Fill out the Medicare Income-Related Monthly Adjustment Amount – Life-Changing Event (SSA-44) (PDF) form. Fax or mail your completed form and evidence to a Social Security office. …

    • Social Security Forms | SSA

      All forms are free. If you cannot find the form you need or require assistance completing the form, please go to the Contact Us link. You can electronically complete, upload, and submit select …