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  1. Medicare-eligible retirees and their Medicare-eligible dependents will be reimbursed annually for the standard Medicare Part B amount of $170.10 per month ($170.10 x 12 months = $2,041.20), excluding any penalties and late enrollment fees, and subject to be pro-rated. 2022 Medicare Part B reimbursements were issued in April 2023.

  2. The Income-Related Monthly Adjustment Amount (IRMAA) is an additional amount that you are required to pay for your monthly Medicare premiums if you have higher annual earnings. If your income in 2021 was less than or equal to $97,000 as an individual, or less than or equal to $194,000 as a married couple, you did not pay IRMAA in 2023 and the ...

  3. Members who qualify for IRMAA reimbursements and who paid the premium, may qualify to be reimbursed from the city Office of Labor Relations, but they must apply. See current rates and the IRMAA application on the Office of Labor RelationsIRMAA page » Members must include copies of the documentation requested on the application and are also ...

  4. Please submit this form, along with all required documents: Electronically: https://nycemployeebenefits.leapfile.net Mail: NYC Health Benefits Program, ATTN: IRMAA 22 Cortlandt Street, 12th Floor New York, NY 10007 Fax: (212) 306-7373 Date:

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