['Compensation']

['Social Security']

03/24/2025

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Subpart B—Medicare Part B Income-Related Monthly Adjustment Amount, Introduction, General Provisions, and Definitions

...

Subpart B—Medicare Part B Income-Related Monthly Adjustment Amount, Introduction, General Provisions, and Definitions

RegSense Compensation CFR Subpart CFR Regulations USA HR Management English U.S. Department of Labor (DOL)Focus Area Social Security Human Resources

Authority: Secs. 702(a)(5) and 1839(i) of the Social Security Act (42 U.S.C. 902(a)(5) and 1395r(i)).

§418.1001 What is this subpart about?

§418.1005 Purpose and administration.

§418.1010 Definitions.

§418.1101 What is the income-related monthly adjustment amount?

§418.1105 What is the threshold?

§418.1110 What is the effective date of our initial determination about your income-related monthly adjustment amount?

§418.1115 What are the modified adjusted gross income ranges?

§418.1120 How do we determine your income-related monthly adjustment amount?

§418.1125 How will the income-related monthly adjustment amount affect your total Medicare Part B premium?

§418.1130 [Reserved]

§418.1135 What modified adjusted gross income information will we use to determine your income-related monthly adjustment amount?

§418.1140 What will happen if the modified adjusted gross income information from IRS is different from the modified adjusted gross income information we used to determine your income-related monthly adjustment amount?

§418.1145 How do we determine your income-related monthly adjustment amount if IRS does not provide information about your modified adjusted gross income?

§418.1150 When will we use your amended tax return filed with IRS?

§418.1201 When will we determine your income-related monthly adjustment amount based on the modified adjusted gross income information that you provide for a more recent tax year?

§418.1205 What is a major life-changing event?

§418.1210 What is not a major life-changing event?

§418.1215 What is a significant reduction in your income?

§418.1220 What is not a significant reduction in your income?

§418.1225 Which more recent tax year will we use?

§418.1230 What is the effective date of an income-related monthly adjustment amount initial determination that is based on a more recent tax year?

§418.1235 When will we stop using your more recent tax year's modified adjusted gross income to determine your income-related monthly adjustment amount?

§418.1240 Should you notify us if the information you gave us about your modified adjusted gross income for the more recent tax year changes?

§418.1245 What will happen if you notify us that your modified adjusted gross income for the more recent tax year changes?

§418.1250 What evidence will you need to support your request that we use a more recent tax year?

§418.1255 What kind of evidence of a major life-changing event will you need to support your request for us to use a more recent tax year?

§418.1260 What major life-changing event evidence will we not accept?

§418.1265 What kind of evidence of a significant modified adjusted gross income reduction will you need to support your request?

§418.1270 What modified adjusted gross income evidence will we not accept?

§418.1301 What is an initial determination regarding your income-related monthly adjustment amount?

§418.1305 What is not an initial determination regarding your income-related monthly adjustment amount?

§418.1310 When may you request that we make a new initial determination?

§418.1315 How will we notify you and what information will we provide about our initial determination?

§418.1320 What is the effect of an initial determination?

§418.1322 How will a Medicare prescription drug coverage income-related monthly adjustment amount determination for the effective year affect your Medicare Part B?

§418.1325 When may you request a reconsideration?

§418.1330 Can you request a reconsideration when you believe that the IRS information we used is incorrect?

§418.1335 What should you do if our initial determination is based on modified adjusted gross income information you believe to be incorrect?

§418.1340 What are the rules for our administrative review process?

§418.1345 Is reopening of an initial or reconsidered determination made by us ever appropriate?

§418.1350 What are the rules for review of a reconsidered determination or an administrative law judge decision?

§418.1355 What are the rules for reopening a decision by an administrative law judge of the Office of Medicare Hearings and Appeals (OMHA) or by the Medicare Appeals Council (MAC)?

Source: 71 FR 62931, Oct. 27, 2006, unless otherwise noted.

['Compensation']

['Social Security']

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