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Subpart C—Income-Related Monthly Adjustments to Medicare Prescription Drug Coverage Premiums

RegSenseCompensationCFR SubpartCFR RegulationsUSAHR ManagementEnglishU.S. Department of Labor (DOL)Focus AreaSocial SecurityHuman Resources

§418.2001 What is this subpart about?

§418.2005 Purpose and administration.

§418.2010 Definitions.

§418.2101 What is the income-related monthly adjustment amount?

§418.2105 What is the threshold?

§418.2110 What is the effective date of our initial determination about your income-related monthly adjustment amount?

§418.2112 Paying your income-related monthly adjustment amount.

§418.2115 What are the modified adjusted gross income ranges?

§418.2120 How do we determine your income-related monthly adjustment amount?

§418.2125 How will the income-related monthly adjustment amount affect your total Medicare prescription drug coverage premium?

§418.2135 What modified adjusted gross income information will we use to determine your income-related monthly adjustment amount?

§418.2140 What will happen if the modified adjusted gross income information from the IRS is different from the modified adjusted gross income information we used to determine your income-related monthly adjustment amount?

§418.2145 How do we determine your income-related monthly adjustment amount if the IRS does not provide information about your modified adjusted gross income?

§418.2150 When will we use your amended tax return filed with the IRS?

§418.2201 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?

§418.2205 What is a major life-changing event?

§418.2210 What is not a major life-changing event?

§418.2215 What is a significant reduction in your income?

§418.2220 What is not a significant reduction in your income?

§418.2225 Which more recent tax year will we use?

§418.2230 What is the effective date of an income-related monthly adjustment amount initial determination based on a more recent tax year?

§418.2235 When will we stop using your more recent tax year’s modified adjusted gross income to determine your income-related monthly adjustment amount?

§418.2240 Should you notify us if the information you gave us about your modified adjusted gross income for the more recent tax year changes?

§418.2245 What will happen if you notify us that your modified adjusted gross income for the more recent tax year changes?

§418.2250 What evidence will you need to support your request that we use a more recent tax year?

§418.2255 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?

§418.2260 What major life-changing event evidence will we not accept?

§418.2265 What kind of evidence of a significant modified adjusted gross income reduction will you need to support your request?

§418.2270 What modified adjusted gross income evidence will we not accept?

§418.2301 What is an initial determination regarding your income-related monthly adjustment amount?

§418.2305 What is not an initial determination regarding your income-related monthly adjustment amount?

§418.2310 When may you request that we make a new initial determination?

§418.2315 How will we notify you and what information will we provide about our initial determination?

§418.2320 What is the effect of an initial determination?

§418.2322 How will a Medicare Part B income-related monthly adjustment amount determination for the effective year affect your Medicare prescription drug coverage?

§418.2325 When may you request a reconsideration?

§418.2330 Can you request a reconsideration when you believe that the IRS information we used is incorrect?

§418.2332 Can you request a reconsideration when you believe that the CMS information we used is incorrect?

§418.2335 What should you do if we base our initial determination on modified adjusted gross income information you believe to be incorrect?

§418.2340 What are the rules for our administrative review process?

§418.2345 Is reopening of an initial or reconsidered determination made by us ever appropriate?

§418.2350 What are the rules for review of a reconsidered determination or an ALJ decision?

§418.2355 What are the rules for reopening a decision by an ALJ of the Office of Medicare Hearings and Appeals (OMHA) or by the Medicare Appeals Council (MAC)?

['Compensation']
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