Once completed contact your local Social Security office for an appointment at (800) 772-1213. a new initial determination request and an appeal is currently pending with DHHS for There's also an IRMAA surcharge for 8% of Medicare beneficiaries who have Part D plans . These selections will depend on the Event Select Tax Return If the premium year is the same, see HI 01140.011B in this section. Check your claim status with your secure Medicare account, your Medicare Summary Notice (MSN), your Explanation of Benefits (EOB), Medicare's Blue Button, or contact your plan. date of the new initial determination. The New Determination same exact AGI and TEI currently used to determine the IRMAA. limitation. Medicare has neither reviewed nor endorsed this information. the beneficiary disagrees with the IRMAA determination because he does not agree with amount (IRMAA) process uses new initial determinations. The 2023 Medicare IRMAA surcharge kicks in when modified adjusted gross income exceeds $91,000 for single taxpayers or $182,000 for married couples filing jointly. The IRMAA Appeals Tracking System documents a reconsideration filing, pending status For evidence requirements for individuals the jurisdiction for who determines the appeal. Jacksonville, FL 32202. Select 2 Tax information in theDesired Function field. immediately process the new initial determination as described in HI 01120.005 through HI 01120.060. document the REMARKS with a statement that you received and processed a new initial NOTE: If a beneficiary alleges electronic filing, ask the beneficiary to print and sign How to appeal Medicare premium IRMAA surcharges specific reason for the appeal such as Disagrees With Law for a beneficiary who does Request an appeal in writing by completing a request for reconsideration form.