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

If you've had a life-changing event that reduced your household income, you can ask to lower the additional amount you'll pay for Medicare Part B and Part D.

Life-changing events include marriage, divorce, the death of a spouse, loss of income, and an employer settlement payment.

Upload your request to lower an IRMAA

Upload your request to lower an IRMAA

Sign in to fill out and submit Medicare Income-Related Monthly Adjustment Amount-Life Changing Event (SSA-44). 

Amended income tax returns

Call +1 800-772-1213 and tell the representative you want to lower your Medicare Income-Related Monthly Adjustment Amount (IRMAA) if you had an amended income tax return.

Other ways to complete this task

Fax or mail your request

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.

Make an appointment

You’ll need to create an account if you don’t have one. After you sign in, we’ll help you schedule an appointment to complete this task.

Schedule an appointment

If you live outside of the U.S., including U.S. territories or commonwealths, you’ll need to contact a Federal Benefits Unit to request an appointment. 

For support completing this task

Call us

Available in most U.S. time zones Monday through Friday, 8 a.m. to 7 p.m., in English, Spanish, and other languages.

Tell the representative you want to lower your Medicare Income-Related Monthly Adjustment Amount (IRMAA) due to a life-changing event.

Call TTY +1 800-325-0778 if you're deaf or hard of hearing.