Once an Income-Related Monthly Adjustment Amount (IRMAA) determination has been made, a notice is mailed to the beneficiary. The notice will inform the beneficiary of the determination and appeal rights. The notice will also provide information about what a beneficiary should do if they have other information about their income or if their circumstances have changed.
A beneficiary or his authorized representative can request an appeal within 60 days of receipt of an IRMAA determination notice.
There are four levels of appeal that apply to IRMAA determinations:
A reconsideration processed by the Field Office
A hearing before an Administrative Law Judge of the Department of Health and Human Services (HHS) Office of Medicare Hearings and Appeals
A review by the HHS Medicare Appeals Council, and
Federal Court action.
Last Revised: May 22, 2007
Social Security Handbook