This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless …

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.

SSA-89 Authorization for the Social Security Administration To Release Social Security Number (SSN) Verification Form

Apply for Medicare Medicare Publications Medicare Income-Related Monthly Adjustment Amount – Life-Changing Event, (Form SSA-44) Apply for Medicare Part D Extra Help program Other …

You may also request an appeal in writing by completing a Request for Reconsideration (Form SSA-561-U2), or contact your local Social Security office. You can use the appeal form online …

Inicie sesión y busque el formulario Medicare Income-Related Monthly Adjustment Amount – Life-Changing Event (SSA-44) (PDF) (en inglés). Complete el formulario, guárdelo en su …

Jun 18, 2013 · NOTE: Beneficiaries may use the optional Form SSA-44 (Medicare Income-Related Monthly Adjustment Amount – Life-Changing Event) to report a life-changing event …

Jun 10, 2024 · If the beneficiary alleges their spouse has or will have a work stoppage that will significantly reduce their MAGI for the current tax year, SSA will need MAGI and tax filing …

Feb 23, 2009 · If the beneficiary states their spouse has a work reduction that will change their MAGI for the current tax year, SSA will need MAGI and tax filing status information for the tax …

Dec 2, 2025 · Medicare Income-Related Monthly Adjustment Amount - Table of Contents