---

• For those retirees/eligible dependent of a retiree with a Medicare Part B effective date between 2016 and 2019, they were reimbursed at the rate of $135.50 per month. ($135.50 x 12 months = $1,626 annual amount) 
• For those retirees/eligible dependent of a retiree with a Medicare Part B effective date prior to 2016, they were reimbursed at the rate of $109.00 per month. ($109 x 12 months = $1,308 annual amount)
• For those retirees/eligible dependent of a retiree with a Medicare Part B effective date prior to 2016, they will receive an additional amount up to $318. They must submit a Medicare Part B 2019 Reimbursement Differential Request Form  

• Those retirees who are eligible for IRMAA must submit the IRMAA 2019 Reimbursement Application. 
• Health Benefits Program staff will be processing 2019 IRMAA forms once the Medicare Part B 2019 payment is issued in April 2020. 

Medicare Part B 2019 differential reimbursements are scheduled to be issued by the end of March 2021. 

• Medicare Part B 2019 differential payments up to $318 will be issued once the Medicare Part B and IRMAA payments are processed in calendar year 2020. 
• Those retirees who are eligible for 2019 Medicare Part B differential reimbursements must submit the Medicare Part B 2019 Reimbursement Differential Request Form
• Health Benefits Program staff will be processing Medicare Part B 2019 Reimbursement Differential Request Form once IRMAA payments are issued in October 2020
• Please note that, if you are applying for IRMAA and eligible for this additional $318 reimbursement, you do not need to complete the Medicare Part B 2019 Reimbursement Differential Request Form since you will be receiving this amount at the same time the IRMAA payment is issued in October 2020.

The reimbursement amount is based on the standard Medicare Part B premiums. If your Medicare Part B reimbursement amount was less than what you paid in Medicare Part B premiums, excluding penalties, you may be eligible for a Medicare Part B Differential reimbursement. To receive the differential reimbursement, please complete the Medicare Part B Differential Request form (below).

If you were eligible for Medicare Part B Reimbursement for prior years but did not enroll by providing a copy of your Medicare card, reimbursement is limited to the previous three (3) calendar years. To enroll, please complete the Medicare Part B Reimbursement Program Application.

Learn More about Medicare Part B Reimbursement

Medicare Part B Reimbursement Program Application - Reimbursement for 2019 will be issued in April 2020

2019 Medicare Part B Reimbursement Differential Request Form  - Reimbursement for 2019 will be issued in March 2021

2018 Medicare Part B Reimbursement Differential Request Form - Reimbursement for 2018 will be issued in March 2020

2017 Medicare Part B Reimbursement Differential Request Form

IRMAA Medicare Part B Reimbursement

If you paid more than the standard monthly reimbursement rate for Medicare Part B, as an Income Related Monthly Adjustment Amount (IRMAA), you may be eligible for additional reimbursement. If you submit the required documentation for Medicare Part B IRMAA reimbursement, your reimbursement will be deposited directly into your bank account. 

Learn More about IRMAA Medicare Part B Reimbursement

IRMAA Medicare Part B Reimbursement Application (for 2019, 2018 & 2017) - Reimbursement for 2019 will be issued in October 2020

IRMAA Medicare Part B Reimbursement Application (2016) - This form must be submitted by December 31, 2020