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Code of Federal Regulations (Last Updated: November 8, 2024) |
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Title 20 - Employees' Benefits |
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Chapter III - Social Security Administration |
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Part 418 - Medicare Subsidies |
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Subpart C - Income-Related Monthly Adjustments to Medicare Prescription Drug Coverage Premiums |
| Introduction, General Provisions, and Definitions |
| § 418.2001 - What is this subpart about? |
| § 418.2005 - Purpose and administration. |
| § 418.2010 - Definitions. |
| Determinations Using a More Recent Tax Year'S Modified Adjusted Gross Income |
| § 418.2201 - When will we determine your income-related monthly adjustment amount based on the modified adjusted gross income information that you provide for a more recent tax year? |
| § 418.2205 - What is a major life-changing event? |
| § 418.2210 - What is not a major life-changing event? |
| § 418.2215 - What is a significant reduction in your income? |
| § 418.2220 - What is not a significant reduction in your income? |
| § 418.2225 - Which more recent tax year will we use? |
| § 418.2230 - What is the effective date of an income-related monthly adjustment amount initial determination based on a more recent tax year? |
| § 418.2235 - When will we stop using your more recent tax year's modified adjusted gross income to determine your income-related monthly adjustment amount? |
| § 418.2240 - Should you notify us if the information you gave us about your modified adjusted gross income for the more recent tax year changes? |
| § 418.2245 - What will happen if you notify us that your modified adjusted gross income for the more recent tax year changes? |
| § 418.2250 - What evidence will you need to support your request that we use a more recent tax year? |
| § 418.2255 - What kind of evidence of a major life-changing event will you need to support your request for us to use a more recent tax year? |
| § 418.2260 - What major life-changing event evidence will we not accept? |
| § 418.2265 - What kind of evidence of a significant modified adjusted gross income reduction will you need to support your request? |
| § 418.2270 - What modified adjusted gross income evidence will we not accept? |
| Determination of the Income-Related Monthly Adjustment Amount |
| § 418.2101 - What is the income-related monthly adjustment amount? |
| § 418.2105 - What is the threshold? |
| § 418.2110 - What is the effective date of our initial determination about your income-related monthly adjustment amount? |
| § 418.2112 - Paying your income-related monthly adjustment amount. |
| § 418.2115 - What are the modified adjusted gross income ranges? |
| § 418.2120 - How do we determine your income-related monthly adjustment amount? |
| § 418.2125 - How will the income-related monthly adjustment amount affect your total Medicare prescription drug coverage premium? |
| § 418.2135 - What modified adjusted gross income information will we use to determine your income-related monthly adjustment amount? |
| § 418.2145 - How do we determine your income-related monthly adjustment amount if the IRS does not provide information about your modified adjusted gross income? |
| § 418.2150 - When will we use your amended tax return filed with the IRS? |
| Determinations and the Administrative Review Process |
| § 418.2301 - What is an initial determination regarding your income-related monthly adjustment amount? |
| § 418.2305 - What is not an initial determination regarding your income-related monthly adjustment amount? |
| § 418.2310 - When may you request that we make a new initial determination? |
| § 418.2315 - How will we notify you and what information will we provide about our initial determination? |
| § 418.2320 - What is the effect of an initial determination? |
| § 418.2322 - How will a Medicare Part B income-related monthly adjustment amount determination for the effective year affect your Medicare prescription drug coverage? |
| § 418.2325 - When may you request a reconsideration? |
| § 418.2330 - Can you request a reconsideration when you believe that the IRS information we used is incorrect? |
| § 418.2332 - Can you request a reconsideration when you believe that the CMS information we used is incorrect? |
| § 418.2335 - What should you do if we base our initial determination on modified adjusted gross income information you believe to be incorrect? |
| § 418.2340 - What are the rules for our administrative review process? |
| § 418.2345 - Is reopening of an initial or reconsidered determination made by us ever appropriate? |
| § 418.2350 - What are the rules for review of a reconsidered determination or an ALJ decision? |
| § 418.2355 - What are the rules for reopening a decision by an ALJ of the Office of Medicare Hearings and Appeals (OMHA) or by the Medicare Appeals Council (MAC)? |