NYC Health Benefits Program



Questions about your IRMAA or Medicare Part B Reimbursements?

Medicare Part B 2022 Reimbursement

Medicare-eligible retirees and their Medicare-eligible dependents will be reimbursed annually for the standard Medicare Part B amount of $170.10 per month ($170.10 x 12 months = $2,041.20), excluding any penalties and late enrollment fees, and subject to be pro-rated. 

2022 Medicare Part B reimbursements were issued in April 2023.  Please check your bank account/statement (or the mail, if you are receiving a physical check).

If you already submitted your Medicare Part A & B card to the Health Benefits Program, this payment is automatic and you will receive it annually.

Medicare Part B 2021 Reimbursement

Medicare-eligible retirees and their Medicare-eligible dependents were reimbursed annually for the standard Medicare Part B amount of $148.50 per month ($148.50 x 12 months = $1,782), excluding any penalties and late enrollment fees, and subject to be pro-rated. 

2021 Medicare Part B reimbursements were issued in April 2022.  Please check your bank account/statement (or the mail, if you are receiving a physical check).

If you already submitted your Medicare Part A & B card to the Health Benefits Program, this payment is automatic and you will receive it annually.



What is IRMAA?

The Income-Related Monthly Adjustment Amount (IRMAA) is an additional amount that you are required to pay for your monthly Medicare premiums if you have higher annual earnings.

If your income in 2020 was

  • less than or equal to $91,000 as an individual, or
  • less than or equal to $182,000 as a married couple,

you did not pay IRMAA in 2022 and the following information does not apply to you.

If your 2022 SSA-1099 form shows that you received the standard Medicare Part B premiums deductions of $2,041.20, you did not pay IRMAA in 2022 and the following information does not apply to you.

Please do NOT submit an IRMAA application as you are not eligible for reimbursement.

 

IRMAA 2022 Reimbursement 

IRMAA 2022 annual reimbursements will be issued during the 3rd week of October 2023. 

Medicare-eligible retirees and their Medicare-eligible dependents can submit an IRMAA application if they paid above the standard amount of $170.10 per month. If you did not pay more than the standard amount then you are not eligible for IRMAA.  

  • If you are currently receiving your pension check through Electronic Fund Transfer (EFT) or direct deposit, your reimbursement will be deposited directly into your bank account. This is separate from your pension payment. If you don’t have EFT or direct deposit, you should receive a check in the mail.
  • Please submit the IRMAA 2022 Reimbursement Application, along with all required documents, electronically to: https://nycemployeebenefits.leapfile.net

Learn More about IRMAA


IRMAA 2021 Reimbursement

IRMAA 2021 annual reimbursements were issued during the 3rd week of October 2022. 

Medicare-eligible retirees and their Medicare-eligible dependents can submit an IRMAA application if they paid above the standard amount of $148.50 per month. If you did not pay more than the standard amount then you are not eligible for IRMAA.  

  • If you are currently receiving your pension check through Electronic Fund Transfer (EFT) or direct deposit, your reimbursement will be deposited directly into your bank account. This is separate from your pension payment. If you don’t have EFT or direct deposit, you should receive a check in the mail.
  • Please submit the IRMAA 2021 Reimbursement Application, along with all required documents, electronically to: https://nycemployeebenefits.leapfile.net


IRMAA 2020 Reimbursement 

IRMAA 2020 reimbursements were issued in October 2021.

  • If you are currently receiving your pension check through Electronic Fund Transfer (EFT) or direct deposit, your reimbursement was deposited directly into your bank account. This is separate from your pension payment. If you don’t have EFT or direct deposit, you should have received a check in the mail.
  • Please submit the IRMAA 2020 Reimbursement Application, along with all required documents, electronically to: https://nycemployeebenefits.leapfile.net




Medicare Part B Reimbursement

The City will reimburse retirees and their eligible dependents for Medicare Part B premiums paid, excluding any penalties.  You must be receiving a City pension check and be enrolled as the contract holder for City health benefits in order to receive reimbursement for Part B premiums.

For most retirees, the refund is issued automatically by the Health Benefits Program. If you are currently receiving your pension check through Electronic Fund Transfer (EFT) or direct deposit, your reimbursement will be deposited directly into your bank account.  This will be separate from your pension payment.  If you don’t have EFT or direct deposit, you will receive a check in the mail in June.

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




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 2021, 2020 & 2019) - Reimbursement for 2021 was issued during the 3rd week of October 2022.

IRMAA Medicare Part B Reimbursement Application (for 2022, 2021 & 2020) - Reimbursement for 2022 will be issued during the 3rd week of October 2023.