2508. Overview of the Appeal Process for Medicare Part B Income-Related Monthly Adjustment Amount

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.

2508.1 When can an appeal be filed?

A beneficiary or his authorized representative can request an appeal within 60 days of receipt of an IRMAA determination notice.

2508.2 What are the levels of appeal?

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