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Navigating the IRMAA Appeal: A Guide to lowering aNavigating the IRMAA Appeal: A Guide to lowering a

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Ever felt like you were in a tangle, attempting to find the correct way out? If so, you might understand how it feels navigating the labyrinth of Medicare premiums. Specifically, when dealing with an irmaa appeal. The Income-Related Monthly Adjustment Amount (IRMAA) can feel like a riddle wrapped inside an enigma.

You may be wondering why your Medicare Premium shot up without warning or what determines these monthly adjustment amounts. Perhaps life has thrown you curveballs—like marriage, divorce or work reduction—that have significantly changed your income situation.

Fear not! By venturing into this post further, we’ll illuminate the twists and turns of IRMAA appeals for you. From understanding how Social Security Administration uses tax returns to calculate adjustments to strategizing successful appeals—we’ve got all angles covered.

Let’s delve deeper into the intriguing puzzle that is IRMA. This fascinating topic deserves a closer look, as it offers countless opportunities for exploration and discovery.

Understanding IRMAA and Its Impact on Medicare Premiums

The Income-Related Monthly Adjustment Amount, or IRMAA, is an extra charge added to your Medicare Part B and Part D premiums if your income goes over a certain limit. But how does this work exactly?

How is IRMAA calculated?

The Social Security Administration (SSA) determines the IRMAA based on the modified adjusted gross income you reported on your IRS tax return from two years prior. This means that if you’re paying higher Medicare premiums now, it’s likely because of what was reflected in your tax returns then.

Suppose, for example, that two years ago you saw a notable upturn in earnings from selling land or receiving pension payments. Your monthly adjustment could rise as well because SSA takes into account all forms of income including wage earnings, dividends from investments, rental property profits and more.

In fact, according to SSA guidelines, even social security benefits count towards this calculation. It may feel like they’ve got their hands in every pie.

This might seem daunting but don’t fret – there are ways around these high charges through something called an ‘IRMAA appeal’. More about that later though – I wouldn’t want to spill all my secrets just yet.

Life-Changing events That Can Influence Your IRMAA

This means you could potentially qualify for a lower or adjusted IRMAA.

Firstly, let’s talk about the big M – marriage. Tying the knot isn’t just about sharing your Netflix password; it can also affect your modified adjusted gross income and thus change your monthly adjustment amounts.

Marriage and Divorce

If cupid strikes or if things don’t work out in paradise resulting in divorce, these are both qualifying events that can influence how Social Security determines your IRMAA. Remember though, any changes to marital status need to be reported to Social Security Administration.

Losing Your Spouse

Sadly, death is part of life’s journey too. Losing a spouse will drastically alter many aspects of one’s financial picture including potentially lowering one’s tax returns which could result in an amended assessment of the IRMAA.

An Unexpected Work Stoppage

A sudden stoppage at work due to layoffs or early retirement may significantly reduce income-related monthly adjustments because less income generally equals less taxes paid – again leading to potential modifications in premium calculations by Social Security Office.

Employer Settlement Payment: The Silver Lining?

  • If you receive an employer settlement payment after losing employment involuntarily such as through redundancy then this lump sum payout should not count towards calculating annual earnings for determining whether you fall into high-income brackets where increased charges apply under Medicare Part B and D prescription drug coverage plans.

These are just some examples of life-changing events that can influence your IRMAA. To find out more about how these changes could impact you, reach out to a local Social Security office. You might be surprised at the potential savings.

Medicare 2024 IRMAA Brackets: Amounts and HowMedicare 2024 IRMAA Brackets: Amounts and How

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With the announcement of the August CPI-U, the 2024 Brackets are official and they will increase by over 5.00% to start at $103, 000 for an individual.

Now please keep in mind that at any point between now and the beginning of the 2024 Congress or the current Presidential Administration can alter these Medicare IRMAA Brackets, but if they do not then there will be at least a little bit of good news for seniors.

Official IRMAA 2024 Brackets

Single Couple MAGI Part B Part D
< $103, 000 < $206, 000 $174.70 Premium (varies)
$103, 000 to $129, 000 $206, 000 to $258, 000 $244.60 $12.90
$129, 000 to $161, 000 $258, 000 to $322, 000 $349.40 $33.30
$161, 000 to $193, 000 $322, 000 to $386, 000 $454.20 $53.80
$193, 000 to $500, 000 $386, 000 to $750, 000 $559.00 $74.20
> $500, 000 > $750, 000 $594.00 $81.00

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How the IRMAA Brackets adjust:

When Congress created Medicare IRMAA back in 2003 through the passing of the Medicare Moderniztion Act, they ruled that the IRMAA Brackets would adjust by

“The percentage (if any) by which the average of the Consumer Price Index for all urban consumers (United States city average) for the 12-month period ending with August of the preceding calendar year exceeds such average for the 12-month period.”

So, if the CPI-U at the end of August of the current year is greater than the previous August then the IRMAA Brackets will increase. Note the inflation rate does not determine IRMAA costs.

By the way there is no language that would stop the IRMAA Brackets from going down if the CPI-U would actually deflate from year to year.

In terms of the all the Thresholds within the IRMAA Brackets, due to the passing of the Bi-Partisan Budget Act of 2018 the 5th Threshold in the IRMAA Brackets will not adjust for inflation until 2028.

What is IRMAA:

IRMAA is short for Medicare’s Income Related Monthly Adjustment Amount which is according to the Code of Federal Regulations:

“An amount that you will pay for your Medicare Part B and D coverage when your modified adjusted gross income is above the certain thresholds.”

IRMAA is a tax on your income through Medicare Part B and Part D coverage if you have too much income while in retirement.

IRMAA - Medicare Logo

Will you actually enter IRMAA:

According to the 2022 Medicare Board of Trustees Report, currently, there are over 6.8 million people in IRMAA. These people in IRMAA make up 16.63% of all eligible Medicare beneficiaries.

By 2031, according to recent reports the number of people in IRMAA will double to 13.8 million eligible people in IRMAA.

IRMAA is a revenue generator for both the Medicare and social Security Programs.

For the Medicare program, IRMAA is an added cost that the person in it must pay. This added cost provides more money each year for the program.

As for Social Security, according to Congress, all IRMAA costs are automatically deducted from any Social Security benefit a person is receiving. Thus, for those who enter IRMAA, Social Security has to pay out less to them which reduces that program’s obligation to pay benefits.

Good Agency: Your Strategic Partner for Company GrowthGood Agency: Your Strategic Partner for Company Growth

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What are Micro-Credentials? Unveiling the Significance in EducationWhat are Micro-Credentials? Unveiling the Significance in Education

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Exploring the Concept of Micro-Credentials

Micro-credentials, called ‘micro certificates’, encompass concise and targeted week-long courses. Employees primarily utilize them to acquire precise skill sets. These courses result in stacked credentials, forming a portfolio of digital badges or certificates.

Distinguished by their specificity, micro-credential courses bridge skill gaps often unincluded by traditional degrees due to the novelty of required expertise. Unlike conventional degrees or formal certificates, micro-credentials are compact, time-efficient, and hyper-focused, offering a more cost-effective and specialized learning experience.

These courses are in various educational institutes, including universities, industry organizations, and accredited online platforms.

Benefits of Micro-Credentials for Educators

Micro-credentials enhance teaching strategies and methods. It is efficient with its specificity, making its courses engaging and doable for learners. Here are the other benefits educators can receive by creating micro-credential courses.

Meeting the Demand for Skills-Based Hiring

According to a report from Coursera, 90% of graduates and students believe industry micro-credentials will make them more likely to be hired. Even 88% of employers believe that professional certificates strengthen a candidate’s application, as 77% already use Skills-based hiring.

With the staggering statistics for micro-credentials, educators would be wise to meet its demand. 

Enhancing Teaching Strategies Through Micro-Credentialing

Micro-credential courses typically comprise 4-8 lessons. They are designed to accommodate learners who are most likely employed. Because of the “chunking” of the lessons, learners can dedicate a few weekly hours to acquiring new expertise. Tailored for rapid up-skilling, these courses prioritize evidence-based resources to ensure the delivery of high-quality knowledge. Each lesson is followed by short quizzes, facilitating continual learning tracking and retention of acquired insights.

Micro-Credentials: A Tool for Continuing Education to Adopt

Micro-credentials can assist educators in creating better-continuing education (CE) courses. Due to innovations constantly changing the industries, Sheila LeBlanc, associate vice-president for CE at the University of Calgary, states in an interview:

Micro-credentials and continuous learning are critical for almost every worker’s future. It doesn’t matter if you are a nurse, an engineer, a scientist, or an artist. When I finished my undergraduate degree in marketing, social media, and digital marketing didn’t exist. Today’s need to continuously learn new skills and competencies, too, or they won’t be employed for long!”

She agrees that learners and employers must become Partners in creating accessible, research-based, and work-related learning opportunities, a mentality required for micro-credentialing.

“Continuing Education teams have the tools, technology, and processes in place to act as a launching point for micro-credential Practices across the academy.”

Utilizing SimpleCert®: Streamlining Micro-Credential Management

Micro-credential courses allow educators to create efficient, evidence-based, and engaging lessons for many learners who wish to be employed immediately. These learners would often look for accredited courses online that they can access at home or on their smartphones to complete at their convenience. 

You may benefit from automated micro-credential management if you’re an online educator. SimpleCert® is a systemic tool for digital certificate management. By linking your SimpleCert® account to your website or test-taker platform, your students can automatically receive their digital certificates as soon as they are done.

Because SimpleCert® is a comprehensive Certificate Management System, it can manage all aspects of your certification program. All certificates you award are automatically stored within your account, allowing for effortless management and retrieval. Your students can access their stacked credentials anytime via a direct download link, or for Monthly SimpleCart® subscribers via individual recipient portals.

See our digital credentials features to learn more

SimpleCert | Unveiling the Significance in Education