SPECIAL NOTICE: This article only applies to Retired Members and Qualified Surviving Spouses/Domestic Partners of the Los Angeles Fire & Police Pension Plan. The Centers for Medicare and Medicaid Services (CMS) has increased the standard Medicare Part B monthly premium to $170.10 effective January 1, 2022; however, you may pay
a different amount determined by CMS. Please submit a copy of either: Please submit a copy of your:
We recommend that you redact or avoid providing any personal identifiable information such as your address, birthdate, and all but the last four digits of your Social Security Number (SSN) from the documents before you submit them. If the document does not have the last four digits of your SSN, please include that at the top of your documents. Please send all documents to LAFPP’s Medical & Dental Benefits Section via:
Due to the anticipated high volume of submissions, it may take at least two to three months to process your Part B documentation and update your reimbursement amount on your LAFPP pension payment. As a reminder, Part B reimbursement only applies to Retired Members or Qualified Survivors who are eligible for an LAFPP health subsidy and are enrolled in both Medicare Parts A and B. Any additional Part B fees or penalties charged by CMS are not eligible for reimbursement. Frequently Asked Questions1. How do I know if I am eligible for Part B reimbursement? You must be a retired member or qualified survivor who is receiving a pension and is eligible for a health subsidy, and enrolled in both Medicare Parts A and B. 2. What document do I need to submit to receive my correct Part B reimbursement amount? You must submit a copy of your Social Security benefits verification statement (your “New Benefit Amount”) or a copy of a 2022 Centers for Medicare and Medicaid Services (CMS) billing statement. 3. My spouse (non-LAFPP member) is currently enrolled in Medicare Parts A and B. Does he/she need to submit Medicare Part B premium documentation? No. Only the retired member or Qualified Survivor enrolled in Parts A and B is eligible for Medicare Part B premium reimbursement. 4. I received a letter stating that I pay a higher Part B premium based on my income level (Income-Related Monthly Adjustment Amount – “IRMAA”). May I submit this letter as proof of my Part B premium? Yes. You may submit a copy of the first page of your IRMAA letter if it contains your name, address and 2022 monthly Medicare Part B premium deduction. LAFPP does not reimburse IRMAA fees, so your Part B reimbursement will not exceed the 2022 standard monthly premium of $170.10. 5. I receive a monthly Social Security payment, but I did not receive/cannot locate my “New Benefit Amount” Statement from Social Security. What should I do? You may call or visit your local Social Security Administration (SSA) office. To locate your local SSA office and/or telephone number, you may check their website: https://secure.ssa.gov/ICON. You may also access proof of your 2022 Medicare Part B basic premium online at the SSA website: www.ssa.gov/myaccount. You may be required to create or register your SSA account. Please note that once you have an online account, your SSA notifications will be emailed to you. 6. When do I need to provide LAFPP documentation of my Part B Premium? You may submit your documentation as soon as it is available and receive a retroactive reimbursement for up to twelve (12) pension roll months from the date your submission is received. If you have additional questions about your Medicare Part B reimbursement, please contact the Medical and Dental Benefits Section at (213) 279-3115, toll free at (844) 88-LAFPP ext. 3115, or via email to . Who is eligible for Medicare Part B premium reimbursement?How do I know if I am eligible for Part B reimbursement? You must be a retired member or qualified survivor who is receiving a pension and is eligible for a health subsidy, and enrolled in both Medicare Parts A and B. 2.
What benefit adds money back to your Social Security check?If you pay your Part B premium through Social Security, the Part B Giveback will be credited monthly to your Social Security check. If you don't pay your Part B premium through Social Security, you'll pay a reduced monthly amount directly to Medicare.
What is the Medicare Part B premium giveback?The Part B give back benefit helps those on Medicare lower their monthly health care spending by reducing the amount of their Medicare Part B premium. When you enroll in a Medicare Advantage plan that offers this benefit, the carrier pays either a part of or the entire premium for your outpatient coverage each month.
Why do some ZIP codes get money back on Medicare?This is because Medicare Advantage plans are offered by private insurance companies who determine the specific service areas of their plans. Certain states or regions may offer Medicare Advantage plans that cover some or all of Part B premiums, while others may not.
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