What is Medicare?

Medicare is a government-sponsored health insurance program for people aged 65 or older, and for some younger people with certain disabilities, or permanent kidney failure, or amyotrophic lateral sclerosis (Lou Gehrig’s disease), can also qualify for Medicare.

Medicare coverage is based on three main factors:

• Federal and state laws.
• National coverage decisions made by Medicare about whether something is covered.
• Local coverage decisions made by companies in each state that process claims for Medicare.

Medicare is managed by the Centers for Medicare & Medicaid Services (CMS). Social Security works with CMS by enrolling people in Medicare.

Click to go to the site: www.medicare.gov

Medicare Part B Premium Reimbursement for eligible retirees and their eligible dependents.

Medicare Part B (medical insurance) helps pay for outpatient care, medical supplies, lab tests, and some preventive services. Medicare Part B beneficiaries are usually responsible for a portion of their health care costs.

Most people pay the standard Part B monthly premium. However, if your income exceeds certain limits, you will also have to pay a monthly adjustment amount in addition to the Part B premium. This is known as IRMAA.

The standard Medicare Part B monthly premium amount for 2022 is:

$$17010 (Single-Party)monthly
$$34020 (Two-Party)monthly

Current enrollment in the medical insurance plan provided by your former employer will qualify you for the Medicare Part B premium reimbursement. Reimbursements are made for Members and/or their eligible dependents for Medicare Part B premiums provided they meet the following requirements:

• At least 65 years of age or younger and have a disability
• Enrolled in Medicare Part B
• Not being reimbursed for their Medicare Part B premium by another agency, such as another employer or state

The Medicare Part B premium reimbursements are contingent upon approval by the J.J. Stanis Medicare department. If you receive an application, please look to see if there is a verification section. If so, it will list the acceptable documentation from Social Security or Medicare for proof of the Part B premium amount, with instructions on how to submit and the due date. Upon completion of the application and requested verification, the Part B reimbursement will be processed accordingly.

If you are collecting Social Security, the verification we require is as follows (Note: only need to submit the verification once a year. It will be requested on the application):

1. Copy of the SSA-1099 for the prior year
2. Copy of “Your New Benefit Amount” letter for the current year

If you need to request replacement copies:
Social Security Administration (SSA): • 800-772-1213 (TTY: 800-325-0778) or • Your local SSA office • my Social Security | SSA
Click Here for the fact sheet, How to Create an Online Account, provides step-by-step instructions.

If you are paying Medicare directly / not on Social Security, please send copies of your Medicare Premium Bill(s) (CMS-500) and proof of payment(s)
Centers for Medicare and Medicaid Services (CMS): • 800-633-4227 (TTY: 877-486-2048) or • www.cms.gov

For inquiries related to Part B reimbursement, contact us