Form SSA-44

Formulario SSA-44

In 9 languages

LanguageTerm
EnglishForm SSA-44
Spanish (Español) Formulario SSA-44
Chinese (中文) 表格SSA-44
Korean (한국어) SSA-44 양식
Vietnamese (Tiếng Việt) Mẫu SSA-44
Filipino (Tagalog) Form SSA-44
Portuguese (Português) Formulário SSA-44
Thai (ภาษาไทย) แบบฟอร์ม SSA-44
Japanese (日本語) SSA-44フォーム

What it means

Form SSA-44 is a Social Security Administration document you complete to ask Medicare to lower your Income-Related Monthly Adjustment Amount (IRMAA) because of a life-changing event—such as retirement, divorce, or the death of a spouse—that significantly reduced your income since the tax year Medicare used to set your current premium. You submit the form with supporting evidence such as a retirement letter or amended tax return. If approved, Medicare recalculates your Part B and Part D premiums using a more recent, lower income year. Without filing this form, you would wait until your tax data naturally updates in the Social Security system, which can take two or more years.

How to say it

Sentences a patient might use with a doctor, nurse, pharmacist, or insurer:

FORM ess-ess-AY forty-four

formulario SSA guión cuarenta y cuatro

the IRMAA appeal form

el formulario de apelación de IRMAA

Medicare income reconsideration form

formulario de reconsideración de ingresos de Medicare

Where you'll see it

Medicare premium adjustment letterSocial Security Administration correspondenceMedicare Part B and D enrollment documentsIRMAA appeal packet

Related terms

Sources

US Glossary Español A–Z US Codes United States

Last reviewed: September 2026