Overview
If your income is above a certain amount (determined by the federal government), your Medicare premiums for Part B and Part D will include an Income-Related Monthly Adjustment Amount (IRMAA).
NYSHIP will reimburse you for the Part B IRMAA you or a covered dependent paid. However, IRMAA reimbursements are not automatic—you must apply for the reimbursement each year.
NYSHIP does not have legal authority to reimburse Part D IRMAA. The IRMAA reimbursement provided by NYSHIP only covers Part B IRMAA.
Eligibility for Reimbursement
NYSHIP will reimburse you for Part B IRMAA that you or your covered dependent paid if you are:
- A retiree
- A vestee
- A dependent survivor
- A preferred list enrollee
Active employees are not eligible for a Part B IRMAA reimbursement.
Am I Paying IRMAA?
Your federal taxes from the previous year determine if your Medicare premium includes IRMAA.
Follow these steps to help figure out if you are paying IRMAA.
Received Social Security Benefits
- Gather your 2025 SSA-1099.
- Look at the amount listed next to "Medicare Part B premiums deducted from your benefits."
- Divide that amount by the number of months you were enrolled in Medicare in 2025.
If the amount you're paying (excluding penalties) is greater than $185.00 per month, you paid IRMAA.
Paid CMS for Medicare Part B
- Gather one of your monthly CMS-500 or CMS-20413 from 2025.
- Look at the amount listed under "Part B IRMAA."
If the amount listed is greater than $0.00, you paid IRMAA.