If you and/or your spouse are enrolled in Medicare Part B and/or Medicare Part D, you may be able to submit a reimbursement for those premiums through your IRMAA account.
In addition to the basic premium, some individuals must also pay a surcharge related to their income. This surcharge is called the Income Related Monthly Adjustment Amount (IRMAA). An individual's IRMAA surcharge is based on their reported Modified Adjusted Gross Income (MAGI) together with tax filing status.
How to identify if you are eligible for a reimbursement:
- If you and your eligible spouse/partner paid only $164.90 per month for Medicare Part B premiums in 2023, you are not eligible for additional reimbursement and do not need to file a claim.
- Compare your 2021 income with the income levels on the IRMAA Monthly Surcharges to determine if you or your eligible spouse/partner paid an IRMAA surcharge in 2023.
- If you did pay an IRMAA surcharge in 2023, you may be eligible for an IRMAA reimbursement from the State of New Jersey.
- To claim your reimbursement, you must provide proof of IRMAA premiums paid in 2023. Please see the 2023 claim forms for the required documentation to submit your claim.
Filing Single |
Married Filing Joint |
Married Filing Separately (MFS)* |
Monthly Part B Surcharge |
Monthly Part D Surcharge** |
Over $97,000 to $123,000 |
Over $194,000 to $246,000 |
Not applicable |
$65.90 |
$12.20 |
Over $123,000 to $153,000 |
Over $246,000 to $306,000 |
Not applicable |
$164.80 |
$31.50 |
Over $153,000 to $183,000 |
Over $306,000 to $366,000 |
Not applicable |
$263.70 |
$50.70 |
Over $183,000 to <$500,000 |
Over $366,000 to <$750,000 |
Over $91,000 to <$409,000 |
$362.60 |
$70.00 |
$500,000 and above |
$750,000 and above |
$409,000 and above |
$395.60 |
$76.40 |
*Applies to married couples that filed separately (MFS) and lived with their spouses at any time during the year. **Part D premiums vary by plan is not included in this chart. Only the Part D surcharge is shown. Login in with your username and password by clicking the "Home" tab above to submit your claim online. If you don't know your username and password, you may reset both from the login page.
First-time users must Register initially. Your
Company Key is SHBP/SEHBP. Once logged in, see the IRMAA tab at the top of the website and click on it. Directions on how to submit your IRMAA reimbursement request can be found on that page.
If you are unable to submit your claim online, you may email, mail, or fax your claim form and required IRMAA documentation.
Email: sonjclaims@mychoiceaccounts.com
Fax: (856) 807-5560, please include a cover sheet containing your name, address and telephone number
Mail:
MyChoice Accounts
PO Box 105168
MSC 100535
Atlanta, GA 30348-5168