Medicare B Reimbursement Image

Please be advised that the Health Benefits Program's website is updated with the following payments information.

1) Medicare Part B Reimbursements for the calendar year 2020
2) IRMAA payments for the calendar year 2019 & 2020
3) Medicare Part B differential payments for the calendar year 2019 & 2020

https://www1.nyc.gov/site/olr/health/healthhome.page

https://www1.nyc.gov/site/olr/health/retiree/health-retiree-responsibilities-assistance.page

Furthermore, please see below links for how to submit Health Benefits applications electronically (please refer to the Important Notice Section for instructions).

https://www1.nyc.gov/site/olr/health/healthhome.page

Medicare Part B Reimbursement Form

2020 Medicare Part B IRMAA Reimbursement Form

2019 Medicare Request Form

2019 Medicare Part B Reimbursement Differential Request Form