Medicare Irmaa 2024 Appeal Form. Irmaa is the income related monthly adjustment amount. If you do not qualify to request a new initial determination, but you still disagree with social security’s decision, you have the right to.

Irmaa is a surcharge added to your medicare parts b and d premiums, based on income. There’s a good chance you can get your irmaa eliminated or reduced if your income has dropped in the past two years.