If you are a Medicare-eligible retiree (or Medicare-eligible dependent of a retiree) currently enrolled in the Aetna® Medicare Advantage PPO Plan or Kaiser Permanente Senior Advantage Plan, you may be eligible for subsidies from the District’s Joint Health Management Board (JHMB) for your Medicare Part D prescription drug premiums.
How It Works
As a result of a federal regulation that went into effect in 2012, certain higher-income Medicare beneficiaries are subject to additional Medicare prescription drug premiums. This additional premium is known as the Part D Income-Related Monthly Adjustment Amount (IRMAA). The amount is calculated based on your federal income taxes filed two years prior to the plan year.
You may be subject to the IRMAA premium if you are a Medicare beneficiary whose modified adjusted gross income (AGI) reached a certain level based on your most recent federal tax return.
Although the Joint Health Management Board has agreed to subsidize your IRMAA premiums, it is still up to you to pay the premiums to Medicare. Please note that the JHMB does not reimburse Part B IRMAA.
Deadline
If you are eligible for IRMAA reimbursements, you still have until December 31, 2026, to send your required information to Delta Fund Administrators.
Requirements
You are eligible to be charged IRMAA premiums and receive subsidies if your adjusted gross income is at least $109,000 for individuals or $218,000 for married couples filing jointly.
If You Have Questions
If you have any questions about the IRMAA subsidies and what you need to do to receive them, please contact Delta Fund Administrators:
Instructions
- Please scan or email, fax, or mail a copy of your statement or bill from the Social Security Administration or Medicare to Delta Fund Administrators. Contact information is below:
Delta Fund Administrators
FUSD IRMAA Reimbursement
PO Box 2330
Stockton, CA 95201
F: (209) 940-5147
P: (209) 940-5100 or (866) 358-1711
E: IRMAAReimb@deltafund.com
- Make sure the statement or bill clearly indicates your monthly Part D or prescription drug IRMAA premium. Delta Fund Administrators will annualize your IRMAA premium based on the monthly amount and provide you with financial assistance for the entire plan year.
- Be sure to include your phone number or email address, so they may follow up with you for additional information if necessary. You are not required to submit this information monthly-only one time during the plan year.
