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SPECIAL NOTICE: This&nbsp;article only applies to eligible retired members of Los Angeles Fire and Police Pensions and respective Qualified Surviving Spouses/Domestic Partners.



The Centers for Medicare and Medicaid Services (CMS) has announced the new standard Medicare Part B monthly premium for 2025 is $185.00. However, some pensioners may pay less than this amount, as CMS does not increase a Medicare Part B participant’s premium by more than the dollar increase of their Social Security cost of living adjustment.  This is known as the “Hold Harmless Rule” and applies to all participants who have their Medicare Part B premium deducted directly from their Social Security check and who do not pay Income Related Monthly Adjustment Amounts, or IRMAAs.



<ul>
<li>If you are a new Medicare Part B enrollee in 2025, you will be reimbursed the standard monthly premium of $185.00 and do not need to provide additional documentation to LAFPP.      </li>



<li>If you began receiving the Medicare Part B premium reimbursement prior to 2025, LAFPP will notify you by email or mail with instructions on how to update your Part B premium amount on record.   </li>
</ul>



<h3 class="wp-block-heading">To update your Part B reimbursement for the 2025 calendar year: </h3>



Please submit a copy of:



<ul>
<li>The first page of your Social Security New Benefit Amount statement for 2025; or</li>



<li>Your next Medicare monthly or quarterly billing statement (if you do not receive Social Security benefits)</li>
</ul>



<h3 class="wp-block-heading">To update your Part B reimbursement for premiums paid during the 2024 calendar year: </h3>



Please submit a copy of your:



<ul>
<li>Social Security Form 1099 for 2024; or</li>



<li>Your first Medicare monthly or quarterly billing statement for 2024</li>
</ul>



Please redact any birthdate or SSN information and send all documents to LAFPP’s Medical and Dental Benefits Section via:



<ul>
<li>MyLAFPP Member Portal; For more information visit: lafpp.lacity.gov/mylafpp-sso</li>



<li>Email to: mdb@lafpp.com;</li>



<li>Fax to: (213) 628-7782;&nbsp;or</li>



<li>Mail to: Department of Fire and Police Pensions, Attn: Medical &amp; Dental Benefits, 701 E. 3rd Street, Suite 200, Los Angeles, CA 90013</li>
</ul>



Due to the anticipated high volume of submissions, it may take approximately three months to process your Part B documentation and update your reimbursement amount on your LAFPP pension payment.



As a reminder,&nbsp;Part B reimbursement only applies to Retired Members or Qualified Survivors who are eligible for an LAFPP health subsidy and are enrolled in both Medicare Parts A and B.&nbsp;Any additional Part B&nbsp;penalties or fees charged by CMS are not eligible for reimbursement.



<h3 class="wp-block-heading">Frequently Asked Questions</h3>



1. How do I know if I am eligible for Part B reimbursement?



You must be a retired member or qualified survivor who is receiving a pension and is eligible for a health subsidy, and enrolled in&nbsp;both&nbsp;Medicare Parts A and B.



2. What document do I need to submit to receive my correct Part B reimbursement amount?



You must submit a copy of your Social Security benefits verification statement (your “New Benefit Amount”) or a copy of a 2025 Centers for Medicare and Medicaid Services (CMS) billing statement.         



3. My spouse (non-LAFPP member) is currently enrolled in Medicare Parts A and B.&nbsp; Does he/she need to submit Medicare Part B premium documentation?



No.&nbsp; Only the retired member or Qualified Survivor enrolled in Parts A and B is eligible for Medicare Part B premium reimbursement.&nbsp;



4. I received a letter stating that I pay a higher Part B premium based on my income level (Income-Related Monthly Adjustment Amount – “IRMAA”). May I submit this letter as proof of my Part B premium?



Yes.  You may submit a copy of the first page of your IRMAA letter if it contains your name, address and 2025 monthly Medicare Part B premium deduction.  LAFPP does not reimburse IRMAA fees, so your Part B reimbursement will not exceed the 2025 standard monthly premium of $185.00.  



5. I receive a monthly Social Security payment, but I did not receive/cannot locate my “New Benefit Amount” Statement from Social Security.&nbsp; What should I do?



You may call or visit your local Social Security Administration (SSA) office. You may also access proof of your 2025 Medicare Part B basic premium online at the SSA website: <a href="http://www.ssa.gov/myaccount" target="_blank" rel="noreferrer noopener">www.ssa.gov/myaccount</a>. You may be required to create or register your SSA account. Please note that once you have an online account, your SSA notifications will be emailed to you.



6. When do I need to provide LAFPP documentation of my Part B Premium?



You may submit your documentation as soon as it is available and receive a retroactive reimbursement for up to twelve (12) pension roll months from the date your submission is received.&nbsp;



If you have additional questions about your Medicare Part B reimbursement, please contact the Medical and Dental Benefits Section at (213) 279-3115, toll free at (844) 88-LAFPP ext. 3115, or via email to&nbsp;<a href="mailto:mdb@lafpp.com">mdb@lafpp.com</a>.&nbsp;

Medicare Part B Premium Reimbursement for 2025

May 2025

April 2025

March 2025

February 2025

September 2025

January 2025

August 2025

July 2025

June 2025

December 2025

November 2025

October 2025

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