Medicare Part B Premium Reimbursement
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 both Medicare Parts A and B.
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 your Centers for Medicare and Medicaid Services (CMS) billing statement.
My spouse (non-LAFPP member) is currently enrolled in Medicare Parts A and B. Does he/she need to submit Medicare Part B premium documentation?
No. Only the retired member or Qualified Survivor enrolled in Parts A and B is eligible for Medicare Part B premium reimbursement.
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 monthly Medicare Part B premium deduction. LAFPP does not reimburse IRMAA fees, so your Part B reimbursement will not exceed the standard monthly premium.
I receive a monthly Social Security payment, but I did not receive / cannot locate my “New Benefit Amount” Statement from Social Security. What should I do?
You may call or visit your local Social Security Administration (SSA) office. You may also access proof of your Medicare Part B basic premium online at the SSA website: www.ssa.gov/myaccount. You may be required to create or register your SSA account. Please note that once you have an online account, your future SSA notifications will be emailed to you.
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.
How can I provide LAFPP documentation of my Part B Premium for reimbursement?
All documentation should be sent to the Medical & Dental Benefits Section using the Secured Messaging feature of MyLAFPP or through one of the following options:
Email to: [email protected]
Fax to: 213-628-7782
Regular mail to:
Los Angeles Fire and Police Pensions
Attn: Medical and Dental Benefits
701 E Third St. Ste. 200
Los Angeles CA 90013
Note: Prior to submitting any documentation, please redact any personal identifiable information such as your date of birth, Social Security Number or address.
If you have additional questions about your Medicare Part B reimbursement, please contact the Medical and Dental Benefits Section at (213) 279-3115 or toll free at (844) 88-LAFPP.