Home/CFR/Title 20/Part 418
FEDERAL · 20 CFR

Part 418 — Medicare Subsidies

139 sections · Title 20: Employees' Benefits

§ 418.1001What is this subpart about?
§ 418.1005Purpose and administration.
§ 418.1010Definitions.
§ 418.1101What is the income-related monthly adjustment amount?
§ 418.1105What is the threshold?
§ 418.1110What is the effective date of our initial determination about your income-related monthly adjustment amount?
§ 418.1115What are the modified adjusted gross income ranges?
§ 418.1120How do we determine your income-related monthly adjustment amount?
§ 418.1125How will the income-related monthly adjustment amount affect your total Medicare Part B premium?
§ 418.1130§ 418.1130 [Reserved]
§ 418.1135What modified adjusted gross income information will we use to determine your income-related monthly adjustment amount?
§ 418.1140What will happen if the modified adjusted gross income information from IRS is different from the modified adjusted gross income information we used to determine your income-related monthly adjustment amount?
§ 418.1145How do we determine your income-related monthly adjustment amount if IRS does not provide information about your modified adjusted gross income?
§ 418.1150When will we use your amended tax return filed with IRS?
§ 418.1201When will we determine your income-related monthly adjustment amount based on the modified adjusted gross income information that you provide for a more recent tax year?
§ 418.1205What is a major life-changing event?
§ 418.1210What is not a major life-changing event?
§ 418.1215What is a significant reduction in your income?
§ 418.1220What is not a significant reduction in your income?
§ 418.1225Which more recent tax year will we use?
§ 418.1230What is the effective date of an income-related monthly adjustment amount initial determination that is based on a more recent tax year?
§ 418.1235When will we stop using your more recent tax year's modified adjusted gross income to determine your income-related monthly adjustment amount?
§ 418.1240Should you notify us if the information you gave us about your modified adjusted gross income for the more recent tax year changes?
§ 418.1245What will happen if you notify us that your modified adjusted gross income for the more recent tax year changes?
§ 418.1250What evidence will you need to support your request that we use a more recent tax year?
§ 418.1255What kind of major life-changing event evidence will you need to support your request for us to use a more recent tax year?
§ 418.1260What major life-changing event evidence will we not accept?
§ 418.1265What kind of significant modified adjusted gross income reduction evidence will you need to support your request?
§ 418.1270What modified adjusted gross income evidence will we not accept?
§ 418.1301What is an initial determination regarding your income-related monthly adjustment amount?
§ 418.1305What is not an initial determination regarding your income-related monthly adjustment amount?
§ 418.1310When may you request that we make a new initial determination?
§ 418.1315How will we notify you and what information will we provide about our initial determination?
§ 418.1320What is the effect of an initial determination?
§ 418.1322How will a Medicare prescription drug coverage income-related monthly adjustment amount determination for the effective year affect your Medicare Part B?
§ 418.1325When may you request a reconsideration?
§ 418.1330Can you request a reconsideration when you believe that the IRS information we used is incorrect?
§ 418.1335What should you do if our initial determination is based on modified adjusted gross income information you believe to be incorrect?
§ 418.1340What are the rules for our administrative review process?
§ 418.1345Is reopening of an initial or reconsidered determination made by us ever appropriate?
§ 418.1350What are the rules for review of a reconsidered determination or an administrative law judge decision?
§ 418.1355What are the rules for reopening a decision by an administrative law judge of the Office of Medicare Hearings and Appeals (OMHA) or by the Medicare Appeals Council (MAC)?
§ 418.2001What is this subpart about?
§ 418.2005Purpose and administration.
§ 418.2010Definitions.
§ 418.2101What is the income-related monthly adjustment amount?
§ 418.2105What is the threshold?
§ 418.2110What is the effective date of our initial determination about your income-related monthly adjustment amount?
§ 418.2112Paying your income-related monthly adjustment amount.
§ 418.2115What are the modified adjusted gross income ranges?
§ 418.2120How do we determine your income-related monthly adjustment amount?
§ 418.2125How will the income-related monthly adjustment amount affect your total Medicare prescription drug coverage premium?
§ 418.2135What modified adjusted gross income information will we use to determine your income-related monthly adjustment amount?
§ 418.2140What will happen if the modified adjusted gross income information from the IRS is different from the modified adjusted gross income information we used to determine your income-related monthly adjustment amount?
§ 418.2145How do we determine your income-related monthly adjustment amount if the IRS does not provide information about your modified adjusted gross income?
§ 418.2150When will we use your amended tax return filed with the IRS?
§ 418.2201When will we determine your income-related monthly adjustment amount based on the modified adjusted gross income information that you provide for a more recent tax year?
§ 418.2205What is a major life-changing event?
§ 418.2210What is not a major life-changing event?
§ 418.2215What is a significant reduction in your income?
§ 418.2220What is not a significant reduction in your income?
§ 418.2225Which more recent tax year will we use?
§ 418.2230What is the effective date of an income-related monthly adjustment amount initial determination based on a more recent tax year?
§ 418.2235When will we stop using your more recent tax year's modified adjusted gross income to determine your income-related monthly adjustment amount?
§ 418.2240Should you notify us if the information you gave us about your modified adjusted gross income for the more recent tax year changes?
§ 418.2245What will happen if you notify us that your modified adjusted gross income for the more recent tax year changes?
§ 418.2250What evidence will you need to support your request that we use a more recent tax year?
§ 418.2255What kind of evidence of a major life-changing event will you need to support your request for us to use a more recent tax year?
§ 418.2260What major life-changing event evidence will we not accept?
§ 418.2265What kind of evidence of a significant modified adjusted gross income reduction will you need to support your request?
§ 418.2270What modified adjusted gross income evidence will we not accept?
§ 418.2301What is an initial determination regarding your income-related monthly adjustment amount?
§ 418.2305What is not an initial determination regarding your income-related monthly adjustment amount?
§ 418.2310When may you request that we make a new initial determination?
§ 418.2315How will we notify you and what information will we provide about our initial determination?
§ 418.2320What is the effect of an initial determination?
§ 418.2322How will a Medicare Part B income-related monthly adjustment amount determination for the effective year affect your Medicare prescription drug coverage?
§ 418.2325When may you request a reconsideration?
§ 418.2330Can you request a reconsideration when you believe that the IRS information we used is incorrect?
§ 418.2332Can you request a reconsideration when you believe that the CMS information we used is incorrect?
§ 418.2335What should you do if we base our initial determination on modified adjusted gross income information you believe to be incorrect?
§ 418.2340What are the rules for our administrative review process?
§ 418.2345Is reopening of an initial or reconsidered determination made by us ever appropriate?
§ 418.2350What are the rules for review of a reconsidered determination or an ALJ decision?
§ 418.2355What are the rules for reopening a decision by an ALJ of the Office of Medicare Hearings and Appeals (OMHA) or by the Medicare Appeals Council (MAC)?
§ 418.3001What is this subpart about?
§ 418.3005Purpose and administration of the program.
§ 418.3010Definitions.
§ 418.3101How do you become eligible for a subsidy?
§ 418.3105Who does not need to file an application for a subsidy?
§ 418.3110What happens when you apply for a subsidy?
§ 418.3115What events will make you ineligible for a subsidy?
§ 418.3120What happens if your circumstances change after we determine you are eligible for a subsidy?
§ 418.3123When is a change in your subsidy effective?
§ 418.3125What are redeterminations?
§ 418.3201Must you file an application to become eligible for a subsidy?
§ 418.3205What makes an application a claim for a subsidy?
§ 418.3210What is a prescribed application for a subsidy?
§ 418.3215Who may file your application for a subsidy?
§ 418.3220When is your application considered filed?
§ 418.3225How long will your application remain in effect?
§ 418.3230When will we use your subsidy inquiry as your filing date?
§ 418.3301What is income?
§ 418.3305What is not income?
§ 418.3310Whose income do we count?
§ 418.3315What is earned income?
§ 418.3320How do we count your earned income?
§ 418.3325What earned income do we not count?
§ 418.3330What is unearned income?
§ 418.3335What types of unearned income do we count?
§ 418.3340How do we count your unearned income?
§ 418.3350What types of unearned income do we not count?
§ 418.3401What are resources?
§ 418.3405What types of resources do we count?
§ 418.3410Whose resources do we count?
§ 418.3415How do we determine countable resources?
§ 418.3420How are funds held in financial institution accounts counted?
§ 418.3425What resources do we exclude from counting?
§ 418.3501What could cause us to increase or reduce your subsidy or terminate your subsidy eligibility?
§ 418.3505How would an increase, reduction or termination affect you?
§ 418.3510When would an increase, reduction or termination start?
§ 418.3515How could you qualify for a subsidy again?
§ 418.3601When do you have the right to administrative review?
§ 418.3605What is an initial determination?
§ 418.3610Is there administrative or judicial review for administrative actions that are not initial determinations?
§ 418.3615Will we mail you a notice of the initial determination?
§ 418.3620What is the effect of an initial determination?
§ 418.3625What is the process for administrative review?
§ 418.3630How do you request administrative review?
§ 418.3635Can anyone request administrative review on your behalf?
§ 418.3640How do we determine if you had good cause for missing the deadline to request administrative review?
§ 418.3645Can you request that the decision-maker be disqualified?
§ 418.3650How do we make our decision upon review?
§ 418.3655How will we notify you of our decision after our review?
§ 418.3665Can your request for a hearing or case review be dismissed?
§ 418.3670How will you be notified of the dismissal?
§ 418.3675How does our decision affect you?
§ 418.3678What is the process for correcting Agency clerical errors?
§ 418.3680What happens if your case is remanded by a Federal court?