Important Information for Retirees Who Did Not Get Their Full Medicare Part B Reimbursement

If you retired prior to 2016, you may not have received the full amount for your Medicare Part B reimbursement. If so, you will have to fill out the “differential form” each year.

Why is it necessary to fill out the Medicare Part B Differential Form every year?

For Retirees whose Medicare Part B effective date is prior to 2016, the amount may change, because of how much a Retiree pays for his or her premiums. It could be an amount in addition to the base amount of between $1 to $26.50 per month ($12 to $318 per annum) per each individual.  Therefore, the Medicare Part B Differential Form is required so that the Office of Labor Relations Health Benefits Program processes the differential amount.

Please see the link below for the Medicare Part B Differential Form for 2019 (Retirees Medicare Part B effective date prior to 2016):

Mediciare Part B Differential Form

Please see the link below for additional Medicare Part B differential information, including a video:

https://www1.nyc.gov/site/olr/health/retiree/health-retiree-medb-irmaa.page

Please submit forms and documents to the Employee Health Benefits Program via the following e-mail address:

[email protected]