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Medicare Part A and B Information

Reimbursement Notice of Medicare Part B Income-Related Monthly Adjustment Amount (IRMAA)

IRMAA Reimbursement Request Application

2017 Medicare Part B Premium Reimbursement Notice

The Centers for Medicare and Medicaid Services (CMS) has established many different Medicare Part B premiums for 2017. This is a result of the federal “hold harmless” protections, which ensure that “take home” Social Security amounts do not decrease on a year-to-year basis.

At this time, NYSHIP is unable to reimburse the exact Part B standard premium but will base the monthly reimbursement amount on the Medicare Part B enrollment date, as shown below. 

Medicare Part B
Enrollment Date

Reimbursement in 2016

Reinbursement in 2017

Prior to January 1, 2016
January 1, 2016, through December 31, 2016
January 1, 2017 or after*

*NYSHIP will automatically reimburse the full Medicare Part B premium for this group.

2017 Standard Medicare Part B Premium Reimbursement Notice

Medicare Part D Information

The Federal Medicare Part D program, that provides prescription drug coverage to Medicare enrollees, took effect on January 1, 2006. The Employee Benefits Division sends a Medicare Part D Prescription Drug Program letter annually to all active and retired NYSHIP enrollees who are or have a dependent that is either 64 or older or eligible for Medicare due to disability.

Notice of Creditable Coverage Letter

Notice of Creditable Coverage - COBRA

Empire Plan Medicare Rx Prescription Drug Program

Effective January 1, 2013, NYSHIP replaced the Empire Plan Prescription Drug Program coverage for Medicare-primary enrollees and dependents with Empire Plan Medicare Rx (PDP), a Medicare Part D prescription drug program with expanded coverage designed especially for NYSHIP. Empire Plan Medicare Rx is administered by SilverScript, an affiliate of CVS Caremark.

Medicare Information

Medicare & NYSHIP

Order the Medicare and NYSHIP Video and Companion Booklet