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U.S. Code of Federal Regula...
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Title 20—Employees' Benefits
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CHAPTER III—SOCIAL SECURITY...
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PART 418—MEDICARE SUBSIDIES
PART 418—MEDICARE SUBSIDIES
§ 418.1001 - What is this subpart about?
§ 418.1005 - Purpose and administration.
§ 418.1010 - Definitions.
§ 418.1101 - What is the income-related monthly adjustment amount?
§ 418.1105 - What is the threshold?
§ 418.1110 - What is the effective date of our initial determination about your income-related monthly adjustment amount?
§ 418.1115 - What are the modified adjusted gross income ranges?
§ 418.1120 - How do we determine your income-related monthly adjustment amount?
§ 418.1125 - How will the income-related monthly adjustment amount affect your total Medicare Part B premium?
§ 418.1130 - What modified adjusted gross income information will we use to determine your income-related monthly adjustment amount?
§ 418.1135 - What modified adjusted gross income information will we use to determine your income-related monthly adjustment amount?
§ 418.1140 - What 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?
§ 418.1145 - How do we determine your income-related monthly adjustment amount if IRS does not provide information about your modified adjusted gross income?
§ 418.1150 - When will we use your amended tax return filed with IRS?
§ 418.1201 - When 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?
§ 418.1205 - What is a major life-changing event?
§ 418.1210 - What is not a major life-changing event?
§ 418.1215 - What is a significant reduction in your income?
§ 418.1220 - What is not a significant reduction in your income?
§ 418.1225 - Which more recent tax year will we use?
§ 418.1230 - What is the effective date of an income-related monthly adjustment amount initial determination that is based on a more recent tax year?
§ 418.1235 - When will we stop using your more recent tax year's modified adjusted gross income to determine your income-related monthly adjustment amount?
§ 418.1240 - Should you notify us if the information you gave us about your modified adjusted gross income for the more recent tax year changes?
§ 418.1245 - What will happen if you notify us that your modified adjusted gross income for the more recent tax year changes?
§ 418.1250 - What evidence will you need to support your request that we use a more recent tax year?
§ 418.1255 - What kind of major life-changing event evidence will you need to support your request for us to use a more recent tax year?
§ 418.1260 - What major life-changing event evidence will we not accept?
§ 418.1265 - What kind of significant modified adjusted gross income reduction evidence will you need to support your request?
§ 418.1270 - What modified adjusted gross income evidence will we not accept?
§ 418.1301 - What is an initial determination regarding your income-related monthly adjustment amount?
§ 418.1305 - What is not an initial determination regarding your income-related monthly adjustment amount?
§ 418.1310 - When may you request that we make a new initial determination?
§ 418.1315 - How will we notify you and what information will we provide about our initial determination?
§ 418.1320 - What is the effect of an initial determination?
§ 418.1322 - How will a Medicare prescription drug coverage income-related monthly adjustment amount determination for the effective year affect your Medicare Part B?
§ 418.1325 - When may you request a reconsideration?
§ 418.1330 - Can you request a reconsideration when you believe that the IRS information we used is incorrect?
§ 418.1335 - What should you do if our initial determination is based on modified adjusted gross income information you believe to be incorrect?
§ 418.1340 - What are the rules for our administrative review process?
§ 418.1345 - Is reopening of an initial or reconsidered determination made by us ever appropriate?
§ 418.1350 - What are the rules for review of a reconsidered determination or an administrative law judge decision?
§ 418.1355 - What 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)?
§ 418.2001 - What is this subpart about?
§ 418.2005 - Purpose and administration.
§ 418.2010 - Definitions.
§ 418.2101 - What is the income-related monthly adjustment amount?
§ 418.2105 - What is the threshold?
§ 418.2110 - What is the effective date of our initial determination about your income-related monthly adjustment amount?
§ 418.2112 - Paying your income-related monthly adjustment amount.
§ 418.2115 - What are the modified adjusted gross income ranges?
§ 418.2120 - How do we determine your income-related monthly adjustment amount?
§ 418.2125 - How will the income-related monthly adjustment amount affect your total Medicare prescription drug coverage premium?
§ 418.2135 - What modified adjusted gross income information will we use to determine your income-related monthly adjustment amount?
§ 418.2140 - What 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?
§ 418.2145 - How do we determine your income-related monthly adjustment amount if the IRS does not provide information about your modified adjusted gross income?
§ 418.2150 - When will we use your amended tax return filed with the IRS?
§ 418.2201 - When 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?
§ 418.2205 - What is a major life-changing event?
§ 418.2210 - What is not a major life-changing event?
§ 418.2215 - What is a significant reduction in your income?
§ 418.2220 - What is not a significant reduction in your income?
§ 418.2225 - Which more recent tax year will we use?
§ 418.2230 - What is the effective date of an income-related monthly adjustment amount initial determination based on a more recent tax year?
§ 418.2235 - When will we stop using your more recent tax year's modified adjusted gross income to determine your income-related monthly adjustment amount?
§ 418.2240 - Should you notify us if the information you gave us about your modified adjusted gross income for the more recent tax year changes?
§ 418.2245 - What will happen if you notify us that your modified adjusted gross income for the more recent tax year changes?
§ 418.2250 - What evidence will you need to support your request that we use a more recent tax year?
§ 418.2255 - What 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?
§ 418.2260 - What major life-changing event evidence will we not accept?
§ 418.2265 - What kind of evidence of a significant modified adjusted gross income reduction will you need to support your request?
§ 418.2270 - What modified adjusted gross income evidence will we not accept?
§ 418.2301 - What is an initial determination regarding your income-related monthly adjustment amount?
§ 418.2305 - What is not an initial determination regarding your income-related monthly adjustment amount?
§ 418.2310 - When may you request that we make a new initial determination?
§ 418.2315 - How will we notify you and what information will we provide about our initial determination?
§ 418.2320 - What is the effect of an initial determination?
§ 418.2322 - How will a Medicare Part B income-related monthly adjustment amount determination for the effective year affect your Medicare prescription drug coverage?
§ 418.2325 - When may you request a reconsideration?
§ 418.2330 - Can you request a reconsideration when you believe that the IRS information we used is incorrect?
§ 418.2332 - Can you request a reconsideration when you believe that the CMS information we used is incorrect?
§ 418.2335 - What should you do if we base our initial determination on modified adjusted gross income information you believe to be incorrect?
§ 418.2340 - What are the rules for our administrative review process?
§ 418.2345 - Is reopening of an initial or reconsidered determination made by us ever appropriate?
§ 418.2350 - What are the rules for review of a reconsidered determination or an ALJ decision?
§ 418.2355 - What 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)?
§ 418.3001 - What is this subpart about?
§ 418.3005 - Purpose and administration of the program.
§ 418.3010 - Definitions.
§ 418.3101 - How do you become eligible for a subsidy?
§ 418.3105 - Who does not need to file an application for a subsidy?
§ 418.3110 - What happens when you apply for a subsidy?
§ 418.3115 - What events will make you ineligible for a subsidy?
§ 418.3120 - What happens if your circumstances change after we determine you are eligible for a subsidy?
§ 418.3123 - When is a change in your subsidy effective?
§ 418.3125 - What are redeterminations?
§ 418.3201 - Must you file an application to become eligible for a subsidy?
§ 418.3205 - What makes an application a claim for a subsidy?
§ 418.3210 - What is a prescribed application for a subsidy?
§ 418.3215 - Who may file your application for a subsidy?
§ 418.3220 - When is your application considered filed?
§ 418.3225 - How long will your application remain in effect?
§ 418.3230 - When will we use your subsidy inquiry as your filing date?
§ 418.3301 - What is income?
§ 418.3305 - What is not income?
§ 418.3310 - Whose income do we count?
§ 418.3315 - What is earned income?
§ 418.3320 - How do we count your earned income?
§ 418.3325 - What earned income do we not count?
§ 418.3330 - What is unearned income?
§ 418.3335 - What types of unearned income do we count?
§ 418.3340 - How do we count your unearned income?
§ 418.3350 - What types of unearned income do we not count?
§ 418.3401 - What are resources?
§ 418.3405 - What types of resources do we count?
§ 418.3410 - Whose resources do we count?
§ 418.3415 - How do we determine countable resources?
§ 418.3420 - How are funds held in financial institution accounts counted?
§ 418.3425 - What resources do we exclude from counting?
§ 418.3501 - What could cause us to increase or reduce your subsidy or terminate your subsidy eligibility?
§ 418.3505 - How would an increase, reduction or termination affect you?
§ 418.3510 - When would an increase, reduction or termination start?
§ 418.3515 - How could you qualify for a subsidy again?
§ 418.3601 - When do you have the right to administrative review?
§ 418.3605 - What is an initial determination?
§ 418.3610 - Is there administrative or judicial review for administrative actions that are not initial determinations?
§ 418.3615 - Will we mail you a notice of the initial determination?
§ 418.3620 - What is the effect of an initial determination?
§ 418.3625 - What is the process for administrative review?
§ 418.3630 - How do you request administrative review?
§ 418.3635 - Can anyone request administrative review on your behalf?
§ 418.3640 - How do we determine if you had good cause for missing the deadline to request administrative review?
§ 418.3645 - Can you request that the decision-maker be disqualified?
§ 418.3650 - How do we make our decision upon review?
§ 418.3655 - How will we notify you of our decision after our review?
§ 418.3665 - Can your request for a hearing or case review be dismissed?
§ 418.3670 - How will you be notified of the dismissal?
§ 418.3675 - How does our decision affect you?
§ 418.3678 - What is the process for correcting Agency clerical errors?
§ 418.3680 - What happens if your case is remanded by a Federal court?