Frequently Asked
How do I lower my Part B premium?
Two main paths: enroll in a Medicare Advantage plan with a Part B giveback, or — if your income has dropped — appeal an IRMAA surcharge with SSA Form SSA-44.
Two practical options:
1. Part B Giveback through a Medicare Advantage plan. Veteran-focused MA plans often include a Part B premium reduction (giveback). Medicare deducts less from your Social Security check each month. Plan availability and amounts vary by ZIP — some plans return $100+/month. TFL stays in place as secondary the entire time.
2. Appeal IRMAA if your income has dropped. If you're paying the income surcharge (IRMAA) and have had a "life-changing event" — retirement, loss of pension income, spouse's death, divorce — file SSA Form SSA-44 to request a recalculation. SSA bases IRMAA on income from 2 years ago, which often doesn't reflect your current reality after retiring.
Combined, these can save thousands per year. A specialist can show you exactly which giveback plans are available in your ZIP at no cost — that's Uncle Sam's Healthcare's specialty.
Related glossary terms
Related questions
Official sources
Last reviewed January 2026 against the 2026 Medicare & You and TRICARE For Life handbooks.
