Aaah, that pesky ObamaCare finds its way into my pocketbook.

We’re card carrying Medicare customers these days, both of us past the ripe young age of 65. We’ve signed up for other Parts of Medicare to make sure we have all our bases covered as we age. (who us, age?) One of the Parts we got from Aetna was Part D. I don’t take any medications and Mr. EOS only one, but we felt it would make sense to pay and be prepared. A good former Girl Scout leader is always prepared.

This month’s Medicare bill has a line item for IRMAA Part D, an amount higher than the premium we pay to Aetna. I called Medicare and when I explained I already have Part D, the customer service agent, who was quite nice and helpful, started to laugh.

I knew I was in trouble if HE found something funny about my bill.

Turns out, our income was vetted when applying for Medicare and it met a threshold that makes us “qualified” to pay into the Part D trust fund that will pay for OTHERS.

Part D-IRMAA stands for the Income Related Monthly Adjustment Amount for Part D and this is mandated by the Affordable Care Act to help fund the Medicare Part D Trust Fund. It started on January 1, 2011. Now Part D-IRMAA is a set amount paid to the government in addition to and separate from the plan premium. As a reminder, this is not paid to the plan. The Part D-IRMAA is required to be paid by those who have Part D coverage and higher income.

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