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10-13 Club of Northeast FL
PO Box 291862
Port Orange, FL 32129
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Recognized by the US Congress, the NYS Assembly, and the NYS Senate, as the representative union of retirees of ALL ranks of NYCPD http://nationalnycpd1013.org/
EVERY March 29th Is National Vietnam War Veterans Day




MEDICARE PART B REIMBURSEMENT FROM 2021
An Individual Will Receive $1782.20 And For A Couple $3470.40
Due to the closure of the office,retirees who mailed or faxed forms or correspondence on March 11, 2020 or after, we cannot access or process that form.
Please resubmit your documents as follows:
1)Inquiries and questions can be emailed to healthbenefits@olr.nyc.gov
2)Forms/documents can be sent via email to NYCRetireesHBP@emblemhealth.com
Please do NOT include your Social Security number, include your Employee ID or pension number only.
OLR UPDATE 3/ 6, 2021 on the SUBMISSION OF MEDICARE PART B RELATED FORMS
Dear RSA member.
NYC Office of Labor Relations (OLR) has updated the procedure for members to submit Medicare Part B related forms and supporting documents. Please disregard the email address previously printed in the CHEVRON.
Submission of the following forms, along with all required documents, must now be electronically submitted to: https://nycemployeebenefits.leapfile.net/
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2019 Medicare Part B Reimbursement Differential Request Form
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IRMAA Medicare Part B Reimbursement Application (for 2019, 2018 & 2017)
You can obtain any of the above forms by clicking on them. The forms are self-explanatory and lists the required documents needed to be submitted with the form.
For instructions on how to use LeapFILE to submit forms and documents, please visit: https://www1.nyc.gov/site/olr/health/retiree/health-retiree-leapfile-instructions.page
2020 forms should be available on OLR’s website (https://www1.nyc.gov/site/olr/health/retiree/health-retiree-medb-irmaa.page) by April/May 2021.
OLR Health Benefits Retiree walk in center remains closed. All inquiries and questions can be emailed to: healthbenefits@olr.nyc.gov I have spoken with numerous members who stated that they have received responses in a timely manner.
For additional information regarding Retiree - Health Benefits Program, please visit: https://www1.nyc.gov/site/olr/health/retiree/health-retiree-responsibilities-assistance.page
Fraternally, Patsy
Retired Sergeants Association www.rsanypd.org
The following is information provided to us by the Office of Labor Relations - Health Benefits Program regarding the Medicare Part B 2019 Reimbursement, Part B 2019 Differential Reimbursement, and Income Related Monthly Adjustment Amount (IRMAA) 2019 Reimbursement.
MEDICARE PART B 2019 REIMBURSEMENTS WILL BE DISTRIBUTED BY the END of APRIL 2020.
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For those retirees/eligible dependent of a retiree with a Medicare Part B effective date between 2016 and 2019, they will be reimbursed at the rate of $135.50 per month. ($135.50 x 12 months = $1,626 annual amount)
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For those retirees/eligible dependent of a retiree with a Medicare Part B effective date prior to 2016, they will be reimbursed at the rate of $109.00 per month. ($109 x 12 months = $1,308 annual amount)
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For those retirees/eligible dependent of a retiree with a Medicare Part B effective date prior to 2016, they will receive an additional amount up to $300. They MUST submit a Medicare Part B 2019 Reimbursement Differential Request Form
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IRMAA 2019 REIMBURSEMENTS ARE SCHEDULED TO BE ISSUED BY THE END OF OCTOBER 2020.
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Those retirees who are eligible for IRMAA MUST submit the IRMAA 2019 Reimbursement Application. Health Benefits Program staff will be processing 2019 IRMAA forms once the Medicare Part B 2019 payment is issued in April 2020.
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MEDICARE PART B 2019 DIFFERENTIAL REIMBURSEMENTS ARE SCHEDULED TO BE ISSUED BY THE END OF MARCH 2021.
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Medicare Part B 2019 differential payments up to $300 will be issued once the Medicare Part B and IRMAA payments are processed in calendar year 2020.
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Those retirees who are eligible for 2019 Medicare Part B differential reimbursements MUST submit the Medicare Part B 2019 Reimbursement Differential Request Form
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Health Benefits Program staff will be processing Medicare Part B 2019 Reimbursement Differential Request Form once IRMAA payments are issued in October 2020
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Please note that, if you are applying for IRMAA AND eligible for this additional $300 reimbursement, you do NOT need to complete the Medicare Part B 2019 Reimbursement
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Differential Request Form since you will be receiving this amount at the same time the IRMAA payment is issued in October 2020.
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MEDICARE PART B REIMBURSEMENT
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The City will reimburse retirees and their eligible dependents for Medicare Part B premiums paid, excluding any penalties. You must be receiving a City pension check and be Enrolled as the contract holder for City Health benefits in order to receive reimbursement for Part B premiums.
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For most retirees, the refund is issued automatically by the Health Benefits Program. If you are currently receiving your pension check through Electronic Fund Transfer (EFT) or direct deposit, your reimbursement will be deposited directly into your bank account. This will be separate from your pension payment.
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If you don’t have EFT or direct deposit, you will receive a check in the mail in June.
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The reimbursement amount is based on the standard Medicare Part B premiums. If your Medicare Part B reimbursement amount was less than what you paid in Medicare Part B premiums, excluding penalties, you may be eligible for a Medicare Part B Differential reimbursement. To receive the differential reimbursement, please complete the Medicare Part B Differential Request form (below).
If you were eligible for Medicare Part B Reimbursement for prior years but did not enroll by providing a copy of your Medicare card, reimbursement is limited to the previous three (3) calendar years. To enroll, please complete the Medicare Part B Reimbursement Program Application.
--------------------------------------------------- FAQ-MEDICARE-PART-B.PDF
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Medicare Part B Reimbursement Program Application - Reimbursement for 2019 will be issued in April 2020
2019 Medicare Part B Reimbursement Differential Request Form - Reimbursement for 2019 will be issued in March 2021 -
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2018 Medicare Part B Reimbursement Differential Request Form - Reimbursement for 2018 will be issued in March 2020
2017 Medicare Part B Reimbursement Differential Request Form -
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IRMAA Medicare Part B Reimbursement
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If you paid more than the standard monthly reimbursement rate for Medicare Part B, as an Income Related Monthly Adjustment Amount (IRMAA), you may be eligible for additional reimbursement. If you submit the required documentation for Medicare Part B IRMAA reimbursement, your reimbursement will be deposited directly into your bank account.
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IRMAA Medicare Part B Reimbursement Application (for 2019, 2018 & 2017) - Reimbursement for 2019 will be issued in October 2020
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IRMAA Medicare Part B Reimbursement Application (2016) - This form must be submitted by December 31, 2020
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PLEASE STAY SAFE, STAY HEALTHY, WASH YOUR HANDS OFTEN, AND PRACTICE SOCIAL DISTANCING.
For questions regarding the PICA prescription drug benefit program please call 1-800-467- 2006