NYS Retiree Medicare Part B and IRMAA Reimbursement Process Explained

New York State retiree health benefits include a powerful perk: reimbursement for Medicare Part B premiums after age 65. But many retirees don’t realize that IRMAA surcharges can also be reimbursed — and that process is manual. This guide explains how NYS Part B reimbursement works automatically through pension increases, how IRMAA (Income-Related Monthly Adjustment Amount) raises Medicare premiums for higher earners, what form you must file to get IRMAA money back, and how to claim up to four years of missed reimbursements.