If there is a retroactive Medicare award and a cost-of-living adjustment (COLA) is
involved while entitled to Medicare and the standard Part B premium increased, determine
if VSMI could apply to any of the Part B premium amounts.
In May 2010, SSA awards DI benefits effective March 2006. Beneficiary elects retroactive
Part B premiums to first Medicare entitlement month, March 2008. Because benefits
were due in November and December 2008 and 2009, SSA makes a VSMI determination for
2009 and 2010.
In March 2011, SSA awards DI benefits effective January 2010 and Medicare Part B will
be effective January 2012. VSMI will not apply in January 2012 because we did not
deduct a Part B premium from the November 2011 benefit.
If a retroactive award notice involves Medicare, Title II entitlement for November and
December, and equitable relief; then compute the VSMI amount owed and what the current premium amount would be if the beneficiary
selected retroactive Part B. The PSC will use the VSMI calculator available at: http://kcapps.kc.ad.ssa.gov/oas/MAMPSCCalculators/Default.aspx to determine these amounts and include them in notice paragraph HIB249 in NL 00720.180.