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IRMAA life-changing events › Death of a spouse

IRMAA after the death of a spouse: how to lower it

Your spouse died, and their income (salary, pension) stopped. If that lowered your income, Social Security can set your IRMAA from the newer, lower year instead of your income from two years ago. You ask with Form SSA-44 and tick "Death of Your Spouse".

Does it qualify?

Counts

  • Your husband or wife died
  • Their salary or pension stopped, so your household income dropped

Doesn't count

  • The death of another family member
  • Income that rose because of an inheritance or a large IRA withdrawal

Worked example: Robert, widowed in March 2025

Robert's wife Ellen died in March 2025, and her pension stopped. His 2026 premium was based on their 2024 joint income. He filed jointly for 2025, the year she died. From 2026 he files single.

IRMAA before and after the request, 2026 brackets
IncomeMAGIIRMAA a month
2024 joint income (used now)$236,000$95.70
2026 single estimate (asked for)$106,000$0.00

Saves $95.70 a month

That's $1,148.40 a year, Part B and Part D surcharges together, at the 2026 brackets.
SSA-44 · Steps 1 and 2EXAMPLE
Field 1: Death of Your Spouse ☑ Date of event (mm/yyyy)
03/2025
The month and year your spouse died.
Field 2: Tax year · Filing status
2026 (estimate) · Single
His 2026 income will be lower than his 2025 joint income, so the instructions say to use the premium year, 2026, as an estimate, with the status he'll really file: Single.

Watch out: His estimate is close to the $109,000 single line. If his real income comes in higher, Social Security corrects it and he pays the difference.

Proof of the event: send one

You also need proof of income for the year in Step 2: a signed copy of your Form 1040 or an IRS transcript. For a year you haven't filed yet, your estimate on the form is enough for now.

Don't have it yet?

Already reported the death to Social Security? Say so in your cover letter, but send proof anyway unless the office tells you they have it. Extra certified copies come from the funeral home or the state vital records office.

Check before you send

Send it online after signing in to your my Social Security account, or to your local Social Security office. The Form SSA-44 guide walks through every step. If Social Security says no, see how to appeal IRMAA.

Get it right the first time

A filled SSA-44 for "Death of Your Spouse", ready to copy

2026 EDITIONIRMAAAppeal Kit
Lower your Medicare surcharge with Form SSA-44
Part B Forms
MONEY-BACKGUARANTEE14DAYS

Robert would save $1,148.40 a year. The kit costs $49 once, with a filled SSA-44 for your exact event.

Everything you need to fill out Form SSA-44, prove your life-changing event, and stop paying a surcharge based on income you no longer have.

  • SSA-44 walkthrough for all 8 life-changing events
  • Evidence checklist for your event
  • What gets rejected, and why
  • Income estimate worksheet
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The other life-changing events

Questions people ask

Does death of a spouse count as a life-changing event for IRMAA?

Yes. "Death of Your Spouse" is one of the 8 life-changing events on Form SSA-44. Your spouse died, and their income (salary, pension) stopped. It lowers IRMAA only if your income dropped enough to move you to a lower bracket.

What proof do I need?

A certified copy of the death certificate. Or a certified copy of the public record of death. Or a coroner's certificate. You also need proof of income for the year in Step 2: a signed copy of your tax return or an IRS transcript, or your estimate for a year not filed yet.

What date goes in Step 1?

The month and year your spouse died.

Which tax year do I put in Step 2?

The first year with the lower income. It must be more recent than the year Social Security used, and not before the event. If this year (the premium year) will be lower than last year, use this year as an estimate.

Last checked: November 12, 2026
Sources: Form SSA-44 (12-2025), Social Security: lower your IRMAA, SSA POMS HI 01120.001, CMS 2026 Part B premiums fact sheet
Written by the Part B Forms team · Not affiliated with Medicare, CMS, or Social Security