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[Music] welcome to medicare school daily where we help you understand medicare save money avoid mistakes and above all else get the most out of your medicare benefits todays topic is how to understand and appeal medicare irma there are many of you that are watching this today that would be considered high income by medicare and youre going to have to deal with this this whole issue of irmas irma stands for income related monthly adjusted amount so its an acronym that applies to those that have high income and im going to show you today in this video how you can appeal the irma if indeed you are assessed one and so first off lets deal with going on to medicare youre going to notice that as you get involved in the medicare system there are actually four major parts to medicare medicare a is pretty much everything that would be related to what we would say would be inpatient services b is pretty much everything outpatient services as well as all the doctor services that you would r