Data Entry

Social Security Administration

Retirement, Survivors, and Disability Insurance

Important Information

BNC#: 24B1918J00874

MICHELLE J CALLAHAN

*** ******* **

EPHRATA PA 17522-1801

Notice of Cost-of-Living Adjustment (COLA)

Hello MICHELLE J CALLAHAN

Your Social Security benefit will increase by 2.5% in January 2025 because of a rise in the cost of living. You can use this letter as proof of your benefit amount if you need to apply for food, rent, or energy assistance. You can also use it to apply for bank loans or for other business. Keep this letter with your important financial records or access this information online by signing into your my Social Security account. How Much You Will Get In 2025 (Before Deductions) Monthly Amount Your monthly benefit in 2025 before deductions $1,016.00 2025 Common Deductions: Monthly Amount

Medicare Medical Insurance (Part B and Part C)

If you did not have Medicare as of November 21, 2024, or if someone else pays your premium, we show $0.00

-$0.00

Medicare Prescription Drug Plan (Part D)

We will notify you if the amount changes in 2025. If you did not elect withholding as of November 1, 2024, we show $0.00

-$0.00

U.S. federal tax withholding for non-citizens -$0.00 Voluntary federal tax withholding

If you did not elect voluntary tax withholding as of November 21, 2024, we show $0.00

-$0.00

How Much You Will Get In 2025 (After Deductions) Monthly Amount Your monthly benefit in 2025 after deductions

This monthly amount may include deductions not listed above.

$1,016.00

Right to Appeal

If you disagree with any of these amounts, you must file an appeal with us in writing within 60 days from the date you get this letter. We will assume you got this letter 5 See Next Page

24B1918J00874 Page 2 of 2

days after the date of the letter, unless you show us that you did not get it within the 5-day period. You must have good reason for waiting more than 60 days to file an appeal. You can go to www.ssa.gov/non-medical/appeal to complete and submit the

"Request for Reconsideration" form, SSA-561-U2 online. You may also contact us by phone to request the form or go to our website at www.ssa.gov/forms to locate the form. If you need help with the form, please call us. Medicare Information

For questions about Medicare, visit www.medicare.gov or call 1-800-MEDICARE (1-800-***-****) (TTY 1-877-***-****).

• If you do not sign up for Medicare Part B (Medical Insurance) when you are first eligible, or if you cancel Part B and then get it later, you may have to pay a late enrollment penalty for as long as you have it.

• If you have limited income and resources, you may be able to save money on your prescription drugs (Extra Help Program) or get help to pay for your Medicare premiums through a Medicare Savings Program (MSP). You can apply for Extra Help online and start your application process for the MSP at www.ssa.gov/medicare/part-d-extra-help. For help with MSP, you can visit www.medicare.gov/medicare-savings-programs or call your local Medicaid office.

For more information about your COLA and other benefits-related topics such as Medicare, Ticket to Work, Reporting Wages, Earnings Limits, Other Pensions, and more, go to www.ssa.gov/cola or scan the QR code.

If you would like a paper copy of any of this information, please contact us.

Need more help?

1. Visit www.ssa.gov for fast, simple and secure online service. 2. Call us at 1-800-***-****, weekdays from 8:00 am to 7:00 pm. If you are deaf or hard of hearing, call TTY 1-800-***-****. Please mention this letter when you call.

3. You may also call your local office at 1-888-***-****. SOCIAL SECURITY

SUITE 101

1808 COLONIAL VLG LN

LANCASTER PA 17601

How are we doing? Go to www.ssa.gov/feedback to tell us. Go paperless & get your COLA notice online at www.ssa.gov/myaccount Tell us how we are doing at www.ssa.gov/feedback/COLA Social Security Administration

Form SSA-4926-SM (1-2025)

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