Find out if your income triggers Medicare’s Income-Related Monthly Adjustment Amount. Enter your filing status and MAGI to see your 2026 Part B and Part D surcharges instantly.
Medicare uses your income from 2 years prior. For 2026 premiums, your 2024 MAGI applies.
Your MAGI of $150,000 is at or below the standard threshold of $206,000. You pay the standard Part B premium with no IRMAA surcharge.
Published by The Right Retirement Plan using 2026 IRMAA thresholds from CMS. Your actual premiums may vary. This is not Medicare enrollment advice. Consult Medicare.gov or a qualified advisor for personalized guidance.
IRMAA stands for Income-Related Monthly Adjustment Amount. It’s a surcharge that higher-income Medicare beneficiaries pay on top of the standard Part B and Part D premiums. The Social Security Administration determines your IRMAA based on your Modified Adjusted Gross Income (MAGI) from two years prior — so your 2024 tax return determines your 2026 premiums.
MAGI for IRMAA purposes is your adjusted gross income plus tax-exempt interest income (line 2a of Form 1040). This means municipal bond interest counts toward IRMAA even though it’s not taxable. Capital gains from selling a home, exercising stock options, or large Roth conversions can all push you into a higher IRMAA tier for two years.
IRMAA is assessed per person. If both spouses are on Medicare and file jointly, you each pay the surcharge — doubling the total cost. The surcharge is deducted directly from your Social Security benefit or billed quarterly if you don’t receive Social Security.
If your income dropped significantly due to a life-changing event — retirement, divorce, death of a spouse, loss of income-producing property, or reduction in pension income — you can file Form SSA-44 with the Social Security Administration to request a reduction or elimination of IRMAA using your current-year income instead of the two-year lookback. This can save thousands in surcharges during the transition year.
IRMAA planning is one of the most overlooked parts of retirement income strategy. A qualified advisor can help you sequence Roth conversions, time income events, and minimize surcharges across your retirement.
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