"Medicare is supposed to provide affordable insurance coverage for seniors, but the rules require that certain retirees using this healthcare coverage pay more costs. Specifically, this happens because of the Medicare Income-Related Monthly Adjustment Amount (IRMAA). Since 2007, IRMAA has impacted high-earning retirees and left them with higher costs for Medicare Part B, while IRMAA surcharges for Medicare Part D were put in place in 2011."
"For example, if your income goes above $109,000 in 2026 and you are a single tax filer, then you start to incur additional costs. There's an $81.20 surcharge for single filers with incomes between $109,000 and $137,000 in 2026. Married joint filers have a higher income limit and won't be hit with a surcharge until their combined income is $218,000 - but they still pay more."
"The surcharge only grows as your income does, and it can be very substantial. If you have an income of $500,000 or higher as a single tax filer or an income of at least $750,000 as a married joint filer, then you will have a $487.00 surcharge and must pay Medicare Part B premiums totaling $689"
Medicare Part B standard premium is $202.90 per month in 2026 for most beneficiaries, but higher costs apply to some seniors. The Medicare Income-Related Monthly Adjustment Amount (IRMAA) imposes surcharges on higher-income retirees for Part B since 2007 and for Part D since 2011. Once income exceeds specified thresholds, beneficiaries pay higher premiums and surcharges grow with income. Single filers above $109,000 can face an $81.20 surcharge at $109,000–$137,000, while married joint filers face a surcharge beginning at $218,000. Top-tier IRMAA can add $487, raising Part B to $689 for very high earners. Converting traditional retirement accounts to a Roth can potentially reduce future taxable income and lower IRMAA-driven premiums over time.
Read at 24/7 Wall St.
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