"IRMAA stands for Income-Related Monthly Adjustment Amount, and it is a surcharge applied to Medicare Part B and Part D premiums for retirees whose Modified Adjusted Gross Income exceeds certain thresholds."
"For 2026, IRMAA begins at $109,000 for a single filer and $218,000 for a married couple filing jointly, figures based on 2025 tax returns."
"Ultimately, for a married couple at the highest IRMAA tier, combined Part B and Part D surcharges can reach approximately $1,562 per month, or nearly $18,740 per year."
"IRMAA is not based on current income, but on MAGI from two years prior, meaning that 2026 Medicare premiums will be determined by income from 2024."
IRMAA, or Income-Related Monthly Adjustment Amount, imposes higher Medicare premiums on retirees with Modified Adjusted Gross Income exceeding certain thresholds. For 2026, these thresholds are $109,000 for single filers and $218,000 for married couples. Premiums can rise dramatically, with the highest tier costing $689.90 for Part B and an additional $91.00 for Part D. The two-year lookback for income calculation can lead to unexpected costs for retirees, as premiums are based on income from two years earlier, not current earnings.
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