Dana George, The Motley Fool
Mon, April 13, 2026 astatine 3:48 AM CDT 4 min read
IRMAA stands for Income-Related Monthly Adjustment Amount, and is simply a surcharge that higher-income Medicare recipients wage connected apical of their Medicare Part B (medical insurance) and Part D (prescription cause coverage) premiums. If you gain supra the threshold, you'll wage much for sum than a beneficiary with a little income.
The Social Security Administration (SSA) determines whether you indispensable wage much for your healthcare sum based connected your Modified Adjusted Gross Income (MAGI) from 2 years prior. For example, whether you indispensable wage an IRMAA successful 2026 is determined by your 2024 taxation return.
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Here's however the calculation works:
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The SSA reviews your taxation instrumentality from 2 years earlier.
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Based connected your income and filing status, you're placed successful a bracket.
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The SSA sends you a letter, indicating whether you indispensable wage an IRMAA.
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The surcharge is typically deducted from your Social Security benefits.
Here's the full yearly IRMAA outgo by tier for Part B and Part D combined (per person):
| Tier | Single MAGI range | Married filing jointly MAGI range | Annual IRMAA surcharge per person | Annual Surcharge per couple |
| No IRMAA | <$109,000 | <$218,000 | $0 | $0 |
| Tier 1 | $109,001 to $137,000 | $218,001 to $274,000 | $1,148 | $2,297 |
| Tier 2 | $137,001 to $171,000 | $274,001 to $342,000 | $2,886 | $5,772 |
| Tier 3 | $171,001 to $205,000 | $342,001 to $410,000 | $4,620 | $9,240 |
| Tier 4 | $205,001 to $499,999 | $410,001 to $749,999 | $6,355 | $12,710 |
| Tier 5 | $500,000 oregon more | $750,000 oregon more | $6,936 | $13,872 |
Data source: Centers for Medicare and Medicaid Services.
If you oregon your spouse is collecting spousal benefits, the SSA volition use the IRMAA surcharge to each of your benefits if you record a associated taxation instrumentality and your full MAGI exceeds the income threshold.
Here are immoderate of ways your beingness mightiness change:
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You've gotten married
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You've gotten a divorcement oregon annulment
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Your spouse has died
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You've retired, suffered a occupation loss, oregon present enactment reduced hours
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You've mislaid income-producing spot owed to a catastrophe oregon different event
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You've mislaid pension income
Any of these events tin pb to a little income and punctual you to petition a simplification successful your Medicare premiums. Here's however it's done:

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