How much extra will Medicare cost you?
Free 2026 IRMAA estimate, 5 seconds.
Higher income = higher Medicare premiums. Enter your MAGI (Modified Adjusted Gross Income from 2 years ago) and filing status — we'll show you exactly which IRMAA bracket you land in and what your monthly Part B + Part D surcharge will be.
Your numbers
Medicare uses your tax return from 2 years ago. For 2026 premiums, that means your 2024 MAGI.
| MAGI tier | Part B | Part D | Total |
|---|
How IRMAA works
IRMAA (Income-Related Monthly Adjustment Amount) is an extra premium Medicare adds on top of standard Part B + Part D when your income exceeds certain thresholds. Roughly 8% of Medicare beneficiaries pay it — primarily higher earners and retirees with significant investment income.
Medicare uses your Modified Adjusted Gross Income (MAGI = AGI + tax-exempt interest) from the tax return filed two years before the current Medicare year. So 2026 premiums are based on 2024 income.
Part B IRMAA is deducted from your Social Security check. Part D IRMAA is billed separately by Medicare regardless of which Part D plan you choose. Both apply per spouse — a married couple with two Medicare beneficiaries pays IRMAA twice if both qualify.
Life-changing events that can lower your IRMAA
- Retirement — significant drop in earned income after stopping work
- Marriage or divorce — filing status change
- Death of a spouse
- Loss of pension or annuity income
- Reduction in work hours or income from an employer
- Loss or reduction of certain types of property income
File Form SSA-44 with documentation. The SSA typically processes appeals in 2-4 weeks. Most life-event appeals are approved.
Need help planning around IRMAA?
A licensed SilverEdge Medicare advisor can review your situation — including Roth conversion timing, Social Security claiming strategy, and Part D plan selection to minimize total cost. Free, no obligation, 30-minute call.
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