The Medicare Income-Related Monthly Adjustment Amount or IRMAA is a surcharge that high-income people will pay in addition to their monthly Medicare premium. Social Security sets income brackets that determine your (or you and your spouse) IRMAA premiums.
Determination is based on the income you reported on your IRS tax returns two years prior. This is based on your modified adjusted gross income, meaning your adjusted gross income and other forms of tax-exempt income.
You will get a notice from Social Security if you have an IRMAA related charge for Medicare Part B or Medicare Part D. IRMAA payments go directly to Medicare even if you pay monthly premiums to an insurance company.
You pay your Medicare Part B and Medicare Part D IRMAA bill to Medicare as soon as you get it. Keep your address current with Social Security, even if you don’t get a Social Security check.
Income Related Monthly Adjustment – IRMAA Part B Premium Costs 2024:
The standard Part B premium amount in 2024 is $174.70. Most people pay the standard Part B premium amount.
If your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount, you’ll pay the standard premium amount and an Income Related Monthly Adjustment Amount (IRMAA). IRMAA is an extra charge added to your premium.
| If your yearly income in 2022 (for what you pay in 2024) was | You pay each month (in 2022) | ||
| File individual tax return | File joint tax return | File married & separate tax return | |
| $103,000 or less | $206,000 or less | $103,000 or less | $174.70 |
| $103,001 to $129,000 | $206,001 to $258,000 | Not applicable | $244.60 |
| $129,001 to $161,000 | $258,001 to $322,000 | Not applicable | $349.40 |
| $161,001 to $193,000 | $322,001 to $386,000 | Not applicable | $454.20 |
| $193,001 to $499,999 | $386,001 to $749,999 | $103,001 to $397,000 | $559.00 |
| $500,000 or above | $750,000 or above | $397,000 + | $594.00 |
Income Related Monthly Adjustment – IRMAA Part D Premium Costs 2022:
The chart below shows your estimated prescription drug plan monthly premium based on your income as reported on your IRS tax return.
If your income is above a certain limit, you’ll pay an income-related monthly adjustment amount in addition to your plan premium.
| If your filing status and yearly income in 2022 was | |||
| File individual tax return | File joint tax return | File married & separate tax return | You pay each month (in 2024) |
| $103,000 or less | $206,000 or less | $103,000 or less | your plan premium |
| $103,001 to $129,000 | $206,001 to $258,000 | not applicable | $12.90 + your plan premium |
| $129,001 to $161,000 | $258,001 to $322,000 | not applicable | $33.30 + your plan premium |
| $161,001 to $193,000 | $322,001 to $386,000 | not applicable | $53.80 + your plan premium |
| $193,001 to $499,999 | $386,001 to $749,999 | $103,001 to $397,000 | $74.20 + your plan premium |
| $500,000 or above | $750,000 or above | $397,000 + | $81 + your plan premium |
How can I appeal my Medicare IRMAA Decision?
You have a right to appeal Income-Related Monthly Adjustment Amount – IRMAA if you believe it is incorrect or if you have had a life changing event. A life changing event as defined by Medicare is:
- Death of spouse
- Marriage
- Divorce or annulment
- Work reduction
- Work stoppage
- Loss of income from income producing property
- Loss or reduction of certain kinds of pension income
You must request a reconsideration of the initial determination from Social Security. This can be done by calling Social Security at 800-772-1213 or by writing Social Security. There is an appeal form SSA-44 titled Medicare Income-Related Monthly Adjustment Amount – Life Changing Event. This form can be found on the Social Security web site. DOWNLOAD SSA-44 FORM
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· What is IRMAA
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· IRMAA appeal Form SSA 44
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