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What are Medicare Part B and Medicare Part D IRMAA charges?

What-is-Part-B-or-Part-D-IRMAA-charges
04/21/2022
  • Medicare with Melissa

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 2022:

The standard Part B premium amount in 2022 is $170.10. 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 2020 (for what you pay in 2022) wasYou pay each month (in 2022)
File individual tax returnFile joint tax returnFile married & separate tax return
$91,000 or less$182,000 or less$91,000 or less$170.10
above $91,000 up to $114,000above $182,000 up to $228,000Not applicable$238.10
above $114,000 up to $142,000above $228,000 up to $284,000Not applicable$340.20
above $142,000 up to $170,000above $284,000 up to $340,000Not applicable$442.30
above $170,000 and less than $500,000above $340,000 and less than $750,000above $91,000 and less than $409,000$544.30
$500,000 or above$750,000 or above$409,000 or above$578.30

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 2020 was
File individual tax returnFile joint tax returnFile married & separate tax returnYou pay each month (in 2022)
$91,000 or less$182,000 or less$91,000 or lessyour plan premium
above $91,000 up to $114,000above $182,000 up to $228,000not applicable$12.40 + your plan premium
above $114,000 up to $142,000above $228,000 up to $284,000not applicable$32.10 + your plan premium
above $142,000 up to $170,000above $284,000 up to $340,000not applicable$51.70 + your plan premium
above $170,000 and less than $500,000above $340,000 and less than $750,000above $91,000 and less than $409,000$71.30 + your plan premium
$500,000 or above$750,000 or above$409,000 or above$77.90 + 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

Learn More:
Can I get financial assistance to help pay for Medicare?
Most Common Medicare Mistakes

People Also Asked:
·       What is IRMAA
·       How do I / you appeal IRMAA?
·       Can IRMAA be refunded
·       IRMAA appeal Form SSA 44
·       IRMAA Life Changing Event
·       How do I pay my Medicare premiums


Popular Search: Medicare coverage helpline reviews

Related Articles: Why do I pay Medicare Tax?

Meet Melissa MacCalla

Medicare is not simple and can be hard, frustrating, and downright confusing for most. I love when I get someone on the phone and I am given the opportunity to explain the difference in plans to them and have Medicare make sense. I enjoy talking to clients year after year, hearing about their families growing or them asking about mine.

-Melissa

Oh my gosh!! I was so confused about the Medicare Supplement process. I am turning 65 soon and am retired and have always had insurance thru my former employer. I didn’t know a thing about going on Medicare and was struggling to sort it all out.

A friend of mine recommended contacting Senior HealthCare Solutions, so I did. Melissa was FANTASTIC!! She was professional, responsive, caring and friendly. She explained the steps I needed to take, gathered my information, helped me choose good plans for MY specific needs and took care of my applications over the phone. 1-2-3, eesy-peesy and I was done!! And it didn’t cost me a DIME!!! WOW!!! I HIGHLY recommend Senior Healthcare Solutions for anyone who’s overwhelmed with making the right choices with Medicare Supplemental Insurance and Rx coverage. It’ll take a load off your mind!

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