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Medicare IRMAA Explained

High earners will have to pay more than the standard Medicare Part B and Part D premium. This extra amount, called a “surcharge”, is based on the income you report on your tax return two year ago.

Medicare IRMAA Amounts for 2024

The Social Security Administration sets the IRMAA amounts each year. For 2024, the IRMAA amounts are listed below.

Individual Tax Return (2022) Joint Tax Return (2022) Monthly Part B Premium (2024) Monthly Part D Premium (2024)
$103,000 or less
$206,000 or less
Your plan premium
above $103,000 up to $129,000
above $206,000 up to $258,000
$12.90 + your plan premium
above $129,000 up to $161,000
above $258,000 up to $322,000
$33.30 + your plan premium
above $161,000 up to $193,000
above $322,000 up to $386,000
$53.80 + your plan premium
above $193,000 and less than $500,000
above $386,000 and less than $750,000
$74.20 + your plan premium
$500,000 or above
$750,000 or above
$81.00 + your plan premium

You can use our IRMAA calculator here.

The IRMAA surcharge is based on your Modified Adjusted Gross Income (MAGI) from your taxes 2 years prior.

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How to Appeal IRMAA

Certain life-changing events allow you to appeal your Medicare IRMAA. These include:

  • Marriage or Divorce
  • Death of your Spouse
  • Work Stoppage or Reduction
  • Loss of Income-Producing Property
  • Loss of Pension Income
  • Employer Settlement Payment

If you would like to submit an IRMAA appeal, you have to submit form SSA-44.


Does Medicare IRMAA ever go away?

Since the government has access to your tax filings, your IRMAA amount will automatically recalculate each year. If you fall below the minimum threshold your IRMAA will be removed.

How can I submit an IRMAA appeal?

We can assist you with this. Give us a call!


If you need help with your IRMAA situation, schedule an appointment with The Medicare Family. We’ll walk you through your unique situation.

Sylvia Gordon, aka Medicare Mama®, is an expert on all things Medicare and Social Security. She is the 2nd Generation here at The Medicare Family and has served on the advisory boards of major insurance companies like UnitedHealthcare®, Cigna, and Anthem. In her free time, she can be found taking care of her animals (dogs, goats, peacocks, chickens), and reading a good book. Learn More.
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