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The Income-Related Monthly Adjustment Amount (IRMAA) is a surcharge added to Medicare Part B and Part D premiums for individuals with higher incomes. The IRMAA brackets are adjusted annually to reflect changes in the cost of living. For 2025, the IRMAA brackets have been updated to account for inflation.

To calculate your IRMAA, you will need to know your modified adjusted gross income (MAGI). Your MAGI is your adjusted gross income (AGI) plus any tax-exempt interest. You can find your AGI on line 8b of your Form 1040.

Once you know your MAGI, you can use the table above to determine your IRMAA bracket. The surcharge amount for your bracket will be added to your Part B and Part D premiums.

Let’s say you are a single taxpayer with a MAGI of $100,000. According to the table above, you would be in the $97,000 or more bracket. This means that you would pay an additional $230.80 per month for Part B and $77.90 per month for Part D.

Your IRMAA will be added to your Medicare Part B and Part D premiums. You can pay your premiums by mail, online, or over the phone.

There are a few ways to avoid paying the IRMAA. One way is to lower your MAGI. You can do this by increasing your deductions or by contributing to a tax-advantaged retirement account, such as a 401(k) or IRA.

Another way to avoid the IRMAA is to qualify for a hardship exemption. To qualify for a hardship exemption, you must meet certain criteria, such as having high medical expenses or being unable to work due to a disability.

The IRMAA is a surcharge added to Medicare Part B and Part D premiums for individuals with higher incomes. The IRMAA brackets are adjusted annually to reflect changes in the cost of living. For 2025, the IRMAA brackets have been updated to account for inflation.
If you have a higher income, it is important to be aware of the IRMAA and how it will affect your Medicare premiums. There are a few ways to avoid paying the IRMAA, but it is important to weigh the costs and benefits of each option.



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