Medicare 2024 IRMAA Brackets: Amounts and how to Forecast for Retirement - IRMAA Certified Planner (2024)

What are the IRMAA Brackets:

According to the Social Security Administration (SSA) the IRMAA Brackets are a:

“Set of tables containing modified adjusted gross income (MAGI) ranges and income-related monthly adjustment amounts (IRMAA). There are 3 tables, each based on a person’s income tax filing status”.

The IRMAA Brackets and surcharges/ plan premium, according to a person tax filing status in 2023 are:

Single, head of household or qualifying widow(er) with dependent child
MAGIPart B Premium isPart D Premium is
< $97,000$164.90Premium (varies)
$97,000 to $123,000$230.80Premium + $12.20
$123,000 to $153,000$329.70Premium + $31.50
$153,000 to $183,000$428.60Premium + $50.70
$183,000 to $500,000$527.50Premium + $70.00
> $500,000$560.50Premium + $76.40
Tax Filing Status: Married, filing jointly
MAGIPart B Premium isPart D Premium is
< $194,000$164.90Premium (varies)
$194,000 to $246,000$230.80Premium + $12.20
$246,000 to $306,000$329.70Premium + $31.50
$306,000 to $366,000$428.60Premium + $50.70
$366,000 to $750,000$527.50Premium + $70.00
> $750,000$560.50Premium + $76.40
Tax filing Status: Married, Filing Separately
MAGIPart B Premium isPart D Premium is
< $97,000$164.90Premium (varies)
$97,000- $403,000$527.50Premium + $70.00
>$403,000$560.50Premium + $76.40

What the 2024 IRMAA Brackets, by law are should be:

Single, head of household or qualifying widow(er) with dependent child
MAGIPart B Premium isPart D Premium is
< $102,000$174.80Premium (varies)
$102,000 to $130,000$244.70Premium + $12.90
$130,000 to $161,000$349.50Premium + $33.30
$161,000 to $193,000$454.40Premium + $53.80
$193,000 to $500,000$559.20Premium + $74.20
> $500,000$594.20Premium + $81.00
Tax Filing Status: Married, filing jointly
MAGIPart B Premium isPart D Premium is
$204,000.00$174.80Premium (varies)
$204,000 to $260,000$244.70Premium + $12.90
$260,000 to $322,000$349.50Premium + $33.30
$322,000 to $386,000$454.40Premium + $53.80
$386,000 to $750,000$559.20Premium + $74.20
> $750,000$594.20Premium + $81.00
Tax filing Status: Married, Filing Separately
MAGIPart B Premium isPart D Premium is
< $103,000$174.80Premium (varies)
$102,000- $403,000$559.20Premium + $74.20
>$403,000$594.20Premium + $81.00

What is IRMAA:

IRMAA is short for Medicare’s Income Related Monthly Adjustment Amount which is according to the Code of Federal Regulations:

“An amount that you will pay for your Medicare Part B and D coverage when your modified adjusted gross income is above the certain thresholds.”

IRMAA is a tax on your income through Medicare Part B and Part D coverage if you have too much income while in retirement.

Medicare 2024 IRMAA Brackets: Amounts and how to Forecast for Retirement - IRMAA Certified Planner (1)

Will you actually enter IRMAA:

According to the 2022 Medicare Board of Trustees Report, currently, there are over 6.8 million people in IRMAA. These people in IRMAA make up 16.63% of all eligible Medicare beneficiaries.

By 2031, according to recent reports the number of people in IRMAA will double to 13.8 million eligible people in IRMAA.

IRMAA is a revenue generator for both the Medicare and Social Security programs.

For the Medicare program, IRMAA is an added cost that the person in it must pay. This added cost provides more money each year for the program.

As for Social Security, according to Congress, all IRMAA costs are automatically deducted from any Social Security benefit a person is receiving. Thus, for those who enter IRMAA, Social Security has to pay out less to them which reduces that program’s obligation to pay benefits.

With both Medicare and Social Security projected by the government to be insolvent (unable to pay) in less than 8 years the easiest way to save these programs is to make sure more people are in IRMAA.

How do you reach an IRMAA bracket:

IRMAA is all about your Modified Adjusted Gross Income (MAGI).

The more of it you have the higher the chances that you have to reaching IRMAA while having less of an MAGI reduces the chance of you reaching IRMAA.

What counts towards your MAGI:

According to Social Security your MAGI is the total of your adjusted gross income (AGI) and any tax-exempt interest you may have.

Both of these can be found on lines 2a and 11 of your 2022 IRS tax form 1040.

Some examples of where your MAGI will come from are:

Taxable Social Security benefitsTraditional 401(k) Withdrawals
WagesTraditional IRA Withdrawals
Pension & Rental IncomeTraditional 403(b) Withdrawals
Capital GainsQualified Annuities
DividendsInterest

If you want to avoid IRMAA all together then the goal is to generate an income from financial instruments that do not count towards your MAGI and they are:

Roth Account Withdrawals
Life Insurance Loans
Non-Qualified Annuities*
Health Saving Account Withdrawals
401(h) Plans
Home Loans or Reverse Mortgages

*Non-Qualified Annuities – depending on certain factors a certain portion of all income you will receive from them can be completely tax free. Please see an IRMAA Certified Professional for more information on which Annuity is best for you.

For a complete list of what does and does not count towards IRMAA please click here.

How to File an Appeal

You have made your decision and you are going to file an appeal of IRMAA now what you do comes down to how you want to appeal.

For Medicare enrollees with a qualifying life changing event:

All that needs to be done is for you to fill out the SSA-44 form by competing the first 3 pages and then submit it with your corresponding proof of your life changing event to your local SSA office.

You can find your local SSA office here.

Once the paperwork is submitted all correspondence about your appeal will be mailed to you from the SSA. If the result is not satisfactory you can request a hearing which can also be done through your local SSA office.

For Medicare enrollees without a qualifying life changing event but who want to appeal based on an updated tax-return or income discrepancy:

Appealing IRMAA is even simpler than have a qualifying life changing event as all that is needed to be done is for you to request an appeal at your local SSA office.

Explain to the local Field Representative that you have a received an IRMAA notification and that you like to appeal based on updated tax information.

A case number will be assigned to you as well as Field Agent, which could be the person at your local office, so always be nice and any correspondence about your case ill be mailed to you by the SSA.

If the IRMAA result is not satisfactory you can always request a hearing at your local SSA office too.

At the point of request your local agent will be able to submit your appeal and a case number at that moment should be assigned to you. As your case is evolving you will have to provide documentation that disproves the information that the IRS has provided which can be a corrected or amended tax-return or even a more update one

Conclusion:

The 2024 IRMAA Brackets are, by law, going to increase, but the odds of you or someone you know reaching IRMAA at some point are also increasing.

The only way to ensure that IRMAA is never a part of your retirement is to be able to generate an income that doesn’t count towards it.

To find an IRMAA Certified Professional in your area please click here

Medicare 2024 IRMAA Brackets: Amounts and how to Forecast for Retirement - IRMAA Certified Planner (2024)

FAQs

Medicare 2024 IRMAA Brackets: Amounts and how to Forecast for Retirement - IRMAA Certified Planner? ›

For 2024, if your income is greater than $103,000 and less than $397,000 the IRMAA amount is $384.30. If income is greater than or equal to $397,000 the IRMAA is $419.30. Medicare Part D. If your income is greater than $103,000 and less than $397,000, the IRMAA amount is $74.20.

How to calculate irmaa for 2024? ›

For 2024, if your income is greater than $103,000 and less than $397,000 the IRMAA amount is $384.30. If income is greater than or equal to $397,000 the IRMAA is $419.30. Medicare Part D. If your income is greater than $103,000 and less than $397,000, the IRMAA amount is $74.20.

What are the income limits for Medicare premiums in 2024? ›

Monthly Medicare Premiums for 2024
Modified Adjusted Gross Income (MAGI)Part B monthly premium amount
Individuals with a MAGI of less than or equal to $103,0002024 standard premium = $174.70
Individuals with a MAGI above $103,000 and less than $397,000Standard premium + $384.30
1 more row

How to estimate irmaa? ›

The calculation of IRMAA depends on a variety of factors. The most significant of these is your modified adjusted gross income (MAGI), which can be calculated by adding your total adjusted gross income and tax-exempt interest income.

What is the two year rule for Irmaa? ›

The Social Security Administration (SSA) sets four income brackets that determine your (or you and your spouse's) IRMAA. SSA determines if you owe an IRMAA based on the income you reported on your IRS tax return two years prior, meaning two years before the year that you start paying IRMAA.

How do you calculate modified adjusted gross income for Irmaa? ›

MAGI is calculated as Adjusted Gross Income (line 11 of IRS Form 1040) plus tax-exempt interest income (line 2a of IRS Form 1040). The table below details the base premium amount you'll pay for Medicare in 2024 depending on your MAGI and filing status, inclusive of any additional IRMAA surcharge.

How to avoid irmaa for Medicare? ›

How to Avoid IRMAA
  1. Adopting a tax-smart retirement withdrawal strategy.
  2. Allocating to tax-efficient investments.
  3. Utilizing a Medicare Savings Account (MSA)
  4. Tax-Gain Harvesting.
  5. Processing Roth conversions.
  6. Requesting a recalculation of IRMAA due to a “life-changing event” using Form SSA-44.
May 1, 2024

Does Social Security count as income for Irmaa? ›

Do Social Security benefits count toward IRMAA? Yes, the taxable portion of your Social Security benefits is used to calculate your MAGI, and MAGI determines your IRMAA.

What are the proposed changes to Medicare in 2024? ›

In 2024, after paying the initial deductible, a person on Medicare will pay 25 percent of drug costs. They will have a cap of about $3,300 and will no longer pay five percent of drug costs in the catastrophic phase. In 2025, after paying the initial deductible, a person on Medicare will pay 25 percent of drug costs.

What income triggers higher Medicare premiums? ›

Medicare beneficiaries with incomes above $103,000 for individuals and $206,00 for married couples are required to pay higher premiums. The amount you pay depends on your modified adjusted gross income from your most recent federal tax return.

Is Irmaa recalculated each year? ›

IRMAA applicability and amounts are recalculated annually. The IRMAA surcharge is added to your 2024 premiums if your 2022 income was over $103,000 (or $206,000 if you're married). You will receive notice from the Social Security Administration to inform you if you are being assessed IRMAA.

Do capital gains count toward Irmaa? ›

Key Takeaway: IRMAA isn't a random calculation. It's influenced by your gross income, filing status, and even dividends or capital gains you make.

Do both spouses have to pay Irmaa? ›

Does IRMAA Apply to Both Spouses? IRMAA applies to both spouses when both are on Medicare. Medicare premiums are charged to each individual beneficiary as there is no “family plan.”

Will I get separate bill for Irmaa? ›

When you first start Medicare, your IRMAA charge will be billed separately from your first Medicare Part B bill. While it can be confusing, it's important that you pay both invoices. If you don't, your Part B and/or Part D insurance will get canceled.

How do I get my irmaa reduced? ›

If you've experienced a life-changing event, you can ask the Social Security Administration to reduce or eliminate your IRMAA amount by completing and submitting Form SSA-44.

How far back does Irmaa look? ›

IRMAA is a surcharge that people with income above a certain amount must pay in addition to their Medicare Part B and Part D premiums. The Social Security Administration (SSA) determines who pays an IRMAA based on the income reported 2 years prior.

How is Irmaa calculated for 2025? ›

Simply, the 2025 IRMAA is based on the 2023 income and 2023 filing status.

What is the Medicare deductible for 2024? ›

In 2024, the Medicare Part A deductible is $1,632 per benefit period and the Part B annual deductible is $240. The Centers for Medicare & Medicaid Services (CMS) releases new premiums, deductibles and coinsurance amounts for Part A, Part B and the Medicare Part D income-related monthly adjustment amounts every fall.

Is Irmaa evaluated every year? ›

IRMAA is calculated every year. That means if your income is higher or lower year after year, your IRMAA status can change. If the SSA determines you must pay an IRMAA, you'll receive a notice with the new premium amount and the reason for their determination.

What will be the Irmaa for 2026? ›

The income used to determine your Medicare premium IRMAA is your adjusted gross income plus tax-exempt interest (such as municipal bond interest) from two years ago. Your 2024 income determines your IRMAA in 2026. Your 2023 income determines your IRMAA in 2025. Your 2022 income determines your IRMAA in 2024.

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