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Social Security sent me a letter saying that I must pay more for Medicare Part B

“I received a letter from Social Security saying that I must pay more for Medicare Part B.”

You've just met IRMAA.

Since 2007, higher-income beneficiaries must pay more for Medicare Part B, medical insurance. This monthly increase in premium is known as the Income-related Monthly Adjustment Amount, IRMAA for short. This letter notifies you that Social Security has determined you are one of those higher-income beneficiaries.

Social Security uses a special modified adjusted gross income (MAGI) for IRMAA purposes. This is the total of tax-exempt interest and adjusted gross income from your income tax statement two years prior to the current year. The threshold in 2024 is $103,000 for an individual filer and $206,000 for a couple. Social Security looks at the tax return two years prior to the current year. For example, Social Security reviewed 2022 tax returns to identify those who are subject to IRMAA in 2024. The additional amounts that a higher-income beneficiary pays in 2024 range from $69.90 to $419.30 for Part B. 

Be aware If you must pay more for Part B, you may also be subject to Part D, prescription drug coverage, IRMAA. The amounts in 2024 range from $12.90 to $81.00. Check out this year's adjustments for Part B and Part D

Are you paying IRMAA needlessly?  Learn what you can do if you're paying higher Medicare premiums without actually being a higher-income beneficiary.


Last updated: 02-27-2024