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.
For single filers, in 2024 your Modified Adjusted Gross Income (MAGI) must be under $146,000. In 2025 your MAGI must be under $150,000 to make a full Roth IRA contribution. For joint filers, in 2024 your MAGI must be under $230,000. In 2025 your MAGI must be under $236,000 to make a full Roth IRA contribution.
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. The income that counts is the adjusted gross income you reported plus other forms of tax-exempt income.
The Medicare portion is 1.45% of all earnings. Also, as of January 2024, individuals with earned income of more than $200,000 ($250,000 for married couples filing jointly) pay an additional 0.9% in Medicare taxes; employers are not required to pay a matching 0.9% portion of the additional Medicare tax.
Parents of Dependent Children: Income limits for 2024 are reported as a percentage of the federal poverty level (FPL). The 2024 FPL for a family of three is $25,820. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2024 FPL for an individual is $15,060.
Starting January 1, 2024, if you have Medicare drug coverage (Part D) and your out-of-pocket drug costs reaches $8,000 – the catastrophic coverage phase, you don't have to pay co-payments and co-insurance for the rest of the calendar year.
If you file your taxes as "married, filing jointly" and your MAGI is greater than $212,000, you'll pay higher premiums for your Part B and Medicare prescription drug coverage. If you file your taxes using a different status, and your MAGI is greater than $106,000, you'll pay higher premiums.
But Medicare's IRMAA brackets are what's known as a “cliff” – if you make one dollar over the bracket threshold, you and your spouse (if you are married filing jointly and are both enrolled in Medicare) will pay that bracket's IRMAA amount.
Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.
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.
IRMAA is determined by income from your income tax returns two years prior. This means that for your 2024 Medicare premiums, your 2022 income tax return was used. And for your 2025 premiums, your 2023 tax return will be used. IRMAA applicability and amounts are recalculated annually.
Fax or mail your request. Fill out the Medicare Income-Related Monthly Adjustment Amount-Life-changing Event (SSA-44) (PDF) form. Fax or mail your completed form and evidence to a Social Security office.
For 2025, if your income is greater than $106,000 and less than $394,000 the IRMAA amount is $406.90. If income is greater than or equal to $394,000 the IRMAA is $443.90. Medicare Part D. If your income is greater than $106,000 and less than $394,000, the IRMAA amount is $78.60.
You will use Form SSA-44 (Medicare Income Related Monthly Adjustment Amount – Life Changing Event). Complete the required information on the form and submit to a local Social Security office. Go to our website at www.medicaremindset.com/irmaa for more detailed instructions, as well as to download the appeal form.
This is a common question, and one that is answered incorrectly on several prominent websites. The calculation for IRMAA MAGI (Modified Adjusted Gross Income) includes just the taxable portion of Social Security.
According to Medicare's trustees, about 4.8 million beneficiaries paid a Part B IRMAA premium, or about 8% of Medicare Part B recipients.
Roth IRA withdrawals are generally tax-free. These tax-free withdrawals can enable you to avoid taking taxable withdrawals from other accounts, which, in turn, can help you avoid an increase in your IRMAA.
In 2025, the standard monthly premium for Medicare Part B will be $185, an increase of $10.30 from the 2024 amount. The deductible for Part B services will be $257, a $17 increase from the deductible of $240 in 2024.