Nov 21, 2023, 10:09am EST. gov. It’s calculated based on your modified adjusted gross income, influencing the monthly premium you pay. The IRMAA surcharge is added to your 2023 premiums if your 2021 income was over $97,000 (or $194,000 if you’re married). Then there was another $31. Married couples filing jointly and making over $182,000 will also pay higher. 20 per month and Part B IRMAA is $65. 2022 Medicare Part D Income Related Adjustment Amount (IRMAA) Income Brackets If your filing status and yearly income in 2020 (filed in 2021) was File individual tax return File joint tax return File married & separate tax return You pay each month for Part D (in 2022) $91,000 or less $182,000 or less $91,000 or less no IRMAA, only yourFollow Mike Townsend on Twitter— @MikeTownsendCS. 60, and an annual total of. A more in depth look at what counts towards IRMAA:Since advised clients tend to have higher income than the average population, most will be subject to surcharges at some point in retirement. The Premium Amounts per IRMAA Bracket: According to the Medicare Board Trustees Report from 2019, the surcharges will inflate at as follows through 2028: Part B – 6. 50 for 2021, an increase of $3. The SSA provides a chart to show you what you can expect in. The annual deductible for all Medicare Part B beneficiaries is $198 in 2020, an increase of $13 from. 30 $544. There are five IRMAA income brackets depending on your income and filing status. In March, the Medicare trustees estimated that the monthly Part B. 90 in 2023. The annual deductible for all Medicare Part B beneficiaries will be $240. 40 in additional monthly premiums for Medicare Part D prescription drug coverage. It is a progressive table, so the higher your income the higher your premiums will be. If taxable income is over $22,000 but not over $89,450; the tax is $2,200. It is very difficult to pin down the "optimum" amount of Roth conversion due to many unknowns. 3rd Surcharge Bracket: 7. 2023 Tax Brackets and Rates. , see 2022 2023 2024 Medicare Part B IRMAA Premium MAGI Brackets) that 2025 IRMAA tiers, based on 2023 income, will have higher breakpoints due to inflation. Married Submitting Collectively: >= $750,000. In 2023, beneficiaries must pay a coinsurance amount of $400 per day for the 61 st through 90 th day of a hospitalization ($389 in 2022) in a benefit period and $800 per day for lifetime reserve days ($778 in 2022). If the taxpayer does not send the tax return in after filing Form SSA-44, SSA will receive such data later from the Internal Revenue Service, in which case if more IRMAA should have been paid, it will be even later than if the taxpayer mailed the tax return in to SSA, and the total. Premiums start to increase for individuals who made $97,000 in 2021 or joint filers who made $194,000. 80 from $164. Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act. , two years prior), which is $100,788 ($113,788 − $13,000) for this client. Income Related Monthly Adjustment Amount (IRMAA) for 2023. IRMAA amounts go up from there at higher levels of income. Of note is that IRMAA are not phased over income brackets; for instance as soon as you cross over. 5% 25. The Stealth Taxes include the inclusion of Social Security benefits in gross income, the Medicare premium surtax (also known as IRMAA), the 3. This means that the IRMAA. Listed below are the brackets for 2023: 2021 Particular person tax return. The table below shows the sum of the Part B Premium, Part B IRMAA, and Part D IRMAA for the higher income brackets for 2023. * Plus all applicable surcharges, minus Medicare Advantage. The IRMAA 2023 threshold for married couples is $194,000. 60 per month per person on top of the standard Part B premium of $164. 2025 IRMAA Per Person. Medicare’s Income Related Monthly Adjustment Amount ( IRMAA) is quickly becoming a problem for retirees and by government projections it will not slow down in the near future too. 20 to $1. The standard monthly premium for Medicare Part B enrollees will be $174. 10. Since the 2023 IRMAA fees will be based off your 2021 Adjusted Gross Income, you can appeal these fees if you’ve had a “life-changing” event. IRMAA - Part D IRMAA applicability and amounts are recalculated annually. 00 $91,000. 60 per month, or $259. The income brackets that trigger IRMAA surcharges increased from $86,000 for single taxpayers and $176,000 for married couples in effect in 2021. 10 per month. The annual deductible for all Medicare Part B enrollees in 2024 will be $240, an increase of $14 from the 2023 deductible of $226. Because we have a marginal income tax rate, if you are bumped into the next higher tax bracket, only your extra dollars of income over the limit are taxed at the higher. The surcharge for Part B ranges this year from $68 to $408. The updated table for 2023 can be found below. 50. which is 277. Break Point. The earnings brackets are the identical. The IRMAA calculation takes the AGI and tax filing status and compares it to these thresholds. 30. As we approach the end of another year, it’s essential for Medicare beneficiaries to understand the income-related monthly. This is where things get tricky. The IRMAA is based on tax returns from two years before, which means the surcharge in 2023 will depend on a person’s income in 2021. Today, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2024 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the Advance Notice). Since you can’t know 2023 thresholds until Nov 2022, there is no way to know exactly what it will be during 2021 even though it’s the 2021 income that determines your 2023 IRMAA. 50 from $134 in 2018. In 2023, whether or not you have to pay IRMAA is determined by your reported annual income for 2021. 5% (jumping from $148. The Social Security Administration (SSA) sets four income brackets that determine your (or your and your spouse’s) IRMAA. For 2023, IRMAA kicks in if your 2021 MAGI was over $97,000; for married couples filing joint tax returns, above $194,000. This legislation reduced taxes for many people and corporations. 4th. In 2023, beneficiaries must pay a coinsurance amount of $400 per day for the 61 st through 90 th day of a hospitalization ($389 in 2022) in a benefit period and $800 per day for lifetime reserve days ($778 in 2022). 36%. Tax filing status: Single, head of household, married, filing separately (but living apart for the. Medicare beneficiaries who reported an individual income at or below $103,000 in 2022, or a married couple who earn no more than $206,000 per year in 2022, will now pay $174. with 27%, 22%, 24%, and 27. Income thresholds: In 2023, IRMAA applies to individuals with incomes exceeding $97,000 or married couples filing jointly with incomes above $194,000. So the 2025 IRMAA brackets which will be applied to your 2023 MAGI will likely be somewhat higher. Conclusion. lifetime reserve days. Married Submitting Individually >= $403,000. This is up from a $10,275 cutoff in 2022. 70 for 2024, an increase of $9. In this article, you'll learn where IRMAA is, how it's calculated, and tips for avoidable this pesky additional. Your 2020 income determines your IRMAA in 2022. 33%. File married & separate tax return. 10, that results in IRMAA-affected beneficiaries paying. There are two numbers used to determine MAGI for IRMAA calculations. Because IRMAA charges are reset every year based on the income from two years earlier, even retirees who never. I hesitate on doing Roth conversions up to the 24% bracket due to the tax payments from taxable buckets required, the IRMAA tier impact and the newly retired psychological burden of spending while not getting much income outside of wife's salary (probably till Nov 2023 when she will retire at 64 and take cobra or ACA and begin to. This means that the IRMAA Brackets, by law, will. married to Cindy, and just retired on January 1st, 2023, from his executive-level job at CSX. The article assumes IRMAA for 2021 applies to 2022 and 2023. For 2023, IRMAA kicks in if your 2021 MAGI was over $97,000; for married couples filing joint tax returns, above $194,000. There are seven federal income tax rates in 2023: 10 percent, 12 percent, 22 percent, 24 percent, 32 percent, 35 percent, and 37 percent. It’s an extra charge added to your standard Part B premium if your Modified Adjusted Gross Income (MAGI) exceeds a certain threshold. 90 in 2023. The maximum zero rate amount cutoff is $89,250. Note: You may also pay a higher premium if you have a Part B or Part D late enrollment penalty. While your AGI will be locked in on Dec 31, 2023, only 4 of the 12 inflation numbers that 'lock in' the 2025 IRMAA brackets will be known. Social Security Payment Schedule. The annual deductible for all Medicare Part B enrollees in 2024 will be $240, an increase of $14 from the 2023 deductible of $226. 2023 IRMAA brackets. 60; see Tables 1 and 2) in both 2022 and 2023, $1,720. In fact, the definition of income, when it comes to IRMAA is extremely broad. $560. Beginning in 2023, certain Medicare enrollees who are 36 months post kidney transplant, and therefore are no longer eligible for full Medicare coverage, can elect to continue Part B coverage of immunosuppressive drugs by paying a premium. The CMS calculates the IRMAA. And if your future income is. , see 2022 2023 2024 Medicare Part B IRMAA Premium MAGI Brackets) that 2025 IRMAA tiers, based on 2023 income, will have higher breakpoints due to inflation. $500,000 on an individual return or above $750,000 on a joint return will pay $594 per month, up from $560. I’m also sharing: What is IRMAA (and what does it stand for) How IRMAA. 90 per month in 2023. Step 3: Expert Analysis From there an IRMAA Certified Planner will contact you to review your report with you, discuss your Healthcare expense risk, and how your retirement income will be affected in retirement. For 2024, the IRMAA surcharge will be added to your premiums if your 2022 income was over $103,000 (or $206,000 if you’re married). gov. Annual deductible: $226 in 2023, a decrease of $7 from the annual deductible of $233 in 2022. This is the ultimate guide to the 2023 IRMAA brackets (and 2024 projected). Larger-income Medicare beneficiaries additionally pay a surcharge for Half D. 50 per month (also a decrease from 2022). So Medicare should announce the official 2023 IRMAA brackets in November or December 2022. For beneficiaries in skilled nursing facilities, the daily coinsurance for days 21 through 100 of extended care services in a. from the State of New Jersey for the IRMAA surcharges you paid. 50 per month. That rises to $31. The 2024 IRMAA MAGI income limits are straightforward: $103,000 for individuals and $206,000 for joint filers. 4th Surcharge Bracket: 8. 2023 IRMAA Brackets. Using the 2023 IRMAA brackets below, we can see that the Roth conversion would put her into a surcharge territory because her income would be over the $194,000 threshold. If taxable income is over $89,450 but. There’s also an IRMAA surcharge for 8% of Medicare beneficiaries who have Part D plans. In this installment of "Ask the Hammer," a reader asks: What will the effect of a Roth IRA conversion on Social Security and IRMAA, or income-related monthly. 60 per month (or $790. IRMAA50%=$33. You may find The Finance Buff post about current and future Medicare IRMAA premium brackets. Line 7: Adjusted gross income (AGI) If your. The penultimate bracket is for those whose income was between $170,000 and $500,000 ($340,000 to $750,000 for joint filers) will pay a monthly premium of. In 2024, that standard Part B premium sits at $174. Therefore, the majority of people turning 65 will find their income newly assessed against the IRMAA brackets which determine their premium above and beyond the 2021 $148. This Income-Related Monthly Adjustment Amount (IRMAA) is no small matter, especially with the recent changes in. The SSA provides a chart to show you what you can expect in. In March, the Medicare trustees estimated that the monthly Part B. 50 in 2019. Individual MAGI Couple MAGI Part B Part D (per/mo) $97,000: $194,000: $164. The standard monthly premium for Medicare Part B enrollees will be $174. IRMAA Charges for 2023. If your filing status and yearly income in 2021 was. Complete breakdown of income thresholds and the corresponding premium amounts in the chart below. To break down the 2023 IRMAA brackets: If an individual or married couple filing separately makes $97,000+; Or 3. 80 from $164. The first income threshold for 2023 Medicare premiums will be at least $95,000 if the average CPI-U for Sep 2021 to Aug 2022 is at least. The standard monthly premium for Medicare Part B enrollees will be $174. 70 for 2024, an increase of $9. Note: unfortunately, the previous 2 Medicare Board of Trustees Reports (2022 and 2021) due to circumstances on coverage and Covid-19 do not reflect. $97,000 or less. August 25, 2023 August 26, 2023. The 2024 IRMAA income threshold is $103,000 for beneficiaries who file individual tax returns and $206,000 for beneficiaries who file joint tax returns. 90 in 2023. The usual Half B premium is $164. Greater-income Medicare beneficiaries additionally pay a surcharge for Half D. Skip to main content. Your premium is based on gross income (MAGI). 80 total, if no Form SSA-44 is filed because MAGI two years prior is above $88,000 but not. According to the announcement, only 7% of beneficiaries pay more than the basic premium. 90: Premium (varies) $97,000 to $123,000:. Our 2021 income was going to escalate my premiums by two levels with Aunt IRMAA—or so I was initially informed. This can add up to $839 more a year for Part B — in addition to the. Mark Kantrowitz. At 65, we have a 7-month window to enroll in Part B and D, and failure to do so, apart from a few exceptions, results in a lifetime premium penalty. For instance, people who made $105,000 in 2022 will pay $244. For 2024, if your income is greater than $103,000 and less than $397,000 the IRMAA amount is $384. in English and other languages. IRMAA is reassessed each year, so whether you’re subject to IRMAA and which bracket you fall into can change from year to year. For higher-income beneficiaries, a surcharge known as the income-related monthly adjustment amount, or IRMAA, is added on top of the standard premium for Medicare Part B ($164. 80 per month ,. The Income-Related Monthly Adjustment Amount (IRMAA) is a key factor affecting your Medicare Part B and Part D premiums. For 2023, the immunosuppressive drug premium is $97. From there, the surcharges move up through a series of brackets. What are the current IRMAA brackets? The following are the brackets for 2023. If your income exceeds certain thresholds, you could be subject to the income-related monthly adjustment amount (IRMAA). 90. If they complete a Roth conversion of $256,550 to max the 24% bracket, they would save $15,651 in federal taxes by performing the conversion in the next three years instead of waiting until after 2025. Supply: Medicare Prices, Medicare. The Part B basic premium in calendar year 2023 is scheduled to be $164. 70 for 2024, an increase of $9. 7 percent cost-of-living increase for benefits. However, high earners could be saddled with a monthly payment of up to $560, depending on their income bracket. When contributing the maximum, over a 35 year time horizon, traditional savings @ 37% is just about equal to Roth (within a couple percent) when the withdrawal tax rate is in the mid. If one or both of the members allege living apart throughout the entire tax year. This means that the IRMAA Brackets, by law, will increase at the same rate. Oversimplifying, our taxable. This can add up to $839 more a year for Part B — in addition to the. In 2024, that standard Part B premium sits at $174. 80 + $147. $94,500/$85,000*249. 8% brackets with IRMAA spikes sprinkled in. 10 for. However, you can make reasonable estimates and give yourself some margin to stay clear of the cutoff points. IRMAA stands for Income Related Monthly Adjustment Amounts. This IRMAA creates a surcharge you must pay in addition to the standard premiums. If the COLA of Social Security remains at 2. For example, suppose a married couple filing jointly has $70,000 in other taxable income (after deductions) and $20,000 in qualified dividends and long-term capital gains in 2023. 2024 IRMAA Brackets and Rules. In 2017, congress passed the Tax Cuts and Jobs Act (TCJA). or buts! While bumping into the next IRMAA bracket may be avoidable in some years, IRMAA is reassessed. The Kaiser Family Foundation projected the number of beneficiaries paying Part B IRMAA would be 5. 80 more than the $164. 70 for 2024, an increase of $9. 010 -. 2023 IRMAA Brackets. 2. 90 in 2023). MOAA can help make sense of a confusing system. File individual tax return. For any other filing status, the threshold is $97,000. 90/month. Part BARN costs for those with higher incomes (IRMAA) By: Teyor RADIUS. 80 from $164. 6% and, at $23,000 over, the tax rate is 18. 33%. All gains above those amounts do, though. 90 per month. This is custom heading element. 2021 Joint tax return. The usual Half B premium will likely be $164. Doing so can help keep you in a lower IRMAA bracket in subsequent. The IRMAA 2023 threshold for married couples is $194,000. The majority of seniors impacted by the Medicare premium surcharge are between ages 65 and 80. ”IRMAA stands for the Income Related Monthly Adjustment Amount. This step also asks for the date that the event took place, because it must be in the same tax year or an earlier tax year than the one you ask SSA to consider. 10 for Part B, a 14% increase from the previous year. Greater-income Medicare beneficiaries additionally pay a surcharge for Half D. For 2023, the thresholds are $97,000 and $194,000. Policy for IRMAA determination notices. 10. 7%. 2023 IRMAA Brackets. For 2023, IRMAA kicks in if your 2021 MAGI was over $97,000; for married couples filing joint tax returns, above $194,000. 40 in total premiums and couples will save $124. The impact is simple, the more you make the higher your Medicare costs. The 2023 brackets won’t be out till this November, but I’m looking for 2024 (since that’s what 2022 income affects). 50 a month in 2021. We live in a world where taxable income is more important than gross income because it dictates our income tax bracket. Early Retirement & Financial Independence Community > Community Forums > FIRE and Money: Updated IRMAA estimates for 2025. 08 in 2022. Suppose you’re single and your 2021 modified adjusted gross income ( MAGI) placed you at the top of the first 2023 IRMAA bracket, which is $97,000 to $123,000. 30 . See the income ranges and premium amounts for different MAGI brackets in 2023, 2024, and 2025. Once you cross these thresholds, you will pay more for coverage. In Original Medicare, these are additional days that Medicare will pay for when you're in a hospital for more than 90 days. 50 in 2024. 90 per month for those in the lowest income-adjustment bracket. For 2023, the immunosuppressive drug premium is $97. Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act. tax-exempt interest income (line 2a of IRS Form 1040). Those who fall into higher-income brackets, however, will pay more. 90 from $144. The amount for married people filing a joint tax return will increase from $182,000 in 2022 to $194,000 in 2023. 50 per month for Medicare Part B premiums and between $12. m. 25, 2023 (GLOBE NEWSWIRE) -- IRMAA Certified Planner is proud to announce that FINRA, The Financial Industry Regulatory Authority, is. If one of these events affects a Medicare enrollee, he or she can proactively notify the SSA by using a “ Medicare Income-Related Monthly Adjustment Amount – Life-Changing Event “ form. Married filing jointly. Understanding IRMAA and Its Impact on Medicare Premiums. Here are the brackets for 2023: 2021 Individual tax. But, by falling $10 over the bracket threshold level. The IRMAA brackets and surcharges in 2021 are: What is the income that CMS uses for IRMAA?. But you will pay higher rates if you earned more than $103,000 on your individual 2022 tax return or more than $206,000 on a joint return. The annual deductible for all Medicare Part B beneficiaries will be $240 in 2024, an increase of. *Applications requesting reimbursement of 2019 amounts must be received by 4/15/2023; 2022 Medicare Part B premium including IRMAA ; $238. To claim your reimbursement, you must provide proof of the IRMAA premiums paid in 2022. The maximum Earned Income. Once you cross these thresholds, you will pay more for coverage. That threshold is increasing by more than $38,000 from this year's $539,900. 90 in 2023. Stay informed, save money!Other beneficiaries pay Income-Related Monthly Adjustment Amounts (IRMAA), which vary by income level. The Social Security Administration (SSA) sets four income brackets that determine your (or you and your spouse’s) IRMAA. S. Let’s imagine that the SSA calculated the 2022 IRMAA. The five IRMAA brackets, which are adjusted annually for inflation, usually are announced in late September. 70 in 2024, an increase of $9. For IRMAA determination purposes, MAGI is used to determine how much (if any) surcharge will be applied to your Medicare premiums. However, without further legislative action, the tax cuts are set to expire at the end of 2025 and 2026 tax rates and tax brackets will be higher for most households. For IRMAA determination purposes, MAGI is used to determine how much (if any) surcharge will be applied to your Medicare premiums. Unfortunately, the answer is yes, as they, amongst many other forms of income do, affect IRMAA. 60 plus $12. For any other filing status, it’s $97,000. 70 in 2024. 99 $544. Everything You Need to Do. This was a one time event and our income went. Those brackets top out for people with incomes of $500,000 or more ($750,000 or higher for couples). 7% over the previous 12 months, according to the CPI data released last Thursday. The IRMAA 2023 threshold for married couples is $194,000. In 2023, with the inflation adjustment to the IRMAA brackets, you will no longer have a Part D or Part B IRMAA payment. $103k is almost certainly going to be the actual number for 2024 (based on 2022 income) for a single. For most people, MAGI for IRMAA can be calculated by adding together:The Social Security Administration (SSA) determines your IRMAA based on the modified adjusted gross income on your tax return. The rates increase for higher income brackets. The notification will provide your income, the IRMAA surcharge and how. IRMAA is a series of tax cliffs. The 2023 Medicare Part A deductible will be $1,600 - a $44 increase over the 2022 Part A deductible $1,556. [RELATED: 2023 Medicare Part B Rates Announced] IRMAA brackets are different from tax brackets. 70. Cab pointed out, “the finance buff” gives very accurate estimated IRMAA brackets & I use those estimates in planning future IRMAA brackets but nothing is official until the. 90 each month on top of the cost of your Part D premium. Suppose you’re single and your 2021 modified adjusted gross income placed you at the top of the first 2023 IRMAA bracket, which is $97,000 to $123,000. Summary. Some of the biggest changes to Medicare in years take effect in 2023, with more than 65 million Americans paying lower premiums and deductibles and about to feel the effects of landmark legislation designed to bring down the runaway cost of prescription. April 1, 2023: People with Traditional Medicare and Medicare Advantage may pay a lower coinsurance for certain Part B drugs with price increases higher than inflation. Put another way, this 3. Banking, loans, investing, insurance, taxes, you name it. The majority of Medicare beneficiaries with Medicare Part B will pay $164. Tell the representative you want to lower your Medicare Income-Related Monthly Adjustment Amount (IRMAA) due to a life-changing event. The Medicare Income-Related Monthly Adjustment Amount (IRMAA) is an amount Medicare beneficiaries pay in addition to your Part B or Part D premium if their income is above a certain level. RMD Effect Address required minimum distribution (RMD) requirements well in advance of the required beginning date, explaining how. This is a 14. Therefore, one could argue the average American in the 12% marginal federal income tax bracket should contribute as much as they can afford to a Roth IRA. Supply: Medicare Prices, Medicare. and this is the frustration - the inflation year goes from Sept 2023 - August 2024. The revenue brackets are the identical. 1 IRMAA claim processing will begin no later than May 1, 2023. 00 . IRMAA calculation for 2023 uses the modified adjusted gross income (MAGI) on your most recent tax return to set. The other rates are: 35% for incomes over $231,250 ($462,500 for married couples filing jointly); 32% for incomes over $182,100 ($364,200 for married couples filing. 10), which led to higher premiums for higher-income beneficiaries. The standard deduction is the fixed amount the IRS allows you to deduct from your annual income even if you don’t itemize your tax return. 90 in 2023. 3) to determine the IRMAA. 010A for a. 30. First, it is important to note that the official IRMAA Brackets for 2024 have not yet been released. The annual surcharges for a couple who reached IRMAA In 2023 are: 2023 IRMAA Surcharges : 1st Bracket: 2nd Bracket: 3rd Bracket: 4th Bracket: 5th Bracket: Couple: $1,876: $4,714:. The base Medicare Part D premium varies based on which plan you pick. m. The Social Security Administration (SSA) determines who pays an IRMAA based on the income reported 2 years prior. Medicare Part B rates. Medicare’s IRMAA Brackets from 2007 to 2022. Individuals making more than $91,000 will pay a higher amounts. These amounts are added onto your Part B and Part D each month. 2023 Part D premium. 90 for Medicare Part DIRMAA rates for 2022. Medicare Part B covers physician services,. $362. Still, you can make reasonable estimates and give yourself some margin to stay clear of the cutoff points. Larger-income Medicare beneficiaries additionally pay a surcharge for Half D. The 2023 IRMAA brackets max out at $500,000 for individuals and $750,000 for the married filing status. How much more depends on how much you exceed these numbers. 020B. An estimated 2 million Medicare beneficiaries (about 3. How much more depends on how much you exceed these numbers. 20 from $170. 2. 90 per month to an extra $395. Married filing jointly tax filing status. 70. The revenue brackets are the identical. If you happen to reach IRMAA in any given year you will be notified by the Social Security Administration. The 2022 IRMAA brackets. The income limits for all 2023 tax brackets and all filers will be adjusted for inflation and will be as follows (Table 1). ) That’s because Part D IRMAA is pegged to the national Part D base. In 2023, the threshold is $97,000 for a single individual; in 2024, it’s $103,000 for a single person. Policy. The IRMAA is calculated on a sliding scale with five income brackets topping out at $500,000 and $750,000 for individual and joint filing, respectively. The SSA provides a chart to show you what you can expect in 2023. Suppose you’re single and your 2021 modified adjusted gross income placed you at the top of the first 2023 IRMAA bracket, which is $97,000 to $123,000. The 2023 income thresholds are $97,000 for individuals and $194,000 for married couples filing jointly. 2023 Medicare IRMAA Chart. 37%: Co-Insurance days 91 > 3. Substantial Gainful Activity (2023): $1,470 per month for people who are not blind $2,460 per month for people who are blind Trial Work Period Service Month (2023):. High-income households pay an extra charge—IRMAA—on top of the standard Medicare premium. Nancy Murphy, a senior wealth strategist at Charles Schwab with a focus on estate planning, joins host Mike Townsend. 7 million, after the inflation adjustments. 8% in 2024, from $56. If you fall into one of the high-income categories—more than $103,000 for individuals and $206,000 for couples—the.