Extra Income Can Lift Medicare Premiums 2 Years Later Above $109,000 IRMAA Threshold
Updated
Updated · savingadvice.com · Jul 1
Extra Income Can Lift Medicare Premiums 2 Years Later Above $109,000 IRMAA Threshold
3 articles · Updated · savingadvice.com · Jul 1
Summary
$109,000 in modified adjusted gross income for single filers can trigger higher Medicare Part B and Part D premiums under IRMAA, with Social Security using tax returns from two years earlier.
For 2026 premiums, officials look at 2024 MAGI, so a bonus, capital gain, Roth conversion or business sale this year would not raise costs until 2028.
Part B premiums can jump from $202.90 to $284.10 a month in one example, plus at least $14.50 in Part D surcharges after an income spike.
About 8% of Part B enrollees pay IRMAA, and tax-exempt municipal-bond interest, part-time work and IRA withdrawals can all count toward the threshold.
SSA-44 lets beneficiaries seek lower premiums after life-changing income drops such as retirement, divorce or widowhood, typically within 60 days of notice.