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Income-Related Monthly Adjustment Amount (IRMAA)

Updated: Feb 4


What is the Income-Related Monthly Adjustment Amount (IRMAA), and how does it work? It is an income-based table used to adjust Medicare Part B and Part D prescription drug coverage premiums. The higher a beneficiary’s range of modified adjusted gross income (MAGI), the higher your premium or IRMAA. There are different scales depending on your filing status. There is a 2-year look back at income to determine your IRMAA. This is sometimes confusing when looking at the scale. Your 2024 MAGI can affect your 2026 Medicare premiums if subject to IRMAA. If you collect Social Security or Railroad Retirement benefits, the IRMAA premium can be deducted automatically. If not, you could be billed. Both the scale and premiums are adjusted for inflation.*


You can apply for an adjustment to your IRMAA for many life-changing events, including marriage and divorce, using form SSA-44. The form lists eight life-changing events. You can also appeal if you think an error was made in calculating your IRMMA using form SSA-561.*


Medicare has a cost estimate calculator on their website. Estimate my Medicare eligibility & premium | Medicare.


For a more detailed planning discussion around IRMAA schedule a free appointment above.



Investment advice offered through Stratos Wealth Advisors, LLC,

a registered investment advisor. Stratos Wealth Advisors, LLC and

Synergy Wealth Management are separate entities.

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