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What are the IRMAA amounts for Part B in 2024?

Higher-income beneficiaries must pay more for Medicare Part B, medical insurance. This is known as the Income-related Monthly Adjustment Amounts or IRMAA, for short. The adjustments are based on a modified adjusted gross income (MAGI) determined by tax-exempt interest and the modified adjusted gross income usually from the tax statement two years prior to the current year. This IRMAA adjustment is added to the 2024 standard Part B premium of $`74.70.

In 2024, a single filer or a married individual filing a separate return will be subject when the MAGI is $103,000 and, for those filing a joint return, the threshold is $206,000.

Beneficiaries who file a joint tax return* with an MAGI of:

  • Less than or equal to $206,000 will not pay Part B IRMAA.
  • Greater than $206,000 but less than or equal to $258,000 will pay an adjustment of $69.90.
  • Greater than $258,000 but less than or equal to $322,000 will pay an adjustment of $174.70.
  • Greater than $322,000 but less than or equal to $386,000 will pay an adjustment of $279.50.
  • Greater than $386,000 but less than $750,000 will pay an adjustment of $384.30.
  • Greater than or equal to $750,000 will pay an adjustment of $419.30.

Beneficiaries who file an individual tax return with an MAGI of:

  • Less than or equal to $103,000 will not pay IRMAA.
  • Greater than $103,000 but less than or equal to $129,000 will pay an adjustment of $69.90.
  • Greater than $129,000 but less than or equal to $161,000 will pay an adjustment of $174.70.
  • Greater than $161,000 but less than or equal to $193,000 will pay an adjustment of $279.50.
  • Greater than $193,000 but less than $500,000 will pay an adjustment of $384.30.
  • Equal to or greater than $500,000 will pay an adjustment of $419.30.

Beneficiaries who are married and lived with their spouses at any time during the year but file a separate tax return with an MAGI of:

  • Less than or equal to $103,000 will not pay IRMAA.
  • Greater than $103,000 but less than $397,000 will pay an adjustment of $397.00
  • Equal to or greater than $397,000 will pay an adjustment of $419.30

Find information about 2024 IRMAA here and Part D IRMAA here.

*Important: If both the husband and wife are on Medicare, each will pay the adjustment.

Last updated: 02-27-2024