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Unlike late enrollment penalties, which can last as long as you have Medicare coverage, IRMA is calculated every year. You may have to pay the adjustment one year, but not the next if your income falls below the threshold.
The income used to determine IRMA is your AGI plus mini bond interest from two years ago. Your 2018 income determines your IRMA in 2020. Your 2019 income determines your IRMA in 2021. If your income crosses over to the next bracket by $1, all of a sudden your Medicare premiums can jump by over $1,000/year.
2018 IRMA: 35% to 58% Medicare Part D IRMA payment increases for individual earning incomes between $133,500 — $214,000 and couples earning $267,000 — $428,000.
Medicare premiums are based on your modified adjusted gross income, or MAGI. That's your total adjusted gross income plus tax-exempt interest, as gleaned from the most recent tax data Social Security has from the IRS.
IRMA stands for Income-Related Monthly Adjustment Amount, and it applies to Medicare Part B and Part D premiums. In layman's terms, if your modified adjusted gross income is above a certain level, there is an additional surcharge to your Medicare Part B and Part D premiums.
At higher incomes, premiums rise, to a maximum of $491.60 a month if your MAGI exceeds $500,000 for an individual, $750,000 for a couple.
Medicare premiums are based on your modified adjusted gross income, or MAGI. If your MAGI for 2018 was less than or equal to the higher-income threshold $87,000 for an individual taxpayer, $174,000 for a married couple filing jointly you pay the standard Medicare Part B rate for 2020, which is $144.60 a month.
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