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The Income-Related Monthly Adjustment Amount (IRMAA) is a surcharge that is added to Medicare Part B and Part D premiums for individuals with higher incomes. The IRMAA brackets and premiums are adjusted annually to reflect changes in the cost of living.

The IRMAA surcharges are applied to the standard Part B and Part D premiums. The standard Part B premium for 2025 is $164.90 per month. The standard Part D premium for 2025 is $31.50 per month.

Individuals who are subject to the IRMAA surcharge will see their Part B and Part D premiums increase by the applicable amount. For example, a single individual with a MAGI of $129,001 to $161,000 will pay a Part B premium of $335.70 per month and a Part D premium of $77.10 per month.

The IRMAA surcharges are designed to help offset the cost of providing Medicare benefits to individuals with higher incomes. The surcharges are based on the assumption that individuals with higher incomes can afford to pay more for their Medicare coverage.

Individuals who are subject to the IRMAA surcharge can take steps to reduce their premiums. One option is to lower their MAGI. This can be done by increasing their deductions or by contributing more to a retirement account. Another option is to switch to a Medicare Advantage plan. Medicare Advantage plans are offered by private insurers and typically have lower premiums than traditional Medicare.

If you are subject to the IRMAA surcharge, it is important to understand your options and make the best decision for your financial situation.





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