Income Related Monthly Adjustment Amount (IRMAA)

The Income Related Monthly Adjustment Amount (IRMAA) is an extra fee added to your Medicare Part B and Part D premiums when your income is above a certain amount.

Your Part B IRMAA is automatically added to your Part B premium. This is deducted from your Social Security check if you're receiving one or paid to Medicare when billed.

Your Part D IRMAA is paid directly to Medicare and is separate from your prescription drug plan premium. This can be deducted from your Social Security check if you're receiving one or paid to Medicare when billed.

You receive a notice that includes information about the IRMAA and your appeal rights if Social Security determines an IRMAA applies to you. Please remember that Medicare treats IRMAA payments the same way it treats other premium payments, meaning you could lose your coverage if you don't make these payments on time each month. IRMAA payments also apply if you're enrolled in a Medicare Advantage plan that includes drug coverage.

The 2022 Medicare Part B and Part D IRMAA amounts are included below. Visit medicare.gov for more information about IRMAA.

Part B IRMAA

The standard Part B premium amount in 2022 is $170.10. Most people pay the standard Part B premium amount. If your modified adjusted gross income as reported on your 2020 IRS tax return is above a certain amount, you pay the standard premium amount and an IRMAA.

2022 Part D IRMAA based on 2020 Tax Return
Filed Individual tax return	Filed joint tax return	Part B premium per month
$91,000 or less	$182,000 or less	$170.10
Above $91,000 up to $114,000	Above $182,000 up to $228,000	$238.10
Above $114,000 up to $142,000	Above $228,000 up to $284,000	$340.20
Above $142,000 up to $170,000	Above $284,000 up to $340,000	$442.30
Above $170,000 and less than $500,000	Above $340,000 and less than $750,000	$544.30
$500,000 or above	$750,000 or above	$578.30

Part D IRMAA

The chart below shows the 2022 estimated prescription drug plan monthly premium based on your modified adjusted gross income, as reported on your 2020 IRS tax return. If your income is above a certain limit, you pay an IRMAA, in addition to your plan premium.

2022 Part D IRMAA based on 2020 Tax Return
Filed Individual tax return	Filed joint tax return	PDP monthly premium
$91,000 or less	$182,000 or less	Your plan premium
Above $91,000 up to $114,000	Above $182,000 up to $228,000	Your plan premium + $12.40
Above $114,000 up to $142,000	Above $228,000 up to $284,000	Your plan premium + $32.10
Above $142,000 up to $170,000	Above $284,000 up to $340,000	Your plan premium + $51.70
Above $170,000 and less than $500,000	Above $340,000 and less than $750,000	Your plan premium + $71.30
$500,000 or above	$750,000 or above	Your plan premium + $77.90

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