Week 43 Day 6: Medicare IRMAA: The Surcharge You Do Not See Coming

If your modified adjusted gross income exceeds $206,000 (married filing jointly, 2024), your Medicare Part B and Part D premiums increase -- sometimes dramatically. This surcharge is called IRMAA (Inc...

If your modified adjusted gross income exceeds $206,000 (married filing jointly, 2024), your Medicare Part B and Part D premiums increase -- sometimes dramatically. This surcharge is called IRMAA (Income-Related Monthly Adjustment Amount). A large Roth conversion or capital gain realization can trigger $3,000-$12,000 per year in extra premiums for two years.