Mbsm Solutions, LLC

Part B and Part D Income Related Monthly Adjustment Amount (IRMAA)

Individual tax returnJoint tax returnMarried filing separatelyPart B Monthly PremiumPart D Additional
Monthly Payment***
$103,000 or less$206,000 or less$103,000 or less$174.70$0.00
above $103,000 up to $129,000above $206,000 up to $258,000Not applicable$244.60$12.90
above $129,000 up to $161,000above $258,000 up to $322,000Not applicable$349.40$33.30
above $161,000 up to $193,000above $322,000 up to $386,000Not applicable$454.20$53.80
above $133,000 and less than $500,000above $386,000 and less than $750,000above $97,000 and less than $403,000$559.00$74.20
$500,000 or above$750,000 or above$403,000 or above$594.00$81.00

***Amount you will pay in addition to your plan specific monthly premium.

Source: medicare.gov