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2026 Medicare IRMAA Impact Calculator

If your income is above a certain threshold, Medicare adds a surcharge to your Part B and Part D premiums — known as IRMAA (Income-Related Monthly Adjustment Amount). This surcharge is based on your tax return from two years ago, and in 2026, it can add anywhere from $70 to over $400 per month to your costs. Use the calculator below to see exactly where you fall.
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Estimate Your IRMAA Impact

Enter your tax filing status and Modified Adjusted Gross Income (MAGI) from your two-year return. The calculator will show your Part B premium, Part D surcharge, and total additional monthly cost for {2026}.

Your Information

IRMAA is based on your Modified Adjusted Gross Income (MAGI) from your tax return 2 years ago.

MAGI = your Adjusted Gross Income + tax-exempt interest income. You'll find these on your IRS Form 1040. Medicare uses the return from 2 years prior to the current benefit year.

Enter your filing status and income, then click "See My IRMAA Impact" to view your estimated surcharges.

Standard Premium — No Surcharge
Tier 1 Tier 6
Total Monthly IRMAA Surcharge
$0.00
additional cost per month above standard premiums
Standard monthly premium
IRMAA adjustment
Your Part B premium
Part D IRMAA surcharge
This surcharge is added to whatever Part D plan premium you already pay.
Annual IRMAA Cost
Good to Know

Talk to an Advisor About Your Coverage →

Understanding IRMAA

What Is IRMAA?

IRMAA stands for Income-Related Monthly Adjustment Amount. It's an extra charge added to your Part B and Part D premiums if your income exceeds certain thresholds. It is not a penalty — it's an income-based sliding scale that affects roughly 7% of Medicare beneficiaries.

The Two-Year Lookback Rule

Medicare determines your IRMAA using your tax return from two years prior. So your premiums in 2026 are based on your 2024 Modified Adjusted Gross Income (MAGI). If your income has since dropped, you can request a redetermination.

Life-Changing Events & Appeals

Experienced a significant income drop due to retirement, divorce, death of a spouse, work reduction, or loss of income-producing property? You may qualify for an IRMAA reduction by filing SSA-44 with Social Security. A UMA advisor can guide you through the process.

IRMAA Doesn't Affect Medigap

Your Medicare Supplement (Medigap) premiums are completely separate from IRMAA. Even if you pay a higher Part B premium due to income, your Medigap plan costs remain based on the plan's own rating factors — not your income.

Disclaimer: This calculator provides estimates for educational purposes only. Actual IRMAA amounts are determined by the Social Security Administration using IRS tax data and may differ based on your specific filing status, income, and life circumstances. Amounts shown reflect 2026 published rates. Contact Social Security (1-800-772-1213) or speak with a licensed UMA advisor for a definitive determination.
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