2026 IRMAA Brackets: Married Jointly from $202.90 (Official)
Published CMS amounts, with the income and coverage rules beside them.
Official
Coverage year 2026 ordinarily uses the 2024 tax return. Amounts below are per enrolled person.
| MAGI from 2024 | Part B total / month | Part B surcharge | Part D surcharge |
|---|---|---|---|
| $218,000 or less | $202.90 | $0.00 | $0.00 |
| Over $218,000 to $274,000 | $284.10 | $81.20 | $14.50 |
| Over $274,000 to $342,000 | $405.80 | $202.90 | $37.50 |
| Over $342,000 to $410,000 | $527.50 | $324.60 | $60.40 |
| Over $410,000 to under $750,000 | $649.20 | $446.30 | $83.30 |
| $750,000 or more | $689.90 | $487.00 | $91.00 |
Part D surcharge is added to your plan premium. Married-separate tiers shown apply if you lived with your spouse during the tax year.
Calculate my surchargeQuestions, answered.
Are the 2026 Medicare amounts official?
Yes. CMS published the amounts; the sources below identify the announcement.
Which income counts for IRMAA?
Modified adjusted gross income is ordinarily adjusted gross income plus tax-exempt interest from two tax years earlier. Certain changes can justify a new determination from SSA.
Will a married couple pay one premium?
Medicare costs are generally per enrolled person. Joint filing uses the joint income thresholds, but each spouse can owe a premium and surcharge.
Does the Part D base amount equal my plan premium?
No. It is a national benchmark. Your chosen plan premium and any Part D income-related surcharge are separate.
Can retirement reduce an IRMAA assessment?
Work stoppage or reduction can be a qualifying life-changing event. Follow SSA-44 and SSA’s evidence rules; a lower entered calculator income does not itself change the assessment.
Check the sources.
Data checked October 1, 2026. Announced November 14, 2025.