2028 IRMAA Brackets: Single from $224.50 (Projected)

Planning projections. The final CMS amounts and income tiers can differ.

Projected

Coverage year 2028 ordinarily uses the 2026 tax return. Amounts below are per enrolled person.

2028 IRMAA, Single
MAGI from 2026Part B total / monthPart B surchargePart D surcharge
$116,000 or less$224.50$0.00$0.00
Over $116,000 to $145,000$314.30$89.80$16.30
Over $145,000 to $181,000$449.00$224.50$42.10
Over $181,000 to $217,000$583.70$359.20$67.90
Over $217,000 to under $500,000$718.30$493.80$93.60
$500,000 or more$763.30$538.80$102.20

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 surcharge
Premiums and cost-sharing: 2026 Trustees tables V.E1/V.E2, pp. 206-207. IRMAA planning model: 3% annual threshold growth rounded to $1,000; surcharge growth follows the respective base premium. Top $500,000/$750,000 thresholds held fixed. Not official CMS brackets.

Questions, answered.

Are the 2028 Medicare amounts official?

No. These are Trustees-based premium projections and explicit IRMAA planning assumptions, with no claim of a final CMS 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.