How Can I Avoid Paying Medicare Surcharges (IRMAA)?

Elder laws protect the elderly and their financial assets.

Medicare surcharges, commonly known as Income-Related Monthly Adjustment Amounts (IRMAA), impose additional fees on certain beneficiaries based on their income. Calculated using Modified Adjusted Gross Income (MAGI), IRMAA affects both Medicare Part B and Part D premiums.

IRMAA for Singles and Couples in 2023

In 2023, the standard Part B premium is $164.90, with IRMAA potentially increasing it by up to $395.60. Similarly, the standard Part D premium is $76.40, subject to an additional IRMAA of up to $76.40.

For Singles:

  • MAGI between $88,000 and $111,000: Additional $148.50 per month for Part B.
  • MAGI between $111,000 and $138,000: Additional $207.90 per month for Part B.
  • MAGI over $138,000: Additional $267.30 per month for Part B.

IRMAA for Part D premiums follows a similar structure.

For Couples:

  • MAGI between $176,000 and $222,000: Additional $148.50 per month for Part B.
  • MAGI between $222,000 and $276,000: Additional $207.90 per month for Part B.
  • MAGI over $276,000: Additional $267.30 per month for Part B.

IRMAA for Part D premiums mirrors these thresholds.

Calculating Surcharges: An Example

For instance, a single person with a $100,000 MAGI would pay an extra $148.50 monthly for Part B, in addition to the standard $164.90. Similarly, a couple with a $250,000 MAGI would face an additional $267.30 monthly for Part B, atop the standard $164.90.

Strategies to Avoid or Minimize IRMAA

  • Lower MAGI through tax deductions and credits.
  • Plan income during retirement.
  • If working, postpone Social Security benefits to reduce MAGI.

Seeking Advice

In summary, IRMAA presents a surcharge tied to Medicare Part B and Part D premiums, contingent on income and marital status. To navigate this complexity and potential financial impacts, seeking guidance from a Fee-Only professional adviser is highly recommended. Operating without commissions, Fee-Only advisers offer unbiased recommendations aligned with the client’s best interests. Their expertise proves invaluable in managing MAGI effectively, optimizing tax-related decisions, and navigating Medicare surcharges. Consulting with a Fee-Only professional adds a personalized layer to financial planning, aiding beneficiaries in minimizing IRMAA’s impact and ensuring overall financial well-being.

About This Article

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