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Medicare IRMAA Income Brackets for 2026

The 2026 IRMAA income limits for people who file single and for married couples filing jointly, based on 2024 income. Find where the extra Medicare charge starts.

Short answer

For 2026, IRMAA starts when your 2024 modified adjusted gross income is above $109,000 (filing single) or $218,000 (married filing jointly). There are five income steps above that. The exact extra dollar amounts are published by Medicare each year.

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Look up your modified adjusted gross income from your 2024 tax return.

Find your filing status in the table below.

See which income step you fall into.

Check the current extra dollar amounts for that step on Medicare.gov or your Social Security notice.

Call us if you are near a limit and want to understand your options.

2026 IRMAA income steps (based on 2024 income)

Social Security uses your 2024 return to set your 2026 amount. The first row is the standard premium with no IRMAA.

  • Step 0, no IRMAA: single $109,000 or less; joint $218,000 or less
  • Step 1: single $109,001 to $137,000; joint $218,001 to $274,000
  • Step 2: single $137,001 to $171,000; joint $274,001 to $342,000
  • Step 3: single $171,001 to $205,000; joint $342,001 to $410,000
  • Step 4: single $205,001 to $500,000; joint $410,001 to $750,000
  • Step 5: single above $500,000; joint above $750,000

Other filing statuses

People who are married but file separately and lived with their spouse during the year have much lower limits and fewer steps. Widows and others can have their own rules. Social Security's notice shows which table applies to you.

What each step costs

The extra dollar amount for each step is set by Medicare and changes every year. We do not print it here so you do not read an out-of-date figure. Your Social Security notice, Medicare.gov and our team all have the current number for the step you are in.

Why the limits matter more than the average

The steps are cliffs, not slopes. Going one dollar over a limit moves you to the next step for the full year. If your income is close to a limit, it is worth understanding what is in your adjusted gross income before a large withdrawal or sale. A tax professional can help with that. This is education, not tax advice.

Common questions about this topic

Are these limits the same every year?

No. The limits start from a base and are adjusted for inflation every year. The 2027 limits are normally announced in the fall.

Which tax year does 2026 use?

2024. IRMAA looks back two years, so your 2024 tax return sets your 2026 amount.

What counts as modified adjusted gross income?

For IRMAA, it is your adjusted gross income plus any tax-exempt interest, as shown on your tax return.

Related coverage articles

What Is Medicare IRMAA? The Income-Related Premium Surcharge ExplainedIRMAA is an extra monthly charge added to Medicare Part B and Part D when your income is above set limits. Here is who pays it, how it is figured and where the money goes.How to Lower or Appeal Your Medicare IRMAAIf your income dropped or Social Security used the wrong information, you may be able to lower IRMAA. Here are the life-changing events, Form SSA-44 and the deadline to know.IRMAA and Medicare Part D: The Extra Drug Plan ChargeHigher-income people owe an extra amount for Medicare drug coverage, paid to Medicare and not to the plan. Here is how it works, and what happens if it goes unpaid.

Tools that can help

Medicare Enrollment Period CalculatorFind your Medicare enrollment window and what it means for your timing.Medicare Part B Late Enrollment Penalty CalculatorEstimate whether a Part B late enrollment penalty could apply to you.Medicare Plan Ending FinderCheck your carrier and ZIP code against current, verified plan-ending records.

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