Medicare IRMAA Part B & Part D

This is Medicare. Millions enroll every year. Most pay the standard premium. But for some, there’s an extra charge. My job: cut through the confusion and give you… just the facts.

The Standard Premium

For most people in 2025:

• Part B (Medical Insurance): $185/month

• Part D (Prescription Drug Plans): Premium depends on the plan you choose (in New York, starting at $41/month)

Case closed… unless your income is above a certain level.

Enter IRMAA

If your income from two years ago (2023) was more than $106,000 filing single or $212,000 filing jointly, Social Security may tack on an Income-Related Monthly Adjustment Amount (IRMAA).

It’s a surcharge added to both Part B and Part D premiums. You’ll get a letter from Social Security letting you know if IRMAA applies to you.

IRMAA CHART 2025

The Good News: You Can Appeal

If your income has dropped since 2023, you may not have to keep paying IRMAA. You can file Form SSA-44 to report a life-changing event like retirement, work stoppage, divorce, or loss of income.  On the form, you’ll provide your current income and what you expect to make going forward. Translation: if you’ve retired and your income is lower, you may be able to reduce or eliminate the IRMAA surcharge.

Closing the File

• Standard Part B premium = $185 in 2025.

• Part D premiums depend on your plan.

• IRMAA adds surcharges if your income is above certain levels.

• You can appeal if your income has gone down.

Medicare costs don’t have to be a mystery.

Facts About Medicare IRMAA