What is IRMAA, and can I request an adjustment?
How IRMAA Is Calculated?
Your IRMAA is based on your Modified Adjusted Gross Income (MAGI) from two years prior. For example, in 2025, your premiums are determined by your 2023 income.
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Single filers with income above ~$100,000
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Married couples with income above ~$200,000
If you were in your peak earning years two years ago but have since retired, this could result in higher-than-expected Medicare costs.
What You Can Do About It
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Review Your Income from Two Years Ago
Check if your income falls above the IRMAA thresholds for your filing status. -
File SSA Form 44
If you’ve experienced a life-changing event such as retirement, reduced income, divorce, or the death of a spouse, you may qualify to have your IRMAA reduced or eliminated. This allows Medicare to base your premiums on your current, lower income rather than past earnings.
How Wiser Wealth Can Help
At Wiser, we take a strategic approach to tax planning and income planning. By carefully managing how money is distributed from your accounts, we help minimize costs like IRMAA. If you’re unsure whether you’re affected or want to learn how to reduce your Medicare premiums, schedule a consultation with us. We’d be happy to guide you through the process.
Schedule a complimentary consultation and discover how our services can help you achieve financial freedom.
William Medcalf
Senior Financial Planning Associate, Wiser Wealth Management
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