Income Related Monthly Adjustment IRMAA:
Higher earners pay more for Part B and Part D!
For 2024, the standard Part B premium amount is $244.60
Unless you are a high earner (see IRMAA chart).
You’ll pay a different amount for your Part B if:
- 
You enrolled in Part B for the very first time in 2024
 - 
You don’t get Social Security benefits
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You are directly billed for your Part B premiums.
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You have both Medicare and Medicaid and Medicaid pays your premiums. Your state will pay the standard premium amount
 - 
Your modified adjusted gross income as reported on your IRS tax returns from 2 years ago was above a certain amount (see chart).
 


