2026 2027 2028 Medicare IRMAA Premium MAGI Brackets
This article details the upcoming Medicare IRMAA income brackets for 2026-2028, explaining how higher-income beneficiaries pay surcharges on Part B and Part D premiums based on modified AGI, with Roth IRA withdrawals excluded from the calculation.
Source: Thefinancebuff ·
Higher-income retirees must navigate the complexities of Medicare's IRMAA brackets, where small increases in modified AGI can lead to significant premium surcharges that strain budgets. Imagine a 64-year-old couple with a combined income of $200,000, drawing $4,500 a month from their retirement accounts. A surge in their AGI due to a Roth conversion could push them into a higher IRMAA bracket, resulting in an extra $1,000 in premiums annually, further squeezing their retirement cash flow. Worth running the numbers on potential Roth conversions to understand their impact on Medicare premiums and overall retirement income.
- •IRMAA divides beneficiaries into five income brackets, charging 1.4 to 3.4 times the standard premium
- •Brackets adjust annually based on CPI data
- •Roth IRA withdrawals do not count toward IRMAA MAGI
Retirees with traditional IRAs or 401(k)s may face higher Medicare premiums due to IRMAA surcharges, making Roth conversions a key strategy to manage costs.