Medicare Part B 2026 premium jumps to $202.90; IRMAA income brackets and deductibles updated
The standard Medicare Part B premium will be $202.90 per month in 2026, a 9.7% increase from 2025, with the annual Part B deductible rising to $283; higher‑income retirees will pay additional IRMAA surcharges for both Part B and Part D based on updated income brackets.
Source: Retirementliteracyfoundation ·
Healthcare costs are climbing faster than many mid-career savers realize, and the income thresholds that trigger premium surcharges are closer than you think. If you're earning above $109,000 (or $218,000 as a couple), the 2026 IRMAA brackets mean your Medicare Part B and Part D costs will jump significantly once you retire. Even modest investment gains or Roth conversions in your 50s can push you over these thresholds in retirement, making the timing of income recognition matter more than ever. Worth running the numbers on how your projected retirement income stacks up against those IRMAA brackets—especially if you're considering Roth conversions or delaying Social Security.
- •Standard Part B premium rises to **$202.90/month** in 2026, up $17.90 from 2025, increasing baseline healthcare costs for all Medicare enrollees.[3]
- •The **Part B deductible** increases to **$283**, meaning retirees will pay more out of pocket before coverage kicks in.[3]
- •Updated IRMAA brackets mean individuals with modified adjusted gross income above **$109,000** (and couples above **$218,000**) will face sharply higher combined Part B and Part D monthly costs.[3]
Mid‑career workers should factor higher future Medicare premiums and IRMAA surcharges into their retirement budgets and Roth/tax planning, especially when considering catch‑up contributions and Roth conversions that could push income into higher brackets.