Medicare Premium 2026 and IRMAA Brackets — What Higher-Income Retirees Will Pay for Part B and D
This article explains the 2026 standard Medicare Part B premium increase and lays out the full income-related surcharge (IRMAA) brackets for both Part B and Part D, showing how costs jump for higher-income retirees.
Source: Retirementliteracyfoundation ·
If your income climbs before retirement, Medicare's surcharges can quietly inflate your annual healthcare costs by thousands—turning a six-figure nest egg problem into a cash-flow one. For someone 10 years from retirement, Part B premiums hitting $202.90 monthly is just the floor; if your modified adjusted gross income pushes you into higher IRMAA brackets, you could pay up to 3.4 times that base amount, enough to shift whether early Social Security or Roth conversions make sense in your final working years. Worth checking with your advisor how your current savings trajectory (especially catch-up contributions after 50) affects your income in year one of Medicare.
- •The standard Medicare Part B premium in 2026 is $202.90 per month, a 9.7% increase from 2025.[10]
- •The Part B annual deductible rises to $283, increasing out-of-pocket costs for care.[10]
- •Income-related IRMAA brackets mean higher earners can pay up to about 3.4 times the standard Part B premium plus Part D surcharges, making income and Roth conversion planning critical.[10]
Mid‑career savers and near‑retirees need to factor rising premiums and IRMAA surcharges into retirement budgets and tax planning, especially when doing large Roth conversions or working longer at higher incomes.