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The Income-Related Monthly Adjustment Amount (IRMAA) is a surcharge added to Part D prescription drug plan premiums for individuals with higher incomes. The IRMAA brackets are adjusted annually based on the Social Security Administration’s (SSA) cost-of-living adjustments (COLAs). For 2025, the IRMAA brackets have been increased slightly from 2025.

IRMAA is calculated based on the modified adjusted gross income (MAGI) reported on your federal income tax return. MAGI is your adjusted gross income (AGI) plus certain tax-exempt income, such as municipal bond interest.

To determine your IRMAA bracket, you will need to compare your MAGI to the income thresholds listed above. If your MAGI exceeds the threshold for your filing status, you will be subject to the IRMAA surcharge.

The IRMAA surcharge is a flat amount that is added to your Part D premium each month. The surcharge amount varies depending on your income and filing status.

IRMAA can significantly increase the cost of Part D prescription drug coverage. For individuals with higher incomes, the IRMAA surcharge can add hundreds of dollars to their annual premiums.

If you are subject to IRMAA, it is important to shop around for a Part D plan that offers low premiums and deductibles. You may also want to consider enrolling in a Medicare Advantage plan, which may offer lower out-of-pocket costs for prescription drugs.

The 2025 IRMAA brackets have been adjusted slightly from 2025. Individuals with higher incomes should be aware of the potential impact of IRMAA on their Part D premiums. By understanding the IRMAA brackets and exceptions, you can make informed decisions about your prescription drug coverage.




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