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Medicare Adds IRMAA, Boosts 2026 Premiums for Wealthy retirees

6/28/2026

Summary

Story summary

Medicare adds an income-related monthly adjustment amount (IRMAA) that raises Part B and Part D premiums for higher-income retirees.
For 2026 the standard Part B premium is $202.90, with higher brackets raising it to $284.10-$689.90 and Part D IRMAA adding $14.50-$91.00.
A year of stock, sale, real-estate, RMD, or Roth conversion income can push a retiree into a higher IRMAA tier, allowing tax and retirement-income planning to prevent the added Medicare costs.

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Story summary

Medicare adds an income-related monthly adjustment amount (IRMAA) that raises Part B and Part D premiums for higher-income retirees.
For 2026 the standard Part B premium is $202.90, with higher brackets raising it to $284.10-$689.90 and Part D IRMAA adding $14.50-$91.00.
A year of stock, sale, real-estate, RMD, or Roth conversion income can push a retiree into a higher IRMAA tier, allowing tax and retirement-income planning to prevent the added Medicare costs.