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How Does the Income-Related Monthly Adjustment Amount Affect the Total Medicare Part B Premium?

Excerpted from "Social Security Handbook". See the up-to-date, official Social Security Handbook at ssa.gov.

2505. How Does the Income-Related Monthly Adjustment Amount Affect the Total Medicare Part B Premium?

The Income-Related Monthly Adjustment Amount (IRMAA) is only one part of the cost of a beneficiary's Part B premium. The amount a beneficiary ordinarily pays for Part B each month consists of:

  • The Standard premium, plus

  • Surcharges that may be due for late enrollment or reenrollment (if applicable), plus

  • IRMAA (if applicable), minus

  • Medicare Advantage reduction in premium credited (if applicable), see §127.5.

Last Revised: May 22, 2007

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There are 2 Comments

IF YOUR ONLY INCOME IS SSDI SINCE 2006 AND YOU CASH OUT YOUR IRA IN 2008 WHEN YOU WERE NOT ON MEDICARE PART B IN THE YEAR OF 2008. WHICH WAS THE ONLY TIME YOU HAD TO FILE A TAX RETURN. WHY DO YOU HAVE TO PAY A HIGHER PREMIUM BEGINIG IN 2011.WHEN THAT WAS THE LAST TIME THAT YOU HAD TO FILE A TAX RETURN. BECAUSE MY ONLY INCOME IS SSDI WHICH IS ABOUT 18,OOO A YEAR.

This site doesn't specialize in Medicare issues. However, I have heard several cases where folks have seen their Medicare premiums rise as they become temporarily "rich" due to one-time income events (ex. sale of stock).

You can appeal these rate hikes, but I have not seen much success with the appeals.

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