退休前没大注意IRMAA,但它关乎Medicare月费和Roth conversion planning。下面是简介

IRMAA (Income-Related Monthly Adjustment Amount) was enacted in 2003 and implemented in 2007. For single filers, the lowest threshold (where surcharges begin) remained fixed at  (based on 2-year prior income) until 2019, but inflation indexing started in 2020, with the 2026 threshold reaching 109000.

Key Historical Thresholds for Single Filers (Lowest Tier):

  • 2007–2019: 85000
  • 2020: 87000
  • 2021: 88000
  • 2022: 91000
  • 2023: 97000
  • 2024: 103000
  • 2025: 106000
  • 2026: 109000

Important Context:

  • Calculation: IRMAA is based on your Modified Adjusted Gross Income (MAGI) from two years prior.
  • Income Type: Included in MAGI are capital gains, which can trigger the surcharge.
  • Evolution: Originally only for Part B, it expanded to Part D in 2011. The threshold for paying higher premiums remained stagnant for over a decade before adjusting annually for inflation starting in 2020. 

2026年的各个tiers可查“2026 IRMAA”。

 

 

 

 

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