The 2021 low income will determine your 2023 IRMAA. Medicare Part B covers physician services,. 70: Greater than $103,000 and less than or equal to $129,000 We are clearly above the current $182k MAGI limit, but I read one article that estimates the limit could be $190k for 2021 income when they look back in 2023. What you pay in 2023: Premium: $164. 280. 20 to $76. IRMAA surcharges have grown steadily. 1) However, the premiums for Part B (medical insurance) and Part D (prescription drug insurance) can vary between individuals based on their income level. 3 For 2023, the base premium for Part B is $164. The estimated average monthly premium for Medicare Part D stand-alone drug plans is projected to be $43 in 2023, based on current enrollment, a 10% increase from $39 in 2022 – a rate of increase. Plus, individuals with earned income of more than $200,000, or. Medicare 2022 Part B premium adjustments. 5% of your income for the benchmark plan (2nd lowest price silver plan). 5%) will pay less than the full Part B standard monthly premium amount in 2019 due to the statutory hold harmless provision, which limits certain. For an inflation rate of -10% (meaning. 2021 Medicare Income Planning. Just like with your Part B coverage, you’ll pay an increased cost if you make more than the preset income level. 60. The following are the income thresholds that apply for the 2023 tax year: Part B IRMAA Brackets : Individuals with a 2021 income of $97,000 or less (or married. Below are the six income threshold tiers for 2023. Today, the Centers for Medicare & Medicaid Services (CMS) released the Announcement of Calendar Year (CY) 2023 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the Rate Announcement). If your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount, you’ll pay the standard Part B premium and an income-related monthly adjustment amount. Ultimately the cost (tax) for having too much money while in Medicare is only going to increase in 2024. Ultimately the cost (tax) for having too much money while in Medicare is only going to increase in 2024. (based on 2022 income). IRMAA stands for Income Related Monthly Adjustment Amount. All gains above those amounts do, though. In 2023, Medicare beneficiaries with. Tell the representative you want to lower your Medicare Income-Related Monthly Adjustment Amount (IRMAA) due to a life-changing event. The drug reportedly will cost $26,500 a year, and with premiums set to cover about a quarter of program costs, it’s likely Medicare users would see Part B costs for 2024 higher than the $174. The current Medicare costs and IRMAA brackets can be found at this link. Just like with your Part B coverage, you’ll pay an increased cost if you make more than the preset income level. $0. 00 for a two-person family in the contiguous States and D. 90 in 2023. In your example, your MAGI for 2022 determines your IRMAA (or not) for the single year of 2024. If you've had a life-changing event that reduced your household income, you can ask to lower the additional amount you'll pay for. There are also three tax filing status levels. 80 (compared to $238. 10. 10 The same income tiers apply to Part D prescription drug plans, with IRMAA surcharges ranging from an additional $12. 2023 Medicare Amounts. 90 in. 10Current IRMAA bracket limits are wider than they were before, but you want to be prepared for Medicare premiums to jump if you’re considering selling stock, taking a large IRA distribution, or converting to a Roth IRA – anything that could possibly contribute to an increased income tax bracket. If your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount, you'll pay the standard premium amount and an Income Related Monthly Adjustment Amount (IRMAA). The Part B insurance premium is set annually by the CMS. 60 and Medicare Part D monthly premiums by as much as $76. The 2024 Medicare IRMAA surcharge kicks in when modified adjusted gross income exceeds $103,000 for single taxpayers or $206,000 for married couples filing jointly. portfolio income from things like capital gains or Roth conversions are not. A maximum of $4. And the income ceiling for contributions to Roth IRAs was also raised to account for inflation. 90 per month in 2023. What is the income limit for Irmaa for 2023? The IRMAA income brackets for 2023 start at $97,000 for a single filer and $194,000 for a married couple. 2022 Extra Help Income Limits: Full Subsidy––Below 135% of poverty guidelines (below $18,588 for an individual and. You’ll pay the premium each month, even if you don’t get any Part B-covered services. The monthly premium for that tier will be $230. This means that the income thresholds for each bracket will remain at the same level as in 2021. 2% of your Social Security benefit. Medicare Part B Income-Related Monthly Adjustment Amounts. Income-related monthly adjustment amount. Understand your Medicare coverage in 2023. 92% on average per threshold. So, for 2024, the SSA looks at your 2022 tax returns to see if you must pay an IRMAA. What the IRMAA MAGI thresholds will be for those Medicare premiums depend on what the CPI-U values will be for the 12 months from September 2022 through August 2023 13 months from August 2022 through August 2023. Total Monthly Premium Amount. The annual deductible for all Medicare Part B beneficiaries is $226 in 2023, a decrease of $7 from the annual deductible of $233 in 2022. The Part B premium will increase to $148. 40 per month, depending on income. In 2024, the standard Part B monthly premium is $174. also, based on no inflation, to avoid IRMAA, the 2023 Joint filing income limit is estimated to be $210,000. 90 in 2023. Total Monthly Premium Amount. For couples who file a joint tax return, that threshold is $194,000 per year. The same income tiers apply to Part D prescription drug plans, with IRMAA surcharges ranging from an additional $12. – If MAGI is between $111,001 and. IRA contribution limits for 2024 The IRA contribution limits for 2024 are $7,000 for those under age 50, and $8,000 for those age 50 or older. If your income has gone down, you may also use Form SSA-44 to request a reduction in your income-related monthly adjustment amount. Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act. This accounts for around 25 percent of the monthly cost for Part B, with the government (i. As it can be seen through the changes from 2007 to 2011, thankfully, the IRMAA income thresholds increased by roughly 1. The Medicare portion of the FICA payroll tax is 1. CMS’s goals for Medicare Advantage and Part D mirror our vision for the agency’s programs as. Depending on your income, a maximum of $560. Each year stands on its own. You'll also learn what IRMAA is and how to avoid IRMAA this year. $97,000 or less. In 2023, it can more than triple Part B premiums to as much as $560. Today, the Centers for Medicare & Medicaid Services (CMS) released the Announcement of Calendar Year (CY) 2023 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the Rate Announcement). In the latter filing scenario, Part B premiums are $238. No one knows. $0. $103. My total Medicare Part B premium for 2023 was set to climb from the standard $164. This optional form is filled out once per person. 40 per month per person. the beneficiary’s adjusted gross income (AGI) (found on line 11 of the Internal Revenue Service (IRS) tax filing form 1040), plus. IRMAA charges affect. 0 million IRMAA applicability and amounts are recalculated annually. Why does my very low-income limit not equal 50% of my median family income (or my low. Less than or equal to $97,000. IRMAA concerns for 2025. Nov 21, 2023, 10:09am EST. For 2023, the immunosuppressive drug premium is $97. (877) 410-9594 info@irmaacertifiedplanner. 001 Overview of New Initial Determinations on the Income-Related Monthly Adjustment Amount (IRMAA) Using Beneficiary Provided Information HI 01140. 2. In 2021, the income thresholds were more than $88,000 for an individual and more than $176,000 for married couples filing jointly. 2024 Medicare Part D Income Related Adjustment Amount (IRMAA) Income Brackets: If your filing status and yearly income in 2022 (filed in 2023) was: File individual tax return: File joint tax return: File married & separate tax return: You pay each month for Part D (in 2024) $103,000 or less: $206,000 or less: $103,000 or less: no IRMAA, only. All gains above those amounts do, though. Then there was another $31. 000 - Medicare Income-Related Monthly Adjustment Amount - Table of Contents - 10/25/2023 Batch run: 10/25/2023 Rev:10/25/2023The standard Part B premium amount in 2023 is $164. 49 in 2023 to $55. And for 2024, the Roth IRA contribution limit is $7,000 for those under 50, and $8,000 for those 50 and older. The IRMAA income brackets for 2023 determine whether you’ll be subject to the additional surcharge and how much you’ll have to pay. $170. 60. In 2023, the standard premium for Part B is $164. If you file separately from your spouse or fall. 60 and $594. If you had an event that caused your income to go down, you can request a reduction in your IRMAA. will be increased by $25 to $505 in 2023. $97,000 or less. 10 in 2022. Medical equipment. The income limit for the Saver's Credit (also known as the Retirement Savings Contributions Credit) for low- and moderate-income. If your yearly income in 2021 was File individual tax return File joint tax return File married & separate tax return You pay (in 2023) $97,000 or less $194,000 or less $97,000 or less Your plan premiumEven the 2025 IRMAA brackets are not 'locked in' as it is predicated on the inflation adjustment from Sept 2023 - Aug 2024. You’ll be subject to an IRMAA in 2024 if your 2022 reported income exceeded $97,000 on an individual tax return or $147,000 for a married couple filing jointly. You pay each month (in 2023) $97,000 or less. The standard Part B premium for 2023 is $164. How to avoid IRMAA: The easiest answer to avoid IRMAA is to just not generate the wrong type. This additional charge is on top of the standard monthly Medicare Part B premium to. also, based on no inflation, to avoid IRMAA, the 2023 Joint filing income limit is estimated to be $210,000. The first thing you should do is review your income from the relevant year and see how it stacks up against the new IRMAA thresholds. Those IRMAA brackets are 35% to 85%. Greater-income Medicare beneficiaries additionally. 10. 00: $174. 60 per month , up from $230. 90 (2023). The Income Related Monthly Adjustment Amount (IRMAA) of Medicare is a surcharge on top of the current year’s Medicare Part B and D premiums. 00: $170. Less than or equal to $97,000 Less than or equal to $194,000In order to appeal IRMAA you will need to fill out form SSA-44 titled “Medicare Income-Related Monthly Adjustment Amount – Life Changing Event”. Combined Medicare Part B premiums and IRMAA surcharges will range from $220. Filing Joint Tax Return. The true cost of Part B that IRMAA beneficiaries pay is 35% for level 1, 50% for level 2, 65% for level 3, 80% for level 4, and 85% for level 5. What is the Medicare IRMAA for 2023? The Income-Related Monthly Adjustment Amount begins with $97,000 for individual beneficiaries filing. Other beneficiaries pay Income-Related Monthly Adjustment Amounts (IRMAA), which vary by income level. I don’t know ACA limits at all. Once completed contact your local Social Security office for an appointment at. 40 per year) to $54. IRMAA 2022 annual reimbursements will be issued during the 3rd week of October 2023. For Part D, the IRMAA surcharges range from an additional $12. e. 00. 2 The 2023 Star Ratings used for 2024 Quality Bonus Payments (that were made public in October 2022). 60 per month per person in 2020. $148. In 2024, if your income. From increased premiums to a revised Income-Related Monthly Adjustment Amounts (IRMAA), many Medicare-related costs are going up in 2024. Like Medicare Part B, Medicare Part D prescription drug plans use the IRMAA to determine plan premium costs by income level. 80 standard monthly premium predicted by Medicare’s board of trustees in their March report. 50 a month or $6,732 for the year. The annual deductible for all Medicare Part B beneficiaries will be $240. You can find the tables below for individuals with income greater than $97,000 (or joint filers with income greater than $194,000). by Oicuryy » Thu Dec 30, 2021 4:30 pm. for individuals in the following categories will increase to $164. 50 a month extra for Part D drug coverage, although I take no medications. In 2023, the standard premium for Part B is $164. IRMAA stands for the Income Related Monthly Adjustment Amount that is added to some people’s Medicare premiums. The annual deductible for all Medicare Part B beneficiaries will be $240. Income-related monthly adjustment amount Total monthly Part B premium amount. 40 per. Medical equipment. IRMAA, again, is a cliff penalty. The numbers depicted here are based on the Social Security Administration’s (SSA) most current records. The MAGI used to determine if the income-related monthly adjustment amount (IRMAA) applies is the most recent tax information that IRS is able to provide. 2 Or 2020 if 2021 isn’t available. 2021 Married & filing separate. IRMAA is a surtax that increases with higher levels of income. $97. Medicare recipients with 2022 incomes exceeding $103,000 (single filers) or $206,000 (married filing jointly) will pay a premium between $244. Affordable rental housing is housing with rents equal to, or lower than, average rates in the private-market. Beneficiaries who are married and lived with their spouses at any time during the year, but who file separate tax returns from their spouses with modified adjusted gross income: Income-Related Monthly Adjustment Amount. 80 per month. 70 (normal $164. It is exasperating!The standard monthly Part B premium in 2023 is $164. Tax filing levels. IRMAA, again, is a cliff penalty. The standard Part B premium is $164. Total Monthly Premium Amount. Then there was another $31. 2023 Part D premium. 00% for IRMAA-Part B and for IRMAA-Part D the surcharges will inflate by 5. So, whether or not you owe IRMAA in 2023 is based on your Modified Adjusted Gross Income in 2021. C. Less than or equal to $97,000. Because we have a marginal income tax rate, if you are bumped into the next higher tax bracket, only your extra dollars of income over the limit are taxed at the. If you have to pay IRMAA, you’ll fall into one of 5 IRMAA tiers. by notBobToo » Wed Oct 27, 2021 4:03 pm. IRMAA stands for income-related monthly adjustment amounts. 00. However, by law, the IRMAA Brackets adjust according to the Consumer Price Index for Urban Consumers (CPI-U). To prepare for 2023, check your income from 2021 and compare the new thresholds. Depending on your yearly income, you may have an additional IRMAA surcharge. For 2023, the provincial income thresholds and the British Columbia tax reduction have been indexed. The income thresholds for premiums to be paid during 2023 are known. She will not be subject to IRMAA in 2023 because her income is below the $97,000 threshold; Her 2023 Medicare Part B premium will be $164. 50 (monthly plan premium + $31. Medicare-eligible retirees and their Medicare-eligible dependents can submit an IRMAA application if they paid above the standard amount of $170. The IRMAA surcharge is added to your 2023 premiums if your 2021 income was over $97,000 (or $194,000 if you’re married). married filing jointly with a spouse who is covered by a plan at work: more than $218,000 but less than $228,000: a partial deduction. If you are expected to pay IRMAA, SSA will notify you that you have a higher Part D premium. $103k is almost certainly going to be the actual number for 2024 (based on 2022 income) for a single. by Devin Carroll. Medicare Part D Premium Increase Limits. 70 for 2024, an increase of $9. 141, rounded up to the number of digits shown. 90 in 2023. Since he turns 65 mid-year,. As we’ve discussed, IRMAA applies to both Medicare Part B and Part D. Medicare beneficiaries who reported an individual income at or below $103,000 in 2022, or a married couple who earn no more than $206,000 per year in 2022, will now pay $174. Starting in 2024 and lasting through 2030, the IRA limits Part D premium growth to no more than 6% per year. Most beneficiaries do not have to pay higher premiums. The revenue brackets are the identical. Roth Conversion with Social Security and Medicare IRMAA A step-by-step walkthrough of how to use the Case Study Spreadsheet to estimate tax rates on Roth conversion with Social Security and Medicare IRMAA. For those unaware of IRMAA, the two-year lag can create unpleasant surprises when you first enroll in Medicare—especially if your. 70 (normal $164. 70 and the. 50 a month, depending on income. Greater than $91,000 and less than $409,000. Just watch what conversions will do to ACA premiums each year. 90 (down from $170. For that 7%, the premium is structured as a two-part assessment: the basic assessment of $164. The inflation data for the 2023 thresholds will not be known until September of 2022. 2023 IRMAA Brackets. According to latest Medicare Board of Trustees report from the IRMAA brackets will increase by over 6. 80 for a total of $3955. For that 7%, the premium is structured as a two-part assessment: the basic assessment of $164. However, Medicare Part B is a standard plan with a base price. Medicare premium surcharges. 90 . $0. You want to know whether SSA will use your possible high income in 2022 to retroactively to charge you IRMAA in 2022. 70. For example, the highest income bracket for Part B now starts at $750,000 of MAGI, instead of $500,000. On November 12, 2021, the Centers for Medicare & Medicaid Services (CMS) released the 2022 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2022 Medicare Part D income-related monthly adjustment amounts. 70 for 2024, an increase of $9. You’d pay a surcharge of $937 in 2023. Your 2023 IRMAA is based on your Modified Adjusted Gross Income (MAGI) from 2021. 90 for 2023, while the annual deductible for all Medicare Part B beneficiaries declined by $7 to $226. IRMAA thresholds are adjusted for inflation each year. The Medicare Part B deductible will increase to $240 in 2024. will increase from $4,660 in 2023 to $5,030 in 2024. Have been using the Finance Buff site to estimate the 2024 IRMAA limits - would fellow Bogleheads consider this site a reliable source to estimate the 2024 (for 2022 income and don't want to accidentally "fall off the cliff" into the next higher bracket) the IRMAA limits?. We also expect the IRMAA threshold will increase to more than $91,000 for individuals and $182,000 for joint. Married Submitting Individually >= $403,000. What is IRMAA? IRMAA is the Income Related Monthly Adjustment Amount added to your Medicare Part B and Medicare Part D premiums. 90 a month to $329. The Medicare Part B 2023 standard monthly premium is $164. $0. Here is an excerpt: "It’s too early to know what the 2023 IRMAA brackets will be. The IRMAA limits are recalculated annually, so what you do in 2022 can. 90. The average total Part D premium is the sum of the average basic premium and the average supplemental premium for plans with enhanced coverage and is the most accurate current projection of what. Complete breakdown of income thresholds and the corresponding premium amounts in the chart below. Apr 04, 2022. 90 per month for those in the lowest income-adjustment bracket. 50 a month extra for Part D drug coverage, although I take no medications. The maximum IRMAA in 2021 will be $356. 45% while the surcharges in each bracket inflated on average by over 17%. However in 2023, 2024, and 2025 there is no maximum income limit, and premiums are limited to 8. The base Medicare Part D premium varies based on which plan you pick. 80 from $164. The 2023 IRMAA surcharge for Part B can cost $395. For 2023, this figure is $128,810. Call +1 800-772-1213. The annual deductible for all Medicare Part B beneficiaries will be $240 in. $103. 2023 Housing Income Limits (HILS) - Effective January 1, 2023. That surcharge is known as an Income-Related Monthly Adjustment Amount, aka IRMAA. The higher the beneficiary’s range of modified adjusted gross income (MAGI), the higher the IRMAA. In 2022, the standard monthly premium for Part B is $170. Please reference our article with Important Tables for 2023 to see the Federal Income Tax Brackets and IRMAA thresholds. 80 IRMAA surcharge) Medicare Part D Premium: $31. 33%. What is IRMAA? IRMAA stands for Income Related Monthly Adjustment Amounts. Premiums start to increase for individuals who made $97,000 in 2021 or joint filers who made $194,000. 50 a month or $6,732 for the year. 7 million, after the inflation adjustments. According to the Medicare Board of Trustees, who oversee the financial operations of Medicare, costs of. Your annual income: Your monthly premium in 2023: Individuals: Couples: Equal to or below $97,000: The table below shows the income limits and potential Medicare Part B premiums for 2023: Filing Individual Tax Return. Beneficiaries who file an individual tax return with income: Beneficiaries who file a joint tax return with income: Income-related monthly adjustment amount Total monthly Part B premium amount; Less than or equal to $103,000: Less than or equal to $206,000: $0. Part D – 4. 10. 1, 2023 WASHINGTON — The Internal Revenue Service announced today that the amount individuals can contribute to their 401(k) plans in 2024 has increased to $23,000, up from $22,500 for 2023. Q6. If your yearly income in 2021 was File individual tax return File joint tax return File married & separate tax return You pay (in 2023) $97,000 or less $194,000 or less $97,000 or less Your plan premium Married Submitting Collectively: >= $750,000. However, if your individual income goes above $97,000, or $194,000 if filing taxes jointly, you'll pay the following income-related monthly adjustment amounts (IRMAA) in addition to the standard premium: · $238. 70 per month in 2024. Part B IRMAA is the surcharge that can apply for Medicare Part B coverage. In other words, the highest earners could. However, you can make reasonable estimates 09-19-2022, 06:28 PM #. 90 premium + $164. $97,001 – $123,000. The standard Medicare Part B Premium in 2024 is a $9. If your filing status and yearly income in 2021 was. The Social Security Administration (SSA) uses Federal income tax return information from the Internal Revenue Service (IRS) about beneficiaries’ modified adjusted gross income (MAGI) to make IRMAA determinations (see HI 01101. The standard monthly premium for Medicare Part B in 2023 is $164. This income is based on your MAGI (Modified Adjusted Gross Income) from your 2021 Tax Return. The projected average total Part D beneficiary premium is projected to decrease by 1. 70. 20 from $170. 65%. married filing jointly with a spouse who is covered by a plan at work: $218,000 or less: a full deduction up to the amount of your contribution limit. extra amount is called the Part D Income Related Monthly Adjustment Amount, sometimes called “Part D IRMAA”. NF1135 2023 IRMAA Notice. If a conversion puts you over the limit then you pay IRMAA 2 years later. These are the IRMAA table limits used by VeriPlan for. The annual deductible for all Medicare Part B beneficiaries will be $240 in 2024, an increase of $14 from the annual deductible of $226 in 2023. Medicare-eligible retirees and their Medicare-eligible dependents can submit an IRMAA application if they paid above the standard amount of $170. $164. 10 for. If. , does not overstate the retiree’s reduction in state income tax) to assume the IRA distributions are subject to state income tax. 90 per month (no IRMAA surcharge). 90. $0. Then 2023 for 2025; 2024 for 2026; and so on. 90. 70/month in 2024. 00. The annual deductible for all Medicare Part B beneficiaries will be $240 in. Congress held down this cost in a spending bill passed earlier this year. One dollar over the limit, and you pay the penalty all year. Note: You may also pay a higher premium if you have a Part B or Part D late enrollment penalty. e. 90 in 2023. if inflation is 0% from September 2022 through August 2023, congress doesn't change the law,. Your Part D Premium will depend on the plan you choose. 10It's easy to determine your 2024 Part B and Part D total premiums by adding the income-related monthly adjustment amount to the 2024 premium costs. Here are the IRMAA income brackets for 2022 2023, and 2024. (As reference, the annual 2021 deductible was $203, the 2020 Part B deductible was $198 and the Part B deductible in 2019 was. 010A for a definition of MAGI). This brief video outlines the 2023 Medicare Part B Premium Amounts as well as the Income Related Monthly Adjustment Amounts (IRMAA) for both Part B and Part. 030: IRMAA Determination Process: TN 3 11-10: HI 01101. 10 per. Per the table below, IRMAA can add $68. The standard Medicare Part B premium will increase to $174. In 2023, the standard premium for Part B is $164. Contents. gov. In 2023, it can more than triple Part B premiums to as much as $560. The following are the income thresholds that apply for the 2023 tax year: Part B IRMAA Brackets : Individuals with a 2021 income of $97,000 or less (or married couples filing jointly with an income of $194,000. the beneficiary’s adjusted gross income (AGI) (found on line 11 of the Internal Revenue Service (IRS) tax filing form 1040), plus. The good news, however, is that the IRMAA brackets are also indexed for inflation. How much is the Medicare premium for 2023? on your income. 00. up from $329. Beneficiaries who file individual tax returns with modified adjusted gross income: Beneficiaries who file joint tax returns with modified adjusted gross income: Income-Related Monthly Adjustment Amount. If you’ve had high income in 2022,. Total monthly premium amount. will increase from $505 in 2023 to $545 in 2024. Other beneficiaries pay an adjusted rate for Part B coverage by adding an Income Related Monthly Adjustment Amount (IRMAA) to the standard premium. The Medicare Income-Related Monthly Adjustment Amount (IRMAA). 50 for 2019, an increase of $1. The projected average total Part D beneficiary premium is projected to decrease by 1. 2. Beneficiaries who are married and lived with their spouses at any time during the year, but who file separate tax returns from their spouses with modified adjusted gross income: Income-Related Monthly Adjustment Amount. Close Search. 0960-0784 . 20). Income-Related Monthly Adjustment Amounts (IRMAA) are capped at $560. $94,500/$85,000*249. IRMAA is a surcharge that people with income above a certain amount must pay in addition to their Medicare Part B and Part D premiums. What are the Medicare income limits for 2024? The income threshold for full benefits currently is 135 percent of the federal poverty guideline ($19,683 for an individual in 2023). If you retire in 2022, CMS may not look at your 2021 tax return, which will help you avoid IRMAA that year, but it may look at your income in 2022 for the year 2023. That amount changes from year to year, but it's generally consistent for most Medicare enrollees. If your income in 2020 was less than or equal to $91,000 as an individual, or less than or equal. This is down $5. Monthly Medicare Premiums for 2023. Someone asked, how exactly does one limit one's income in 2022 to avoid a cliff for 2024 that does not release until the end of 2023? Is it safe, and advisable, to just use the 2023 threshold? Surely 2024 will be the same or higher, right? Have the. 20 and savings of $2,577. 00. 20, depending on income. $103. The surcharge is calculated based on tax returns you reported from two years prior: meaning your 2022 income determines your IRMAA in 2024, your 2023 income determines your IRMAA in 2025, and so on.