What income is used to calculate Medicare premiums?

Asked by: Orrin Brown DDS  |  Last update: October 1, 2023
Score: 4.4/5 (12 votes)

We use the most recent federal tax return the IRS provides to us. If you must pay higher premiums, we use a sliding scale to calculate the adjustments, based on your “modified adjusted gross income” (MAGI). Your MAGI is your total adjusted gross income and tax-exempt interest income.

Is Medicare Part B premium based on income?

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. If you have questions about your Part B premium, call Social Security at 1-800-772-1213.

Is Medicare based on current income?

Medicare premiums are based on your modified adjusted gross income, or MAGI. That's your total adjusted gross income plus tax-exempt interest, as gleaned from the most recent tax data Social Security has from the IRS.

Is Irmaa based on AGI or Magi?

Your monthly IRMAA payment for each year is calculated by your MAGI from the two years prior. Your MAGI is your adjusted gross income (AGI) with certain costs added back to it.

What income is used for Irmaa?

IRMAA is based off of what is called your Modified Adjusted Gross Income, or MAGI. This can be confusing to calculate or find because it is not a specific line item on your tax return. To calculate MAGI for Medicare IRMAA, take you AGI and add tax-exempt interest.

The Ultimate Guide to Medicare Premiums 2023 Edition! 💰

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Does Social Security income count toward Irmaa?

Some examples of what counts as income towards IRMAA are:

Wages, Social Security benefits, Pension/Rental income, Interest, Dividends, distributions from any tax-deferred investment like a Traditional 401(k) or IRA and, again, Capital Gains.

Do IRA withdrawals count as income for Medicare?

Income from your assets whether through IRA withdrawals or by dividends, interest and capital gains from non-IRA assets can make your social security taxable or increase your Medicare premiums.

How do I lower my Magi for Irmaa?

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 Medicare Part B and Part D. Life-changing events include marriage, divorce, the death of a spouse, loss of income, and an employer settlement payment.

How to avoid Irmaa Medicare?

The best way to reduce IRMAA (or avoid it) is to lower your Modified Adjusted Gross Income (MAGI).

How are Medicare Part B premiums calculated?

Medicare Part B premiums are calculated based on a person's modified adjusted gross income (MAGI). For purposes of Part B premiums, your MAGI is the adjusted gross income you report on line 11 of your federal tax return, plus any tax-exempt interest income, such as municipal bonds (line 2a) earnings.

Is Social Security included in Magi?

Social Security income includes Social Security Disability Insurance (SSDI), retirement income, and survivor's benefits. These forms of income are counted in MAGI, even when not taxable.

How do I determine my Magi?

Your modified adjusted gross income (MAGI) is your adjusted gross income (AGI) plus additional items such as student loan interest, qualified education expenses, passive income or losses, IRA contributions, and foreign income, among others.

What are the income limits for Irmaa 2023?

For 2022, the IRMAA thresholds started at $91,000 for a single person and $182,000 for a married couple. For 2023, the IRMAA thresholds increased significantly, to $97,000 for a single person and $194,000 for a married couple.

Will Medicare Part B premiums go up in 2023?

Medicare Part B Premium and Deductible

The standard monthly premium for Medicare Part B enrollees will be $164.90 for 2023, a decrease of $5.20 from $170.10 in 2022. 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.

How do you qualify to get $144 back from Medicare?

To qualify for the giveback, you must:
  1. Be enrolled in Medicare Parts A and B.
  2. Pay your own premiums (if a state or local program is covering your premiums, you're not eligible).
  3. Live in a service area of a plan that offers a Part B giveback.

How do I avoid paying higher Medicare premiums?

If you are having trouble paying premiums for Medicare, consider these ways to reduce your Medicare premiums.
  1. File a Medicare IRMAA Appeal. ...
  2. Pay Medicare Premiums with your HSA. ...
  3. Get Help Paying Medicare Premiums. ...
  4. Low-Income Subsidy. ...
  5. Medicare Advantage with Part B Premium Reduction.

Are Medicare premiums based on AGI or taxable income?

We use the most recent federal tax return the IRS provides to us. If you must pay higher premiums, we use a sliding scale to calculate the adjustments, based on your “modified adjusted gross income” (MAGI). Your MAGI is your total adjusted gross income and tax-exempt interest income.

Do Medicare premiums change each year based on income?

Monthly premiums vary based on which plan you join. The amount can change each year. You may also have to pay an extra amount each month based on your income.

What tax year will 2023 Medicare premiums be based on?

Your 2023 premiums will depend on your 2021 MAGI, as reported on your 2021 federal income tax return.

What are the total premiums for 2023 Part B for high income beneficiaries?

The monthly Part B premiums that include income-related adjustments for 2023 will range from $230.80 to $560.50, depending on the extent to which an individual beneficiary's modified adjusted gross income exceeds $97,000 (or $194,000 for a married couple).

Will selling my house affect my Medicare?

Unless the sale of your home is taxable income, your Medicare won't be affected. If you sell your home for taxable income and make a hefty profit, there may be an increase in your Part B or Part D premiums.

Does 401k count as income for Medicare?

Do 401k withdrawals count as income for Medicare? The Medicare Part B Premium charged by the government changes based on your income. Taking tax-free Roth withdrawals won't affect this Medicare premium. But the distributions you take from traditional IRAs count as income for your Part B Premium.

How does IRA withdrawals affect Medicare premiums?

If you took a large IRA withdrawal in 2020 to fund a big expense, you may have increased your modified adjusted gross income to the point that the government will now tack an extra charge onto your Medicare Parts B & D premiums. This extra charge is called an Income-Related Monthly Adjustment Amount (IRMAA).

How much Social Security will I get if I make $120000 a year?

The point is that if you earned $120,000 per year for the past 35 years, thanks to the annual maximum taxable wage limits, the maximum Social Security benefit you could get at full retirement age is $2,687.