What tax year is Medicare Part B premium based on?

Asked by: Rasheed Goyette Jr.  |  Last update: January 24, 2026
Score: 4.4/5 (61 votes)

For example, your 2025 Part B and Part D premiums are based on your 2023 tax return.

What tax year is used for Medicare Part B premiums?

Your Tax Return

To determine your 2025 income-related monthly adjustment amounts, we use your most recent federal tax return the IRS provides to us. Generally, this information is from a tax return filed in 2024 for tax year 2023.

Do Medicare Part B premiums change each year based on income?

Costs for Part B (Medical Insurance)

$185 each month (or higher depending on your income). The amount can change each year. You'll pay the premium each month, even if you don't get any Part B-covered services.

What income is used to determine Medicare premiums in 2024?

What income is counted for Medicare premiums? Your Modified Adjusted Gross Income (MAGI), which includes total gross income and certain non-taxable Social Security benefits, determines your Medicare premium.

Is Medicare Part B premium based on AGI or taxable 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.

Your Income Impacts What You Pay for Medicare | Part B & D

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What income is used to determine Medicare premiums for 2025?

So, for 2025, the SSA looks at your 2023 tax returns to see if you must pay an IRMAA. IRMAA is calculated every year. That means if your income is higher or lower year after year, your IRMAA status can change.

How to calculate modified adjusted gross income for Medicare Part B?

Modified Adjusted Gross Income (MAGI) is the sum of:
  1. the beneficiary's adjusted gross income (AGI) (found on line 11 of the Internal Revenue Service (IRS) tax filing form 1040), plus.
  2. tax-exempt interest income (line 2a of IRS Form 1040).

Does everyone pay $170 for Medicare Part B?

Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.

What is the projected 2024 Medicare Part B premium?

The Centers for Medicare & Medicaid Services (CMS) has announced that the standard monthly Part B premium will be $185.00 in 2025, an increase of $10.30 from $174.70 in 2024.

Can I deduct Medicare Part B premiums on my taxes?

Can you deduct Medicare Part B payments on your taxes? You can, but only if medical expenses exceed 7.5% of your adjusted gross income and you're itemizing deductions.

Why is Social Security no longer paying Medicare Part B?

There could be several reasons why Social Security stopped withholding your Medicare Part B premium. One common reason is that your income has exceeded the threshold for premium assistance. Another reason could be that there was a mistake or error in your records.

How are Medicare Part B premiums set?

CalPERS sets the standard Medicare Part B premium reimbursement amount on January 1 of each year based on the amount determined by the CMS. According to the CMS, most Medicare beneficiaries will pay the standard Medicare Part B premium amount.

Are Medicare Part B premiums recalculated each year?

Part B (Medical Insurance) costs. $185 each month (or higher depending on your income). The amount can change each year. You'll pay the premium each month, even if you don't get any Part B-covered services.

What is the Medicare tax limit for 2024?

There is no wage limit for Medicare tax, which is currently 1.45% (same as 2024) and applied to all covered wages paid.

What is the Medicare Part B deductible for 2024?

The annual deductible for all Medicare Part B beneficiaries will be $257 in 2025, an increase of $17 from the annual deductible of $240 in 2024.

Does your Medicare premium change yearly based on income?

If you enroll in either plan, you'll pay the remaining cost through your plan's premium, which the government calculates using your yearly income level. The CMS updates and releases the income limits annually.

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.

How do I calculate my modified adjusted gross income?

Your MAGI (modified adjusted gross income) is your AGI plus certain deductions you must “add back.” These deductions include IRA contributions, student loan interest, one-half of self-employment tax, qualified tuition expenses, and more.

How to avoid paying Medicare Part B?

To drop Part B (or Part A if you have to pay a premium for it), you usually need to send your request in writing and include your signature. Contact Social Security.

What income is used to determine Medicare premiums in 2025?

The amount you pay for Medicare premiums depends not only on the standard rates but also on your modified adjusted gross income (MAGI) from two years prior. So, for example, the 2025 IRMAA brackets will be based on your income in 2023.

What determines what you pay for Medicare Part B?

High-income beneficiaries may pay higher premiums for Medicare Part B. If your modified adjusted gross income from two years ago is above a certain threshold, you also need to pay an income-related monthly adjustment amount, or IRMAA. Less than or equal to $106,000. Less than or equal to $212,000.

What line on 1040 determines Medicare premiums?

MAGI is calculated as Adjusted Gross Income (line 11 of IRS Form 1040) plus tax-exempt interest income (line 2a of IRS Form 1040). The table below details the base premium amount you'll pay for Medicare in 2024 depending on your MAGI and filing status, inclusive of any additional IRMAA surcharge.

Does Medicare check magi every year?

Your MAGI is the total of your adjusted gross income and tax-exempt interest income. Each fall, when we ask the IRS for information to determine next year's premiums, we ask for tax information to verify your reports of changes affecting your income-related monthly adjustment amounts, if any.

How do you reduce modified adjusted gross income?

Contribute to retirement accounts: One of the most effective ways to lower your MAGI is by contributing to retirement accounts. You can deduct contributions you've made to traditional IRAs, 401(k)s, and other retirement plans from your gross income, which can reduce your AGI and subsequently your MAGI.