Medicare Part D IRMAA 2027 Calculator
Calculate Medicare Part D IRMAA (Income-Related Monthly Adjustment Amount) 2027 — extra premium added for higher-income retirees based on 2025 MAGI. 6 brackets.
How IRMAA Works
2-year lookback — 2027 IRMAA based on 2025 tax return MAGI. Higher income = higher Medicare Part B and Part D premiums. 6 brackets ranging from $0 to ~$432/mo extra in 2027.
2027 IRMAA Brackets (Single)
Up to $103k: no IRMAA. $103k-$129k: +$71.90 Part B / +$13.70 Part D. $129k-$161k: +$179.80 / +$35.30. $161k-$193k: +$287.70 / +$57.00. $193k-$500k: +$395.60 / +$78.60. Above $500k: +$431.50 / +$85.80.
Avoid IRMAA Cliffs
One dollar over a bracket = full bracket increase. Carefully manage 2025 MAGI: time Roth conversions, capital gains, IRA withdrawals to stay below thresholds. Hint: $1 of extra income can cost $1,200+/year.
IRMAA Appeal Process
File Form SSA-44 if 'life-changing event': retirement (income dropped), spouse death, marriage/divorce, loss of pension, employer settlement. Use estimated current year income not 2025.
Source: medicare.gov IRMAA tables, ssa.gov Form SSA-44. Last updated: May 2026.