Medicare Part B Income-Related Monthly Adjustment Amounts
Since 2007, a beneficiary’s Part B monthly premium has been based on his or her income. These income-related monthly adjustment amounts affect roughly 8 percent of people with Medicare Part B. The 2024 Part B total premiums for high-income beneficiaries with full Part B coverage are shown in the following table:
Full Part B Coverage | |||
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 | Total Monthly Premium Amount |
Less than or equal to $103,000 | Less than or equal to $206,000 | $0.00 | $174.70 |
Greater than $103,000 and less than or equal to $129,000 | Greater than $206,000 and less than or equal to $258,000 | $69.90 | $244.60 |
Greater than $129,000 and less than or equal to $161,000 | Greater than $258,000 and less than or equal to $322,000 | $174.70 | $349.40 |
Greater than $161,000 and less than or equal to $193,000 | Greater than $322,000 and less than or equal to $386,000 | $279.50 | $454.20 |
Greater than $193,000 and less than $500,000 | Greater than $386,000 and less than $750,000 | $384.30 | $559.00 |
Greater than or equal to $500,000 | Greater than or equal to $750,000 | $419.30 | $594.00 |
The 2024 Part B total premiums for high-income beneficiaries who only have immunosuppressive drug coverage are shown in the following table:
Part B Immunosuppressive Drug Coverage Only | |||
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 | Total Monthly Premium Amount |
Less than or equal to $103,000 | Less than or equal to $206,000 | $0.00 | $103.00 |
Greater than $103,000 and less than or equal to $129,000 | Greater than $206,000 and less than or equal to $258,000 | $68.70 | $171.70 |
Greater than $129,000 and less than or equal to $161,000 | Greater than $258,000 and less than or equal to $322,000 | $171.70 | $274.70 |
Greater than $161,000 and less than or equal to $193,000 | Greater than $322,000 and less than or equal to $386,000 | $274.70 | $377.70 |
Greater than $193,000 and less than $500,000 | Greater than $386,000 and less than $750,000 | $377.70 | $480.70 |
Greater than or equal to $500,000 | Greater than or equal to $750,000 | $412.10 | $515.10 |
Premiums for high-income beneficiaries with full Part B coverage who are married and lived with their spouse at any time during the taxable year but file a separate return, are as follows:
Full Part B Coverage | ||
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 | Total Monthly Premium Amount |
Less than or equal to $103,000 | $0.00 | $174.70 |
Greater than $103,000 and less than $397,000 | $384.30 | $559.00 |
Greater than or equal to $397,000 | $419.30 | $594.00 |
Premiums for high-income beneficiaries with immunosuppressive drug only Part B coverage who are married and lived with their spouse at any time during the taxable year but file a separate return, are as follows:
Part B Immunosuppressive Drug Coverage Only | ||
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 | Total Monthly Premium Amount |
Less than or equal to $103,000 | $0.00 | $103.00 |
Greater than $103,000 and less than $397,000 | $377.70 | $480.70 |
Greater than or equal to $397,000 | $412.10 | $515.10 |
This information came from CMS https://www.cms.gov/newsroom/fact-sheets/2024-medicare-parts-b-premiums-and-deductibles
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