Medicare Part B Premiums and IRMAA Brackets

The standard Medicare Part B premium and deductible, and the higher Part B and Part D amounts by income (IRMAA), from the Centers for Medicare & Medicaid Services.

Last updated
Last checked
Source
Centers for Medicare & Medicaid Services

About this data: figures are collected automatically from Centers for Medicare & Medicaid Services and checked before publication. They are for general information only and are not advice. Confirm with the source before acting. Last verified Oct 7, 2026, 5:30 AM ET. Report an error →

What changed: 2027 Medicare income threshold calculated from BLS CPI-U (September 2025 to August 2026): higher Part B premiums above $112,000 ($224,000 joint); CMS confirmation pending. (Oct 7, 2026)

Medicare Part B in 2026

2026 standard Part B premium Official · CMS $202.90

A month. $185.00 in 2025.

2026 Part B deductible Official · CMS $283

For the year.

2026 higher premiums start above Official · CMS $109,000

Individual tax return; $218,000 for a joint return. Modified adjusted gross income.

2026 Part B premium by income

Monthly Part B premium for 2026 with full Part B coverage, by modified adjusted gross income, from CMS. The total is the standard premium of $202.90 plus the income-related monthly adjustment amount.
Individual tax returnJoint tax returnAdjustmentTotal monthly premium
Less than or equal to $109,000Less than or equal to $218,000$0.00$202.90
Greater than $109,000 and less than or equal to $137,000Greater than $218,000 and less than or equal to $274,000$81.20$284.10
Greater than $137,000 and less than or equal to $171,000Greater than $274,000 and less than or equal to $342,000$202.90$405.80
Greater than $171,000 and less than or equal to $205,000Greater than $342,000 and less than or equal to $410,000$324.60$527.50
Greater than $205,000 and less than $500,000Greater than $410,000 and less than $750,000$446.30$649.20
Greater than or equal to $500,000Greater than or equal to $750,000$487.00$689.90
2026 Part B premium for people who are married and lived with their spouse at any time during the year but file a separate tax return, from CMS.
Married filing separatelyAdjustmentTotal monthly premium
Less than or equal to $109,000$0.00$202.90
Greater than $109,000 and less than $391,000$446.30$649.20
Greater than or equal to $391,000$487.00$689.90

2026 Part D income-related adjustment

Monthly amount added to the Part D plan premium in 2026, by modified adjusted gross income, from CMS. Plan premiums vary by plan and are not included.
Individual tax returnJoint tax returnMonthly adjustment
Less than or equal to $109,000Less than or equal to $218,000$0.00
Greater than $109,000 and less than or equal to $137,000Greater than $218,000 and less than or equal to $274,000$14.50
Greater than $137,000 and less than or equal to $171,000Greater than $274,000 and less than or equal to $342,000$37.50
Greater than $171,000 and less than or equal to $205,000Greater than $342,000 and less than or equal to $410,000$60.40
Greater than $205,000 and less than $500,000Greater than $410,000 and less than $750,000$83.30
Greater than or equal to $500,000Greater than or equal to $750,000$91.00
2026 Part D adjustment for people who are married and lived with their spouse at any time during the year but file a separate tax return, from CMS.
Married filing separatelyMonthly adjustment
Less than or equal to $109,000$0.00
Greater than $109,000 and less than $391,000$83.30
Greater than or equal to $391,000$91.00

2027 figures

CMS has not announced the 2027 Part B premium, deductible or Part D amounts. They will appear here when CMS publishes them.

2027 income thresholds Calculated from BLS data · CMS confirmation pending

Calculated with the formula in the Social Security Act from BLS CPI-U for September 2025 to August 2026. The same calculation reproduces CMS's thresholds for 2026 and earlier years. One month of the index, October 2025, was never published, and CMS has not said how it will treat it, so where the result depends on that month both figures are shown.

Modified adjusted gross income above which each higher Part B and Part D bracket starts in 2027. "11 published months" averages the months BLS published; "With October 2025 at 325.604" uses the index number the Treasury announced for that month. The $500,000 ($750,000 joint) bracket is not indexed until 2028. Married-filing-separately amounts are not calculated.
Bracket (2026 individual amount)Individual tax returnJoint tax return
11 published monthsWith October 2025 at 325.60411 published monthsWith October 2025 at 325.604
Above $109,000 in 2026 $112,000$224,000
Above $137,000 in 2026 $142,000$141,000$284,000$282,000
Above $171,000 in 2026 $177,000$176,000$354,000$352,000
Above $205,000 in 2026 $212,000$211,000$424,000$422,000

How this works

  • Most people with Medicare Part B pay the standard premium. People whose modified adjusted gross income, as reported on their IRS tax return from 2 years ago, is above the amounts shown pay the standard premium plus an income-related monthly adjustment amount (IRMAA). For 2026, that is the 2024 tax return.
  • People who pay the Part D income-related monthly adjustment amount pay it in addition to their Part D plan premium. Plan premiums vary by plan.
  • Social Security tells people if they have to pay a higher premium because of their income. Someone who has had a life-changing event that reduced their household income can ask Social Security to lower the additional amount.
  • CMS sets the premium, deductible and income amounts each year under the Social Security Act and usually announces the next year's figures in the fall. Medicare.gov has more.

Methodology

Source
Centers for Medicare & Medicaid Services — Medicare Parts A & B premiums and deductibles fact sheet
Update cadence
Annual (CMS usually publishes the next year's figures in the fall). Checked every 24 hours, and every hour in October, November and December until CMS publishes the next year's figures.
Last updated
Oct 7, 2026, 5:30 AM ET
How it is produced
The premium, deductible and income tables come from CMS's annual fact sheet. Before publishing, each total must equal the standard premium plus its adjustment, amounts must rise with income, and joint-return thresholds must be twice the individual ones. The Federal Register's annual Part B premium notice is checked too, to notice next year's publication. If figures for a year ever change, the update is held until the editor has checked why.
Calculated thresholds
Until CMS publishes, next year's income thresholds are calculated from BLS CPI-U (U.S. city average, all items, not seasonally adjusted, series CUUR0000SA0) as the Social Security Act sets out: each base amount ($85,000, $107,000, $133,500 and $160,000) rises by the percentage the average index for the 12 months ending with August of the preceding year exceeds the average for the 12 months ending with August 2018, rounded to the nearest $1,000; joint-return amounts are twice those. This reproduces CMS's thresholds for 2020, 2021, 2024, 2025 and 2026 exactly, and calculated figures are shown only while it reproduces the latest year. They are labelled as calculated and replaced by CMS's figures when CMS publishes; if CMS's figure differs, the page says so.
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Cite this

Money Tracker Daily, "Medicare Part B Premiums and IRMAA Brackets", updated October 7, 2026, https://moneytrackerdaily.com/trackers/medicare-premiums. Data: Centers for Medicare & Medicaid Services, Medicare Parts A & B premiums and deductibles fact sheet.

Reuse
The figures on this page may be reused with credit to Money Tracker Daily and a link to this page (CC BY 4.0). The underlying data comes from the Centers for Medicare & Medicaid Services and the U.S. Bureau of Labor Statistics and remains subject to its terms.

Change log

  • 2027 Medicare income threshold calculated from BLS CPI-U (September 2025 to August 2026): higher Part B premiums above $112,000 ($224,000 joint); CMS confirmation pending.
  • Loaded CMS Medicare Part B premiums for 2026: standard premium $202.90 a month, deductible $283; higher premiums above $109,000 ($218,000 joint).

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