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okay this video will show you how to lower your Medicare Part B premiums if you are paying more than the base Medicare premium because the income figures used to determine your Medicare premium have changed heres how that works Medicare Part B premiums are based on your income meaning those with higher incomes pay a higher Part B premium where things get complicated is in the fact that the income that the government uses to determine this figure is from your tax return two years prior for example your Medicare Part B premium in 2024 is based on your modified adjusted gross income from your 2022 tax return well this becomes problematic for some because for many people their income the year that they retire is the highest or closest to the highest income that theyve earned in their entire life and now youve retired your income drops but youre responsible to come up with a much higher monthly amount for your Medicare premium for the next two years until your lower retirement income nu