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hi im matt with arnold melt wealth management today were talking about irma or medicares income related monthly adjustment amount this is an added fee to your medicare payment each year and its dependent on the income that you have its common in retirees with large iras or 401ks maybe large pensions or annuities or for retirees that have high spending in a year in retirement maybe buying a house or a new car irma is one of the few taxes that has no phase in one dollar can make a really big difference in how much you pay for your medicare for example this year a married couple with income of 174 thousand dollars pays about 144 dollars a month for their medicare if they have income of 174 thousand and one dollar that jumps up to 202 dollars a month so for a married couple thats added 120 dollars a month or about fourteen hundred dollars per year just from that one dollar in income there are six different brackets associated with medicares irma charges so the first thing thats imp