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The monthly Part B premiums that include income-related adjustments for 2021 will range from $207.90 to $504.90, depending on the extent to which an individual beneficiarys modified adjusted gross income exceeds $88,000 (or $176,000 for a married couple).
Yes, if youve paid more than the standard Medicare Part B premium, an IRMAA refund can be applied for.
2021 IRMAA BRACKETS Individual MAGICouple MAGIPart B Premium $111,000 - $138,000 $222,000 - $276,000 $297.00 $138,000 - $165,000 $276,000 - $330,000 $386.10 $165,000 - $500,000 $330,000 - $750,000 $475.20 $500,000 $750,000 $504.902 more rows Jan 16, 2025
You calculate IRMAA by looking at your Modified Adjusted Gross Income (MAGI) from two years ago. The IRS shares this info with Medicare, who then sets the rate.
For 2021, the IRMAA thresholds were indexed again, with the low-end threshold increasing to $88,000 for a single person. For 2022, the IRMAA thresholds started at $91,000 for a single person and $182,000 for a married couple.
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The amount you pay for Medicare premiums depends not only on the standard rates but also on your modified adjusted gross income (MAGI) from two years prior. So, for example, the 2025 IRMAA brackets will be based on your income in 2023.

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