Medicare Part B And D Irmaa 2024. The fee kicks in if you make more than $97,000 (going up to $103,000 in 2024) or if you and your spouse. As income increases, so does the monthly premium for medicare part b and part d coverage.

To determine whether you are subject to irmaa charges, medicare uses the adjusted gross income you reported on your irs tax return two years ago. Most other medicare part d beneficiaries earning.