Medicare Part B and IRMAA in 2026; Why Do Some People Pay More? - part 6
If you have a higher income, you may be required to pay more.
Shanti
7/10/20261 min read
Medicare Part B and IRMAA in 2026: Why Do Some People Pay More?
Unlike Medicare Part A, almost everyone who enrolls in Medicare Part B is required to pay a monthly premium.
In 2026, the standard Part B premium is $202.90 per month, and this is the amount most beneficiaries pay.
However, if you have a higher income, you may be required to pay more. This additional charge is called the Income-Related Monthly Adjustment Amount (IRMAA) and is based on the income you reported to the Internal Revenue Service (IRS) two years earlier—in this case, your 2024 tax return.
Simply put, the higher your income, the higher your Part B premium may be. In 2026, the monthly premium can be as high as $689.90, depending on your income.
Important: If your income has decreased due to retirement or another major life-changing event, you may be eligible to request a review of your IRMAA so that your Part B premium can be recalculated based on your current financial situation.
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