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All thresholds sourced from IRS, CMS, and HHS publications. Data is for the 2026 tax year. Not financial advice — verify critical numbers before acting.

CliffEdge is provided for informational and educational purposes only. It is not tax, legal, investment, or financial advice. Figures are estimates based on published federal tax data and may contain errors or be out of date. Consult a qualified tax professional before acting on anything you see here.

© 2026 Dhruv Gorasiya
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IRMAA Medicare Surcharge

Income-Related Monthly Adjustment Amount — full detail for your scenario.

Tier Position

02IRMAA Medicare Surchargeprojected · CMS confirms Nov 2027
Headroom$114,001plus inflation adjustments

Your 2026 income sets your 2028 Medicare premium.

threshold $114,001 plus inflation adjustments · cost if triggered $1,148/yr or more based on 2028 premium rates

Data verified Aug 2026· The Finance Buff — IRMAA threshold CPI-U projections (0% scenario)

Standard (current)No IRMAA surcharge
Tier 1$114,001 to $143,000 · +$1,148/yr
Tier 2$143,001 to $179,000 · +$2,885/yr
Tier 3$179,001 to $214,000 · +$4,620/yr
Tier 4$214,001 to $506,999 · +$6,355/yr
Tier 5$507,000+ · +$6,936/yr

Part D surcharge applies if enrolled in a Medicare Part D drug plan.

10-Year Present Value

10-year cost · today's dollars
This tier (Standard)
$0
Next tier (Tier 1)
$10,090+$10,090

Part B + Part D · 3% discount · premiums held at current levels · crossing costs $10,090 more over 10 years

This Conversion · Today's Dollars

This conversion · today's dollars
Converting $0
Tax paid nowimmediate
$0
IRMAA consequence10-yr PV
$0 no tier crossed
Total today's-dollar cost
$0

3% real discount · 10-yr horizon · one rate, no account-type differential

Medicare Premium Lookback

Income year → Medicare premium year (2-year lag)

MAGI YearPremium YearTierMonthly
2024 MAGI
Not entered
LOCKED
2026
—
—
2025 MAGI
Not entered
LOCKED
2027
—
—
2026 MAGI
$0
THIS YEAR
next tier: $114,001 (est.)
2028
projected · CMS confirms Nov 2027low confidence
← you are here
Standard
est.
standard
no surcharge

Projected threshold increased vs. prior estimate. MAGI near the boundary may show a different tier here than in the 2027 row.

Why projected?

Projected estimate only. Tier boundaries are encoded at the 0% CPI scenario — the more conservative of the two scenarios the source publishes, not a worst case (deflation is possible). CMS confirms 2028 brackets in November 2027. Actual thresholds may be higher if inflation continues. Part B premium amounts for 2028 are estimated — set by CMS annual rulemaking, not derived from CPI. Projection source: The Finance Buff.

2027+
FUTURE
2029+
—

Based on your current MAGI, your 2029+ premiums will reflect your ongoing tier. CMS publishes confirmed 2028 brackets in November 2027.

2028 brackets: low confidence estimate. CMS publishes confirmed brackets in November. Threshold projections use the 0% CPI assumption (conservative). Part B premium amounts are set by CMS annual rulemaking and are not derived from CPI. Part D surcharge applies if enrolled in a Medicare Part D drug plan. The Finance Buff