Yes, you will likely pay higher Medicare premiums with an income over $100,000 per year. If you’re signing up for Medicare and your income exceeds $109,000 as an individual or $218,000 as a married couple, you’ll pay higher premiums in 2026 due to IRMAA, the Income-Related Monthly Adjustment Amount.
Medicare uses your tax return from two years earlier to determine if IRMAA applies. For 2026, they’ll review your 2024 income. If it’s above these thresholds, your monthly premiums for Medicare Part B and Part D will increase beyond the standard amounts.
The higher your income, the more you’ll pay, with several income tiers that determine your total cost. These thresholds are reviewed annually and may adjust with inflation.
If you’ve experienced a life change that reduced your income, such as retirement or the death of a spouse, you may request that Social Security lower your IRMAA amount through an appeal process.
Understanding how your income affects Medicare costs is essential for proper planning. Knowing your potential premium obligations before enrolling helps you budget appropriately and avoid unexpected expenses when your coverage begins.
