Medicare Overpay

The IRMAA cliff: $1 over a bracket

By Elder PaperworkUpdated

Short answer

IRMAA is charged by brackets, not on a sliding scale.

Going $1 over a 2026 threshold means paying the whole amount for the next bracket.

At $109,001 of MAGI (single), that is $81.20 more for Part B and $14.50 for Part D each month.

Source: CMS, November 14, 2025. Read November 4, 2026.

Key facts

  • Six brackets for single and joint filers.CMS 2026
  • First threshold: $109,000 single, $218,000 joint.CMS 2026
  • Married filing separately has 3 brackets.CMS 2026
  • IRMAA is charged per person.POMS

Why does $1 make a difference?

Each bracket has a fixed amount. Above the line, you pay that bracket’s full amount.

Monthly amounts, single or joint tax return. Source: CMS, November 14, 2025.
SingleJointPart B totalPart D extra
$109,000 or less$218,000 or less$202.90$0.00
Up to $137,000Up to $274,000$284.10$14.50
Up to $171,000Up to $342,000$405.80$37.50
Up to $205,000Up to $410,000$527.50$60.40
Under $500,000Under $750,000$649.20$83.30
$500,000 or more$750,000 or more$689.90$91.00

What does it cost to be just over?

Single, $109,000 of MAGI: no IRMAA. At $109,001: $95.70 a month, or $1,148.40 a year.

For a married couple on a joint return, each spouse pays it.

How do I check my bracket?

Use your MAGI: AGI (Form 1040, line 11) plus tax-exempt interest (line 2a).

Enter it in the IRMAA 2026 calculator.

See your possible savings first. No commitment.

Check my savings

Can you help me stay under the line?

No. We don’t give tax planning advice. Ask a tax professional.

We help when a life-changing event lowered your income.

Questions

Is IRMAA a sliding scale?

No. It goes by brackets, so $1 over a threshold triggers the full bracket amount.

Where is the first cliff in 2026?

Above $109,000 of MAGI for single filers, $218,000 for joint.

Do you give tax planning advice?

No. Ask a tax professional for that.