IRMAA Brackets for Married Couples in 2025

IRMAA Brackets for Married Couples: The Income-Related Monthly Adjustment Amount (IRMAA) is an additional fee imposed on high-income Medicare beneficiaries, impacting their Part B and Part D premiums. For married couples filing taxes separately, these surcharges are determined based on income thresholds.

As the Social Security Administration (SSA) prepares to implement 2025 IRMAA brackets using 2023 income data, here’s a comprehensive guide to how these fees work and what you need to know.

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What Is IRMAA and How Does It Work?

IRMAA is a surcharge added to Medicare Part B and Part D premiums for individuals and couples with higher incomes. The SSA uses Modified Adjusted Gross Income (MAGI) from two years prior to determine the applicable IRMAA bracket. For 2025, the SSA will primarily rely on 2023 income data. If 2023 data is unavailable, 2022 income may be used as a fallback.

The standard Medicare Part B premium for 2025 is $185.00 per month, while the average base premium for Part D is $46.50. However, high-income beneficiaries will pay significantly more due to IRMAA surcharges.

2025 IRMAA Brackets for Married Couples Filing Separately

For married couples filing separately, IRMAA fees start if they earn more than $106,000 per year. Here’s how it works:

• For a married couple filing separately, IRMAAsurcharges begin for those earning more than $106,000 annually.
• If you have a 2023 income level of $106,000 or less, you will pay a monthly premium of $185.00 for Part B, and there is no surcharge on Part D.
• If you have a 2023 income level of $106,000 – $394,000, you will pay a monthly premium of $591.90 for Part B, and your Part D surcharge will be Plan premium + $78.60.
• If you have a 2023 income level of $394,000 or more, you will pay a monthly premium of $628.90 for Part B, and your Part D surcharge will be Plan premium + $85.80.

How Is IRMAA Calculated?

To determine your IRMAA bracket, the SSA calculates your Medicare-specific MAGI. This includes:

• Adjusted Gross Income (AGI) from your tax return
• Tax-exempt interest
• Foreign-earned income
• Other specific income sources

By adding these amounts, the SSA establishes your MAGI, which is then used to assign you to the appropriate IRMAA bracket.

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Strategies to Reduce IRMAA Costs

Paying higher Medicare premiums due to IRMAA can be a financial burden, but there are ways to manage your taxable income and potentially lower your surcharges:

• Reduce Capital Gains: Minimize the sale of assets that generate capital gains.
• Adjust Social Security Benefits: Delay claiming Social Security to reduce taxable income.
• Utilize Retirement Accounts: Contribute to tax-deferred accounts like IRAs or 401(k)s to lower your AGI.
• Plan Charitable Contributions: Use qualified charitable distributions (QCDs) to reduce taxable income.

Careful financial planning can help you avoid unnecessary IRMAA surcharges and keep your Medicare costs manageable. IRMAA can significantly increase Medicare costs for high-income beneficiaries, particularly married couples filing separately.