IRMAA2027

Medicare in 2027: the Part B premium and IRMAA brackets, in plain English

Higher-income retirees pay extra for Medicare — that's IRMAA. Here are the 2027 brackets, what the standard Part B premium is expected to be, and a calculator that shows exactly where you land and how close you are to the next cliff.

$209.50
Standard Part B premium, 2027 (projected)
Up $6.60 from $202.90 in 2026. IRMAA can raise this to as much as $712.30 a month.
Your 2027 bracket is set by your 2025 tax return — the income year is already closed. What you can still plan is 2026 income, which sets your 2028 bracket.
2027 IRMAA brackets →

The full table for single and married filers, plus how 2027 compares with 2025 and 2026.

IRMAA calculator →

Enter your 2025 income and see your bracket, your monthly total, and how many dollars of income separate you from the next bracket.

Part B premium 2027 →

The standard premium, the deductible, and what the 3.6% Social Security raise leaves after Part B takes its share.

The short version of the 2027 brackets

Bracket2025 income (MAGI)Part B / monthPart D add-onB + D / month
Standard (25% of cost) $112,000 or less $209.50 $0 $209.50
Tier 1 (35% of cost) More than $112,000, up to $141,000 or $142,000* $293.30 +$15.40 $308.70
Tier 2 (50% of cost) More than $141,000 or $142,000*, up to $176,000 or $177,000* $419.00 +$39.70 $458.70
Tier 3 (65% of cost) More than $176,000 or $177,000*, up to $211,000 or $212,000* $544.70 +$64.00 $608.70
Tier 4 (80% of cost) More than $211,000 or $212,000*, up to $499,999 $670.40 +$88.30 $758.70
Tier 5 (85% of cost) $500,000 or more $712.30 +$96.40 $808.70

Single filers, projected figures. Married filing jointly uses thresholds that are exactly double at the first bracket — see the full brackets page. Part D add-on is paid on top of your own drug plan's premium. How these numbers are worked out.

Why "projected"? CMS publishes the official premium and brackets each fall. As of November 13, 2026 they had not been published yet. The thresholds above are not guesses: federal law (42 U.S.C. §1395r(i)(5)) fixes the formula, and the same formula reproduces every CMS threshold for 2024–2026 exactly. The premium is the Medicare Trustees' projection. One middle threshold is still unsettled — see the note on the brackets page. This page will switch to the official table the day CMS announces.