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Medicare · income-related premiums

A plan-neutral Medicare IRMAA calculator for brokers and retirement planners

The visitor enters filing status, income from the tax return two years back and their drug coverage, and sees their Part B premium, any Part B and Part D surcharge and how far they are from the next bracket. No plans are named or compared.

The Medicare IRMAA calculator estimates the income-related monthly adjustment amounts added to Part B and Part D premiums, using the modified adjusted gross income from the tax return Social Security relies on, usually two years earlier. Brokers and retirement planners embed it as plan-neutral education for higher-income clients approaching or already on Medicare.

Included on every plan, including the free Producer plan.

LiveLive calculatorEstimates of coverage need, never quotes or offers of insurance.

This is the real widget your visitors use. On this site its lead form is switched off.

New lead · pre-qualified

What the inputs tell you before the call

InputsWhat it tells your producer
Modified Adjusted Gross Income (2024)The income Social Security is likely to use, and its distance from a bracket threshold. A figure just above a threshold, or just below one before a planned Roth conversion or sale, is where planning conversations start.
Tax Filing StatusWhich bracket table applies. A married-filing-separately household that lived together faces much tighter brackets, which is worth a careful, tax-adviser-led conversation.
People on Medicare in Your HouseholdWhether the surcharge is paid once or twice. For a couple both on Medicare, every surcharge applies to each spouse, so the household figure is what they will feel.
I have Part D drug coverageWhether they currently have drug coverage, either a stand-alone plan or through a Medicare Advantage plan. It tells you nothing about which plan; ask only within the scope the prospect agrees to.
Part D Plan Premium (monthly, per person)What they pay their drug plan today, as they entered it. It completes their total premium picture; it is not an invitation to discuss plan changes without a proper scope of appointment.

Your first call

How should a broker open a call with someone who ran the IRMAA estimate?

Keep the first conversation about the income-related premium itself: how Social Security sets it, which year's income it uses and whether a life-changing event applies. If the prospect wants to talk about specific Medicare Advantage or Part D plans, follow the current CMS scope-of-appointment requirements before that discussion.

  1. 01Your estimate put your 2024 income a few thousand dollars above the first threshold. Did that year include anything unusual, like a property sale or a final bonus, that won't repeat?
  2. 02You mentioned you've stopped working since that tax year. Social Security has a form, the SSA-44, for asking them to use a more recent year's income after a life-changing event. Would it help to walk through whether yours might qualify?
  3. 03Your calculator result showed both of you on Medicare, so each surcharge applies twice. Would you like to talk about how that fits with your retirement income plan, perhaps alongside your tax adviser?

Where to place it on your site

  • Medicare education or “turning 65” resource page

    Higher-income prospects researching premiums find a neutral estimate rather than a plan pitch, which suits the page's educational purpose.

  • Retirement income or Roth conversion article

    Readers weighing a conversion or asset sale are the people for whom the look-back and bracket cliffs matter most.

  • Client newsletter after CMS publishes new premiums

    Each fall's announcement prompts existing clients to check their own figures; a direct link turns that into an updated contact record.

How does the IRMAA calculator estimate surcharges?

It compares the income entered with the CMS bracket thresholds for the filing status chosen, finds the bracket, and adds that bracket's Part B and Part D adjustments to the standard Part B premium and any Part D plan premium. It then shows household monthly totals, yearly surcharges and the income room before the next bracket.

The calculator uses the 2026 figures CMS published on November 14, 2025: a Part B standard premium of $202.90 a month, with IRMAA beginning above $109,000 of MAGI on an individual return and above $218,000 on a joint return (CMS, 2026 Medicare Parts A & B premiums fact sheet, November 2025). The bracket table is maintained when CMS publishes each new year's amounts, usually in the fall.

Brackets are a cliff, not a phase-in: one dollar over a threshold applies that bracket's full surcharge. That is why the income room before next bracket result matters to clients deciding when to realize income.

It does not cover Medicare Advantage or Medigap premiums or Part A premiums, and Part D plan premiums are whatever the visitor enters.

  • Part B monthly premium per person, including any surcharge
  • Part B and Part D surcharges (IRMAA) and the IRMAA bracket
  • Total monthly premiums and yearly IRMAA surcharges for the household
  • Income room before the next bracket

Why does the two-year look-back create planning conversations?

Because Social Security usually sets IRMAA from the tax return two years before the premium year, so 2026 premiums generally reflect 2024 income. A Roth conversion, home sale, large capital gain or final bonus can raise premiums two years later, and a big drop in income can take two years to show up.

If income fell because of a life-changing event, the beneficiary can ask Social Security to use a more recent year's income by filing form SSA-44 (opens in a new tab) with proof. Qualifying events include marriage, divorce, a spouse's death, stopping or reducing work, and loss of a pension or income-producing property. The calculator's definitions explain this, so prospects who recently retired often arrive asking about it.

Leave tax strategy to tax professionals. The broker's useful role is to explain how the surcharge works, help the client see the dollar effect, and coordinate with the client's tax adviser or financial planner where the client wants that.

How does an IRMAA calculator fit the CMS marketing rules?

The calculator is educational and plan-neutral: it explains a premium set by law and does not name, compare or recommend any Medicare Advantage, Part D or Medigap plan. Pages around it that do market Medicare Advantage or Part D plans fall under the CMS Medicare Communications and Marketing Guidelines, including the TPMO disclaimer where it applies.

Scope-of-appointment requirements apply when a personal marketing appointment covers Medicare Advantage or Part D products. The CY2027 final rule changed scope-of-appointment requirements, so check the current CMS marketing guidance (opens in a new tab) and your carriers' rules before relying on any timing or process.

A calculator submission is a request to be contacted on the terms in your consent language, not a scope of appointment. Keep the consent wording specific, keep records, and do not imply any connection with Medicare, CMS or Social Security. See our Medicare broker overview for how the calculators fit a compliant site.

Which agencies and advisors benefit from an IRMAA calculator?

Medicare brokers whose clients include higher-income retirees, and life, annuity and retirement-income producers whose clients are making income decisions in their sixties. IRMAA turns abstract tax timing into a monthly premium figure, which makes it one of the few Medicare topics people research well before and long after enrollment.

For Medicare brokers it is a year-round educational asset that is not tied to an enrollment period. For annuity and retirement-income producers it connects income timing with Medicare costs, alongside the immediate annuity calculator.

Remember that a client who learns enrolling in Medicare ends HSA eligibility may also want the HSA contribution calculator, which explains the Medicare cut-off.

Medicare IRMAA Calculator

Terms the widget explains

IRMAA
The income-related monthly adjustment amount: an extra charge added to Medicare Part B and Part D premiums for people with higher incomes. In 2026 it applies when modified adjusted gross income is above $109,000 for an individual return or $218,000 for a joint return, and the Part B premium can reach $689.90 a month.
Part B standard premium
The monthly premium most people pay for Medicare Part B (doctor visits, outpatient care). It is $202.90 in 2026 and is usually deducted from Social Security benefits. The 2026 Part B deductible is $283.
Two-year look-back
Social Security sets IRMAA from the most recent tax return the IRS provides, usually the one from two years earlier. 2026 premiums are based on 2024 income, so a large Roth conversion, home sale or capital gain can raise premiums two years later.
Brackets are a cliff
IRMAA is not phased in. One dollar over a threshold moves you into the next bracket and the full surcharge for that bracket applies. That is why the calculator shows how much income room you have before the next bracket.
Modified adjusted gross income (MAGI)
For IRMAA, MAGI is adjusted gross income plus tax-exempt interest income. Qualified Roth IRA withdrawals and HSA withdrawals for medical costs are not included; required minimum distributions and taxable Social Security are.
Life-changing event (SSA-44)
If your income has gone down because of marriage, divorce, a spouse's death, stopping or reducing work, loss of income-producing property, or loss of a pension, you can ask Social Security to use a more recent year's income by filing form SSA-44 with proof.
Part D surcharge
The IRMAA for prescription drug coverage, from $14.50 to $91.00 a month in 2026. It is paid to Medicare, not to your plan, on top of your plan's own premium, and it applies to stand-alone drug plans and Medicare Advantage plans that include drug coverage.
Married filing separately
If you file separately and lived with your spouse at any time during the year, much tighter brackets apply: income above $109,000 goes straight to the second-highest surcharge, and $391,000 or more to the highest. Separate filers who lived apart all year use the individual brackets.

What to offer next

Compliance notes for this line

  • Keep the calculator page plan-neutral. If your site markets Medicare Advantage or Part D plans, the CMS Medicare Communications and Marketing Guidelines apply, including the TPMO disclaimer where required, and your carriers' rules apply too.
  • Scope-of-appointment rules apply before discussing Medicare Advantage or Part D products in a personal marketing appointment. The CY2027 final rule changed those requirements; check current CMS guidance rather than relying on older timing rules.
  • Do not use language, logos or design that implies an affiliation with Medicare, CMS or Social Security, and do not give tax advice about reducing income; refer clients to a tax professional.
  • Calls and texts to calculator leads need the consent the TCPA and CMS rules require; record it and keep it. This is not legal advice.

InsuranceQuoteWidget is software. It is not an insurance agency or producer and does not quote, sell or bind insurance. Insurance licensing and marketing rules vary by state.

How to word consent for calls and texts

FAQ

Questions agencies ask

Answers first, details after.

Which year's Medicare figures does the IRMAA calculator use?

It uses the 2026 Part B premium and the 2026 IRMAA brackets CMS published on November 14, 2025, applied to the MAGI from the 2024 tax return. CMS normally announces the next year's amounts in the fall, and the calculator's figures are updated when they are published.

Is the IRMAA calculator considered Medicare marketing?

The calculator itself is educational: it explains a premium set by law and does not mention, compare or recommend any plan. What surrounds it on your site can change that. Pages that market Medicare Advantage or Part D plans fall under CMS rules, so review the whole page with your compliance contact.

Do I need a scope of appointment to call an IRMAA lead?

A scope of appointment applies to personal marketing appointments covering Medicare Advantage or Part D products, not to explaining IRMAA. If the conversation moves to those products, follow current CMS requirements; the CY2027 final rule changed them, so check the latest guidance and your carriers' rules.

Does the calculator handle the SSA-44 life-changing event?

It explains it. The definitions describe how someone whose income fell after a qualifying event, such as retirement, marriage, divorce or a spouse's death, can ask Social Security to use a more recent year's income with form SSA-44. To see the effect, the visitor can enter the lower recent income.

Does the calculator include Medicare Advantage or Medigap premiums?

No. It covers the Part B premium, the Part B and Part D income-related adjustments, and the Part D plan premium the visitor enters. Medicare Advantage, Medigap and Part A premiums are not included, which keeps the tool plan-neutral.

How does it treat married couples?

Joint filers can choose one or two people on Medicare, and each person pays the Part B premium and any surcharges. Married people filing separately who lived with their spouse during the year use a separate, much tighter bracket table, which the calculator applies.

What does income room before the next bracket mean?

It is the amount of additional MAGI the visitor could have had before moving into the next IRMAA bracket. Because brackets are cliffs, that figure helps clients and their tax advisers think about the timing of conversions, sales and withdrawals.

Can financial advisors or annuity agents use the IRMAA calculator?

Yes. It is plan-neutral education about a Medicare cost, so it suits retirement-income and annuity producers as well as Medicare brokers. Anyone who goes on to market Medicare Advantage or Part D plans must follow CMS rules and be licensed and appointed as required.

Does the lead show the visitor's IRMAA bracket?

Yes. Filing status, MAGI, household count, Part D status and premium, the bracket and every result are stored with the lead and sent in the webhook. Treat income figures as sensitive and restrict who in the agency can see them.

Which plan includes the Medicare IRMAA calculator?

It is included on every plan, the free Producer plan too, which embeds up to 5 calculators. Agency at $150 a month raises that to 50 and adds webhooks, with a 14-day free trial on monthly and yearly plans.

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Included on every plan, starting with the free Producer plan. Paid plans add webhooks and a 14-day free trial.

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