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