Updated 12/26/2025

Will I Avoid IRMAA Surcharges On Medicare Part B & Part D?

Planning around Income-Related Monthly Adjustment Amount (“IRMAA”) surcharges has become more important as the Medicare premium increase amount has grown in recent years. While on the surface the concept is pretty straightforward, there are a few issues that can cause an unexpected wrinkle for your clients. It can be difficult to avoid pitfalls, and to recognize when a client may be able to request an exception from the IRMAA surcharge.

To help make this easier, we have created the “Will I Avoid IRMAA Surcharges On Medicare Part B & Part D” flowchart. It addresses some of the most common issues that arise for a client on Medicare, including:

• IRMAA surcharges for Part B and Part D based on MAGI ranges
• Situations to request an exception and the form to complete
• Relevant tax year for the surcharge calculation