Part B Doctor Visits & D Rx
surcharges for those with high Income

If you earn a lot of money, be thankful.  Then open up your wallet as it will cost you a little more for Part B – Outpatient – Doctor Visits and Part D RxMedi Gap premiums stay the same.  No surcharge for Medicare Advantage, but for the Rx portion.  See the chart below and the publications on the right.

Note that MAGI for Social Security is a little different here that from the definition for those under 65 in Obamacare.   MAGI is the total of your adjusted gross income [line 8 b 1040] and tax-exempt interest income.

Here’s an Explanation in a Specimen MAPD Evidence of Coverage  page 20

Most Medicare beneficiaries pay the standard monthly premium, which is set to cover 25 percent of Part B and Part D program costs, but a relatively small share of beneficiaries (around 6 percent in 2015) with incomes above $87,000 for single people and $174,000 for married couples are required to pay higher premiums for Medicare Part B and Part D—ranging from 35 percent to 80 percent of program costs,  that means that your $144/month Part B premium, costs Medicare more than $429/month! and the average $36 Part D premium costs Medicare $112/month, click on footnote to view charts! depending on your  income (Figure 1).

Part D Rx & B Doctor Visits
Surcharge Chart

We don't always have time to update it.  Just click on chart or 2020 Medicare Costs #11579  for the latest from Medicare. 

Part D 
Higher Income Surcharge

Part D Rx Surcharge Chart

Part B Doctor Visits
Higher Income Surcharge

Part B Doctor Visits Surcharge Chart

Medicare Part A Hospital & B Doctor Visits Eligibility & Premium Calculator

Eligibility & Premium Calculator

Our Webpage on Late  Penalties?

Our Webpage on High Income?
Part D Rx Late Enrollment Penalty Calculator


How Part D Late Enrollment Penalty is calculated

12 comments on “Premiums for those with High Income Parts D Rx & B Doctor Visits

  1. Why do I have to pay so much for Medicare Part B Doctor Visits?
    I worked hard for over 40 years and paid taxes for it!

    why so much?

    Part B and Part D Standard Premiums

    Monthly premiums for most people on Medicare equal 25 percent of average per capita Part B expenditures for Part B enrollees and 25.5 percent of average per capita Part D expenditures for drug plan enrollees.

    In 2019, the Part B standard monthly premium is $135.50, up from $134 in 2018; for Part D, the national average monthly premium for 2019 is $33.19, but actual monthly premiums for stand-alone Part D drug plans vary across plans and regions from a low of $10.40 to a high of $156. Read more at

  2. Please look at this bill.

    Do I have hospitalization with Medicare and

    is Part D for prescriptions which I also have with United Healthcare?

  3. I’m married and my income for 2019 will be under $170k, how and when can I get the surcharge taken off?

    • Plain English from

      What year’s income is used?

      The surcharge is based on income from your tax return two years ago—the most recent IRS data the government has when premiums are set in late fall. To determine 2017 premiums, for instance, income reported on your 2015 return filed in early 2016 was used. If your income exceeded the thresholds in 2016, you’ll probably owe the surcharges in 2018, and so on.

      What if my income has gone down?

      That’s the reason for the word probably in the previous answer. If you got hit with the surcharge this year, but your income has fallen since 2015, you may qualify for a waiver. If you experienced a qualifying “life-changing event,” you can easily get the surcharge waived—but you have to ask. Those events include retirement, divorce or death of a spouse.


      Our research on “Official” Sites

      It appears to be as soon as you file a tax return with the lower figure.

      How does Social Security determine if I must pay higher premiums?

      To determine if you’ll pay higher premiums, Social Security uses the most recent federal tax return the IRS provides to us.

      Actual CFR Code of Federal Regulations

      (a) In general, we will use your modified adjusted gross income provided by IRS for the tax year 2 years prior to the effective year of the income-related monthly adjustment amount determination. Modified adjusted gross income is based on information you provide to IRS when you file your Federal income tax return. 418.1135

      If your income has gone down, however, due to certain specific circumstances, or if you filed an amended tax return, you can ask for a new decision without having to file an appeal.

      Request for Reconsideration
      See also link for Medicare & You in upper side panels

  4. I just retired and was earning enough to get the highest surcharge – IRMAA income-related monthly adjustment amount.

    Why does Medicare use income from my tax return filed in 2016 – 2 years prior.

    How to I get the surcharge to be lower now that I’m retired?

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