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Saving Advice
Saving Advice
Lifestyle
Drew Blankenship

Could Extra Income Raise Medicare Premiums Two Years Later?

Medicare premiums
Medicare premiums in 2026 start at a standard $202.90 for Part B but can rise significantly with 2024 income over $109,000 single or $218,000 joint due to IRMAA. Plan extra earnings carefully to avoid higher costs two years out. PeopleImages/Shutterstock

Picture this: You pick up some extra income this year through a rewarding side project, a profitable investment sale, or even a long-overdue bonus. Two years from now, that same extra money could quietly increase what you pay for Medicare premiums each month. This delayed effect stems from the Income-Related Monthly Adjustment Amount, or IRMAA, which the government uses to adjust costs for higher earners on Medicare Part B and Part D. Medicare covers more than 68 million Americans, but only a relatively small percentage pay IRMAA surcharges because they exceed the income thresholds.

Many future retirees overlook this connection until they receive an unexpected notice from Social Security, but understanding it now lets you make smarter financial moves and protect your retirement nest egg. Planning around these rules helps ensure your hard-earned savings last longer without surprise healthcare cost spikes. Here is what everyone needs to know.

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