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Estimate your Medicare premium surcharge before a big income decision

Start with a Roth conversion estimate, then open advanced income events only if you need to model RMDs, home sale gains, capital gains, or work income.

1Filing status
2MAGI estimate
3Roth conversion
4Premium impact
  • Uses 2026 CMS Part B and Part D IRMAA surcharge amounts.
  • Shows monthly and annual surcharge estimates in plain English.
  • Built for planning conversations, not tax, legal, or Medicare enrollment advice.

Step-by-step estimate

Check your estimated IRMAA risk

Enter your expected Medicare MAGI, then test a Roth conversion before adding advanced events.

MAGI is generally AGI plus tax-exempt interest for IRMAA.
Core launch flow

Start with the decision most likely to be planned before it happens: a Roth conversion. Advanced income events are still available below.

Optional advanced income events
Use these when they apply

Your estimate

Estimated bracketStandard premium
Estimated MAGI$0
Monthly surcharge$0.00
Annual surcharge$0
Room before next bracket$0

What this means

Your estimate will update as you enter your numbers.

This estimate is educational. Check final rules and your situation against official Medicare, SSA, and tax guidance.

Official sources

Last reviewed: May 18, 2026. Thresholds and surcharge amounts should be checked against official sources before making financial decisions.

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2026 IRMAA brackets at a glance

For 2026 Medicare premiums, IRMAA uses 2024 modified adjusted gross income. The first surcharge begins above $109,000 for single filers and above $218,000 for married couples filing jointly.

Filing statusFirst IRMAA thresholdFirst Part B surchargeFirst Part D surcharge
SingleOver $109,000$81.20/month$14.50/month
Married filing jointlyOver $218,000$81.20/month$14.50/month
Married filing separatelyOver $109,000$446.30/month$83.30/month
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