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Home Sale Medicare Premium Calculator

Estimate whether a taxable home sale gain could affect your Medicare IRMAA surcharge.

Retired couple reviewing the financial impact of a home sale and other capital gains
1Filing status
2MAGI estimate
3Income events
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 and add any one-time income events.

Medicare usually looks back two tax years. See the lookback timeline.
IRMAA is charged per Medicare enrollee.
MAGI is generally AGI plus tax-exempt interest for IRMAA.
Build Medicare MAGI from common income items

Use this if you do not already have a Medicare MAGI estimate. AGI usually already includes taxable Social Security, pensions, consulting income, and taxable gains, so enter those only when they are not already counted in your AGI number.

Base MAGI subtotal$0
Add income events

Your estimate

Estimated bracketStandard premium
Income year used2024
Estimated MAGI$0
Monthly surcharge$0.00
Annual surcharge$0
Household monthly impact$0.00
Household annual impact$0
Room before next bracket$0
Max Roth conversion before next bracket$0
No added events $0 $0.00/mo
Planned events $0 $0.00/mo
Fill to bracket $0 $0.00/mo
Distance to IRMAA cliff $0 before the next bracket

Stay under the next bracket

Save the IRMAA planning checklist before a taxable decision changes your estimate.

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

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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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Why a home sale can affect Medicare premiums

A home sale does not affect IRMAA because of the sale price itself. The key issue is whether you have a taxable gain that raises Medicare MAGI for the year.

Estimate the taxable gain, not the gross sale price, then compare your result with the 2026 IRMAA brackets, review Medicare MAGI, or use the main IRMAA calculator.

Home sale FAQ

Does selling a house always trigger IRMAA?
No. IRMAA depends on taxable income, so the taxable gain is the number to estimate.
Should I enter the sale price?
No. Enter only the estimated taxable home sale gain.
Can a one-time home sale be appealed?
Not every one-time income event qualifies for IRMAA relief. Review SSA guidance before assuming an appeal applies.