80 from $164. For 2024, the Part B premium is $174. You can review the premium amounts for Full Part B coverage for the different income tiers below. If you are not required to pay IRMAA, Medicare Part B premiums in 2024 are $174. If your income is above a specific limit, the federal government adds an extra charge to your monthly premium. Note that if MAGI is even $0. 80 per month increase from the 2023 Part B premium of $164. The standard monthly premium for Medicare Part B enrollees will be $174. Drugs and Biological Products Paid Under Medicare Part B; 1. The revenue brackets are the identical. Greater-income Medicare beneficiaries additionally pay a surcharge for Half D. Medicare Part B Premium and DeductibleStarting January 1, 2024, if you have Medicare drug coverage (Part D) and your drug costs are high enough to reach the catastrophic coverage phase, you don’t have to pay. The annual deductible for all Medicare Part B beneficiaries will be $240 in 2024, an increase of $14 from the annual deductible of $226 in 2023. 90. 70 in 2024, an increase of $9. After the deductible has been paid, Medicare pays most (generally 80%) of the approved cost of care for services under Part B while you pay the remaining cost (typically 20%) for services such as doctor visits, outpatient therapy, and durable medical equipment. If you are unsure why you are paying an IRMAA, you can call the Social Security hotline at 800-772-1213. Call TTY +1 800-325-0778 if you're deaf or hard of hearing. The surcharge is calculated based on tax returns you reported from two years prior: meaning your 2022 income determines your IRMAA in 2024, your 2023 income determines your IRMAA in 2025, and so on. The annual deductible for all Medicare Part B beneficiaries will be $240 in 2024, an increase of $14 from the annual deductible of $226 in 2023. Read more here. The 2023 IRMAA surcharge for Part B can cost $395. (This threshold was $85,000/$170,000 prior to 2020, but it was adjusted for inflation starting in 2020. In 2024, the Part B base premium is $174. 70 for 2024, an increase of $9. no added premium cost. 50 for 2021, an increase of $3. Medicare IRMAA is added to Part B & Part D premiums. For most participants, the cost of Medicare Part B will be $174. Here are the Part B IRMAA premiums for 2024 (based on 2022 income tax returns; the . A 40% surcharge on the Medicare Part B premium is about $840/year per person or about. 20 a. The IRMAA Brackets in 2019 were: As it can been seen since 2007 the IRMAA surcharges have grown over time and in some ways they have grown substantially. 80 from $164. Premiums can be higher or lower than the basic premium for enrollees who receive Part B benefits through the Medicare Advantage program. Before we dive into IRMAA 2025 let’s just recap a few facts about IRMAA first. For 2021, the Part B standard monthly premium is $148. Income Threshold for. 2. (IRMAA) — your full premiums can still be tax deductible. Income brackets and surcharge amounts for Part B and Part D IRMAA For 2024, the income brackets for Part B and Part D are the same. 10 for Medicare Part B. The annual deductible for all Medicare Part B beneficiaries is $198 in 2020, an increase of $13 from the annual deductible of $185 in 2019. 70 per month in 2024. People with Medicare who want to join a Medicare Advantage Plan . It is a surcharge on top of the current year’s Medicare Part B and Part premiums for those who earn too much money. There are five IRMAA-related MAGI brackets for Part B for those filing single as well as for those who are married filing jointly. Medicare premiums. 49 in 2023 to $55. The new rate, announced by the Centers for Medicare and. Your premium is based on gross income (MAGI). IRMAA is an additional fee that certain high-income individuals and couples must pay on top of their regular Medicare Part B and Part D premiums. The amount you pay for the Medicare program depends on how much you make annually. 80 per month in 2024 based on added costs the program is. Medicare health and drug plan. There’s also an IRMAA surcharge for 8% of Medicare beneficiaries who have Part D plans (prescription drug coverage). 80 from $164. Part B premiums are expected to increase 6. 70 for 2024, an increase of $9. 80. The IRMAA isn’t the cost of the premium, but the dollar amount added to the standard premium. 70 in 2024) to your IRMAA amount. This charge is in addition to your Medicare Part B and Part D premiums — and if you don’t pay attention to the rules governing it, you might find yourself stuck with a bill you didn’t expect. IRMAA adds $395. 60 per month for Medicare Part B in 2024. The income related monthly adjustment amount (IRMAA) is a surcharge on Medicare premiums for taxpayers with incomes over a certain amount. IRMAA (also known as Income-Related Monthly Adjustment Amount) is an increase in Medicare premiums based on income. Learn About Medicare Part B Premium 2024 - What changes are there, Role of Modified Adjusted Gross Income on Part B and How to Calculated It. Projected Premium Increases. It is a surcharge for high earners added to Medicare Part B and D premiums (uniformed service retirees typically do not have Part D premiums, as they are eligible for TRICARE pharmacy benefits). 90 in 2023. The income brackets are the same. The usual Half B premium is $164. What is the 2023 IRMAA Part B surcharge? Medicare Part B enrollees with income above $103,000 (single) / $206,000 (married) pay higher premiums than the rest of the Medicare population in 2024. 9% in 2022, retirees got some harsh news…Trustees Report & Trust Funds. That full table is presented next. A couple reporting $300,000 will each pay an additional $272. The standard monthly premium for Medicare Part B will be $174. You’ll pay monthly Part B premiums equal to 35%, 50%, 65%, 80%, or 85% of the total cost, depending on what you report to the IRS. 135(d), states are permitted to request HHS approval for statespecific datasets for use as the standard population to calculate AV. 80 from $164. Married Submitting Collectively: >= $750,000. Individuals $123,001-$153,000 or. Higher-income individuals will face additional charges based on their income levels and tax filing status. The Medicare Part B penalty increases your monthly Medicare Part B premium by 10% for each full 12-month period you did not have creditable coverage. The CMS calculates the IRMAA. 40. You probably know that your Medicare Part B premium can change each year. More critical is keeping income low to keep my wife's Covered CA (Obamacare) premiums low until she hits Medicare in 2 years. (IRMAA) surcharges or “means testing. 50 including. The surcharge you pay in year N+2 is based on your AGI in year N, but will be the year N+2 amount. 2024 IRMAA Brackets. The beneficiary is left with approximately 25% of the premium – $144. The Centers for Medicare & Medicaid Services (CMS) today announced that the average total monthly premium for Medicare Part D coverage is projected to be approximately $55. Anyway, the IRMAA threshold is so high (~$182K for married) we will. 80 from $164. The premiums. 80 from $164. IRMAA stands for Income Related Monthly Adjustment amount. Medicare beneficiaries who earn over $97,000 a year (the threshold increases to $103,000 in 2024) – and who are enrolled in Medicare Part B and/or Medicare Part D – pay the income-related monthly adjusted amount (IRMAA), which is a surcharge added to the Part B and Part D premiums. 92% on average per threshold. Anyway, the IRMAA threshold is so high (~$182K for married) we will stay well below, unless I get another job. The average total Part D premium is the sum of the average basic premium and the average supplemental premium for plans with enhanced coverage and is the most accurate current projection of what. Add to that amount the IRMAA surcharge amount for Medicare Part D drug coverage. Medicare Part B covers outpatient care like doctor’s office visits, preventive care, scans and tests. 80 a month. To illustrate the impact of eliminating the 5% coinsurance requirement in 2024, we used data from the Medicare Part D Spending by Drug. 80 from $164. The annual deductible for all Medicare Part B beneficiaries will be $240 in. The base Medicare Part D premium varies based on which plan you pick. If your income is above a certain limit ($97,000 if you file individually or $194,000 if you’re married and file jointly) (in 2024, $103,000 if you file individually or $206,000 if you’re married and file jointly), you’ll pay an extra amount in addition to your plan premium (sometimes called “Part D-IRMAA”). People with higher incomes will pay a Part B premium based on the Income Related Monthly Adjusted Amount (IRMAA) schedule. 44% estimated MA risk score trend included in the 2024 Rate Announcement Fact Sheet is calculated using a blend of 67% of the MA risk score trend calculated with the current model (the 2020 model, 5. 70. 50 in 2024 in addition to the standard Part B premium of $174. Supply: Medicare Prices, Medicare. On July 14, 2023, the Centers for Medicare & Medicaid Services (CMS) released their proposed Calendar Year (CY) 2024 Medicare Physician Fee Schedule (MPFS) Rule and Fact Sheet. Some plan premiums could be $0, while others could have premiums over $200. Medicare Part B Premium and DeductibleEach year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act. 80 more per month, per person. The average monthly premium for Medicare Advantage enrollees is $18. 60, and an annual total of. Across the country, the total number of 2024 Medicare Advantage plans will increase to 5,377, as compared to 5,369 plans in 2023. Preventive services: Health care to prevent illness (like the flu) or detect it at an early stage, when treatment is most likely to work best. 90 in 2023. If you’re a single filer and your modified adjusted gross income was more than $97,000, or more than $194,000 if you’re married and filing jointly, you’ll have to pay higher premiums for Medicare Part B and Part D prescription drug coverage. The annual deductible for all Medicare Part B beneficiaries will be $240 in 2024, an increase of $14 from the annual deductible of $226 in 2023. m. Medicare Part B Surcharges. 70 in 2024. 90 per month and 2024’s $174. 90 this year. Usually, the split between SSA and you is 75 percent/25 percent. 80 from. Let’s break down what this acronym means. September 28, 2022. 60-per-month, or an additional $463 annually. In 2022, Medicare Part B saw a high increase of premium of 14. To decide your IRMAA, we asked the Internal Revenue Service (IRS) about your The standard monthly premium for Medicare Part B enrollees will be $174. 90 per person, and they only go higher, depending on your income. 10 to $578. On average the IRMAA Brackets have inflated from 2007 to 2021 as follows: 1st Surcharge Bracket: 4. The Centers for Medicare & Medicaid Services (CMS) has announced that the standard monthly Part B premium will be $174. 5% (jumping from $148. Each individual will pay a Part B premium of $560. The surcharge you pay in year N+2 is based on your AGI in year N, but will be the year N+2 amount. The annual deductible for all Medicare Part B beneficiaries will be. What is IRMAA? IRMAA is the Income Related Monthly Adjustment Amount added to your Medicare Part B and Medicare Part D premiums. The deductible for Medicare Part A, which covers inpatient hospital care, nursing home stays and other services, will be $1,632 next year — a $32, or 2%, increase from this year. Many long-retired beneficiaries are stunned when they get a notice from Social Security in November informing them that they will be subject to IRMAA (Income-related Monthly Adjustment. 01 -$114,000 $182,000. If your 2022 MAGI exceeds the income listed for your tax filing status, you’re likely subject to the additional premium amounts. 2nd Surcharge Bracket: 6:42%. 60/month in 2020. The Part B premium went from $164. Below we show how much your IRMAA will likely be based on your modified gross income (MAGI) and filing status. 9%. 70 and the Part D is $55. Unofficial name. For couples who file a joint tax return, that threshold is $194,000 per year. This is a prescription drug beneft offered at . 90 in 2023. 90 in 2023. Medicare Part D Premium Increase Limits. 70 for 2024, an increase of $9. up to $2,309 monthly income for married couples. Income brackets and surcharge amounts for Part B and Part D IRMAA For 2024, the income brackets for Part B and Part D are the same. However, if your income exceeds certain thresholds, you will be subject to an IRMAA surcharge on top of the standard premium. Ultimately the cost (tax) for having too much money while in Medicare is only going to increase in 2024. Medicare Part B IRMAA. After you meet the deductible, you’re responsible for 20% coinsurance for the Medicare-approved amount for medical services and equipment. 40 per month, depending on income. Higher income Medicare beneficiaries pay more for Medicare Part B and Part D premiums. 40 a month—$912 a year—on top of Part D premiums charged by. 50, though. The Medicare Trustees' annual report projected a monthly Part B premium increase from $164. 70 for 2024, an increase of $9. The IRMAA income thresholds from the 2022 tax year (to determine 2024 Medicare premiums) were: Individuals with income up to $97,000 or married couples up to $194,000 paid the standard premium amount. Show Entries. Like Part B, about 8% of Part D beneficiaries may pay an IRMAA ranging from $12. This change would not be among. The annual deductible for all Medicare Part B beneficiaries will be $240 in 2024, an increase of $14 from the annual deductible. 00% for IRMAA-Part B and for IRMAA-Part D the surcharges will inflate by 5. 70 , an increase of nearly $10 a month. A. 50 in 2024. 90 in 2023. Medicare-eligible retirees and their Medicare-eligible dependents will be reimbursed annually for the standard Medicare Part B amount of $170. 80 from. That comes out to be $9. The 2024 standard monthly Medicare Part B premium will increase by 6% between 2023’s $164. 60 per month, totaling $560. Medicare Part D changes. Individuals enrolled in Medicare Part B, which covers doctor visits and other outpatient services, will pay a monthly premium of $164. The standard Part B monthly premium will drop to $164. The income limit for IRMAA in 2024 is $103,000 for individuals and $206,000 for couples. 60 per month and can be as high as $594. Those recipients are slated to get a 3. Anyway, the IRMAA threshold is so high (~$182K for married) we will stay well below, unless I get another job. The standard Medicare Part B premium, which covers doctors visits and other outpatient services, will increase to $170. Since CMS is finalizing a phase in of the 2024 model, the 4. To join a plan, you must: • Be a United States citizen or be lawfully present in the U. After falling in 2023, the standard Medicare Part B monthly premium will increase by $9. Since CMS is finalizing a phase in of the 2024 model, the 4. 20 to $76. That is an increase in cost of almost $10 per month compared to the 2023 standard monthly cost of $164. 80 from $164. m. Search this website. Expect to see Medicare grow slightly more expensive following last year’s unusual price drop. 70 per month in 2022 under CRS estimates, and $234. beneft to members who have Medicare—the FEP Medicare Prescription Drug Program (MPDP). A beneficiary’s monthly Part B premium has been determined by his or her income since 2007. Medicare Information FAQs. If IRMAA applies, you pay an additional surcharge for both. getty. 40. Preventive services: Health care to prevent illness (like the flu) or detect it at an early stage, when treatment is most likely to work best. According to latest Medicare Board of Trustees report from the IRMAA brackets will increase by over 6. 0% risk score trend) and 33% of the risk score trend calculated with the updated model. 90 next year, down from $170. 70 for 2024, an increase of $9. The annual deductible for all Medicare Part B beneficiaries will be $240 in. Part B also has a $203 deductible. We live in a world where taxable income is more important than gross income because it dictates our income tax bracket. The MAGI used to determine if the income-related monthly adjustment amount (IRMAA) applies is the most recent tax information that IRS is able to provide. Search this website. 9% increase for the 2022 premium. More critical is keeping income low to keep my wife's Covered CA (Obamacare) premiums low until she hits Medicare in 2 years. “IRMAA only applies to people enrolled in Medicare Part B and/or Medicare Part D,” explains Collins. 80 from $164. If your income two years ago was higher because you were working at that time and now your income is significantly lower because you retired (“work reduction” or “work stoppage”), you can appeal the IRMAA initial determination. 01 above a threshold, these additional Medicare premiums increase substantially. 10, seniors who are hit with the surcharge will pay from $238. 0% risk score trend) and 33% of the risk score trend calculated with the updated model. The Medicare Board of Trustees estimated the Medicare Part B premium for 2024 could be $174. The Part B premiums and deductible reflect the provisions of the Continuing. While most people who receive Medicare benefits when they reach age 65 will never have to worry about IRMAA, those with higher incomes are charged extra each month for their coverage. The annual deductible for all Medicare Part B beneficiaries will be. 1) However, the premiums for Part B (medical insurance) and Part D (prescription drug insurance) can vary between individuals based on their income level. Unmarried, most important to me was the. SSA determines if you owe an IRMAA based on the income. 70 each month. Your 2022 Federal tax filing (due April 18, 2023) will be used to determine your surcharge bracket. 0% risk score trend) and 33% of the risk score trend calculated with the updated model. If you. 60 per month or 14. Similarly, for Medicare, the tax rate is 1. Beneficiaries that. You’ll also have to pay. Parts B and D have monthly premiums. gov or . In January 2024, most U. 70 per month for Part B. (In that program, private insurers. Annual Part B Rate. The average premium for 2024 is $55. The increase in the 2024 Part B standard premium and deductible is. beneft to members who have Medicare—the FEP Medicare Prescription Drug Program (MPDP). More information regarding Part B premium surcharge calculations can be found in HI 01001. Of those with Medicare Part B, about 8% are affected by these income-related monthly adjustment amounts. The standard monthly premium for Medicare Part B enrollees will be $174. July 31, 2023 announcement of 2024 Part D National Average Monthly Bid Amount, Medicare Part D Base Beneficiary Premium, Part D Regional Low-Income Premium Subsidy Amounts, Medicare Advantage Regional Benchmarks, and Income Related. 50. The increase in the 2024 Part B standard premium and deductible is. 70 for 2024, an increase of $9. Medicare’s Part B standard monthly premium will increase to $174. If you have questions about your Part B premium, call Social Security at 1-800-772-1213. Most Medicare beneficiaries will pay the standard Part B premium of $174. Medicare premiums can never be reduced below the base amounts. 90 in 2023. Although the standard premium for Medicare Part B, which covers doctor’s visits and outpatient services, is $170. 2021 income: $88,001 to $111,000 (individual return or filing separately) or $176,001 to $222,000 (joint) 2021 monthly premium: $207. Submit the Medicare Part B IRMAA Reimbursement Application and proofs of all payments for your or your dependent's Medicare Part B premium. 10/month in 2022 to $164. 90 in 2023 to $174. Oversimplifying, our taxable. 90 in 2023. 00% increase, on a national average for Medicare Part D plan premium for medicare prescriptions. 70 for 2024, an increase of $9. Part B monthly premium. Your Part B premium could be higher depending on your income. Unlike Medicare Part B, which is standardized by the federal government, Part D plans are sold by private insurance companies, so monthly premiums can vary between plans and providers. 12. In March, the Medicare trustees estimated that the monthly Part B premium would be $174. The Senior Citizens League expects the cost of Part B to go up to $179. Medicare Part D premium inflation rate: But 7% of people with Part B get hit with a special Medicare monthly surcharge that can boost those premiums dramatically. The Inflation Reduction Act offers potential reductions in out-of. This will likely raise in 2024 due to a new Alzheimer’s drug being released. of people with Medicare, but those it does affect are often surprised or unclear about how it works. begins once you reach your Medicare Part D plan’s initial coverage limit ($5,030 in 2024) and ends when you spend a total of $8,000 out-of-pocket in 2024. 44% estimated MA risk score trend included in the 2024 Rate Announcement Fact Sheet is calculated using a blend of 67% of the MA risk score trend calculated with the current model (the 2020 model, 5. 80 IRMAA surcharge) Medicare Part D Premium: $31. The standard premium amount is the same for everyone, regardless of income, but IRMAA is based on a person’s modified adjusted gross income (MAGI) as reported on their federal tax return from two years prior. 90 premium + $164. 80 from $164. 70 per month. 90 per month in 2023 ($174. Higher income Medicare beneficiaries pay more for Medicare Part B and Part D premiums. 60 and $594. On September 27, 2022, the Centers for Medicare & Medicaid Services (CMS) released the 2023 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2023 Medicare Part D income-related monthly adjustment amounts. 2024 Medicare IRMAA (Income-Related Monthly Adjustment Amount) amounts are increased premiums higher income earners must pay for Medicare Part B and Part D benefits. But you will pay higher rates if you earned more than $103,000 on your individual 2022 tax return or more than $206,000 on a joint return. Deductibles, copays, coinsurance may apply. The annual deductible for all Medicare Part B beneficiaries will be. Before sharing sensitive information, make sure you’re on a federal government site. See the IRMAA table below for the 2024 Part B premium. In effect, IRMAA reduces the subsidy that high-income beneficiaries receive from Medicare. 50, though this varies based on individual plans. 10 per month in 2022, up $21. The average Part D premium is around $55. The Centers for Medicare & Medicaid Services (CMS) has announced that the standard monthly Part B premium will be $174. In other words, the highest earners could end. 70 for 2024, an increase of $9. 60 from this year’s monthly premium of $148. 50 a month, depending on income. Enrolled in Medicare Part A and. The Centers for Medicare and Medicaid Services (CMS) announced the monthly Medicare Part A and B premiums for 2024 on Thursday, with the costs set to go up by 6 percent next year. The standard monthly premium for Medicare Part B enrollees will be $174. Limitations and exclusions may apply. The projected average total Part D beneficiary premium is projected to decrease by 1. An annual increase of $117. In this post, we’ll delve into what IRMAA is, the income brackets for 2024, how the premiums are calculated, strategies for managing IRMAA, and more. Most people will pay the standard Part B premium amount. For 2024, the Part B premium is $174. Part B covers 2 types of services. You can use this chart to find out what your Part B premium will be in 2024 based on your income. The Medicare IRMAA for Part B went into effect in 2007, while the IRMAA for Part D was implemented as part of the Affordable Care Act in 2011. In 2023, their $300,000 income will put them in Tier 2, instead of Tier 3. 50, but this cost may vary significantly. Showing 1 – 10 of 59 entries. gov means it’s official. IRMAA for Medicare Part B is in Table 1 and for Medicare Part D is in Table 2. 2022 estimate: $220. However in 2022, you will no longer have a Part D or Part B IRMAA payment. 8% in 2024, from $56. The IRMAA tiers for Medicare Part B determine the amount of the surcharge based on income levels and tax filing statuses. The inpatient hospital deductible, which. For example,. Medicare Part B IRMAA If the Part B IRMAA applies to you, the amount you owe will be added to your Part B premium, which is $164. Income brackets and surcharge amounts for Part B and Part D IRMAA For 2024, the income. If your 2022 MAGI was over $750,000, your 2024 Part B and Part D IRMAA costs would be from the highest bracket whether you filed married but separate or jointly in 2022. In 2024, individuals whose income is higher than $103,000 and. Medicare Part B enrollees faced one of the most significant premium increases ever between 2021 and 2022. The IRMAA surcharges, or dollar additions, are also adjusted annually, but I think they adjust to the change in Medicare costs. Medicare Part B Deductible and Coinsurance: The 2024 annual Medicare Part B deductible is $240. Its Hospital Insurance Trust Fund pays for what's known as Medicare Part A: hospitals, nursing facilities, home health and hospice care and is primarily funded by payroll taxes. The Medicare Part B standard monthly premium is $164. 70 for 2024, an increase of $9. People who are single with an adjusted gross income of more than $97,000 or married filing jointly with income greater than $194,000 pay a high-income surcharge (officially called the Income-Related Monthly. Learn more about what people with Medicare Part D will pay for their prescription drug plans in 2024. The minimum monthly Medicare Part B premium in 2023 is $164. This Income-Related Monthly Adjustment Amount (IRMAA) is essentially a surcharge applied to Part B and Part D premiums for beneficiaries whose income exceeds specific thresholds. 5% (jumping from $148. e beneficiary is left with approximately 25% of the premium. Ultimately the cost (tax) for having too much money while in Medicare is only going to increase in 2024. 2024, must be processed in accordance with the revised requirements, including new. 50. You must sign up for Part A or Part B before enrolling in a Medicare Advantage plan. Medically necessary services: Services or supplies that are needed to diagnose or treat your medical condition and that meet accepted standards of medical practice. 00 $91,000. The surcharge, known as IRMAA (income-related monthly adjustment amount), applies to Medicare Part B and Part D premiums. The average Part D premium is around $55. 0% risk score trend) and 33% of the risk score trend calculated with the updated model. Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act. The Social Security Administration (SSA) determines who pays an IRMAA based on the income reported 2 years prior. of Medicare Part B, Erroneous Incarceration. 10 in 2022. Questions about your IRMAA or Medicare Part B Reimbursements? Medicare Part B 2022 Reimbursement. 70 a month in 2024. Hearing. 70 and the Part D is $55. The term ‘ IRMAA ‘ stands for Income-Related Monthly Adjustment Amount. The Part B basic premium in calendar year 2023 is scheduled to be $164. Note that IRMAA tax is avoided for 2024 and 2025 also, since those IRMAA tax amounts are based on MAGI in 2022 and 2023, respectively. 10 x 12 months = $2,041. 15% more Medicare Advantage plans available in 2024 as compared to 2023. 4th Surcharge Bracket: 8. 12. Medicare Part B Premium: $329. The extra charge for Part B starts at $69. 70 in 2024, a $9. In 2024, with the inflation adjustment to the IRMAA brackets, you will no longer have a Part D or Part B IRMAA payment. TTY users can call 1-800-325-0778. 2029 estimate: $327. Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act. You must be entitled to Medicare Part A and enrolled in Medicare Part B to enroll in this plan. Also, if you cancel your Part B, you can’t have supplemental coverage. 90. However, if you are in the highest IRMAA income bracket for Parts B and D, you will pay at least an additional $500 a month or $6000 a year. ).