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2023 IRMAA Part D Premiums
Medicare Part D Income-Related Monthly Adjustment Amounts
Since 2011, a beneficiary’s Part D monthly premium is based on his or her income. These income-related monthly adjustment amounts affect roughly 8 percent of people with Medicare Part D. These individuals will pay the income-related monthly adjustment amount in addition to their Part D premium. The Part D income-related monthly adjustment amounts are all deducted from Social Security benefit checks if the enrollee is receiving Social Security; otherwise, he or she is billed directly. The Part D IRMAA applies to both Medicare Advantage Prescription Drug Plans and separate Medicare drug coverage (Part D). The 2023 Part D income-related monthly adjustment amounts for high-income beneficiaries are shown in the following table:

Premiums for high-income beneficiaries who are married and lived with their spouse at any time during the taxable year, but file a separate return, are as follows:



