949-300- 3022 neil@insurance-oc.com








In 2023, the base cost of Part B is $164.90 – but it can be more based on your income. The acronym for this cost adjustment is IRMAA (Income Related Monthly Adjustment Amount). 

NOTE #1 – If you have a Medicare Supplement with a separate prescription drug plan, there is also an increase in the cost of Part D (Prescription Drug Coverage).  This increase will be added to the cost of your drug plan. However…

If you have a Medicare Advantage Plan, the drug coverage is included in the plan. So even if your plan cost $0, you will still have to pay the Part D IRMAA charge if you’re in a higher income bracket.

Click these links to see the IRMAA Monthly Adjustment Amounts for: Part B & Part D

NOTE #2 – Your income from 2 years ago is generally the figure used to determine IRMAA. If you were earning more income 2 years ago than you are now, and you want to appeal the IRMAA amount, click here for the appeal form.

Neil Steinman

Neil Steinman

Neil Steinman is the principal of Orange County Health & Life Insurance in Orange County, CA – and has been serving the needs of California residents for nearly 20 years.