06/02/2026
You open your mail one day and see that your Medicare premiums have gone up — by hundreds of dollars a month. Nobody called. Nobody warned you. It just showed up.
That's IRMAA. It stands for Income Related Monthly Adjustment Amount — Medicare's way of charging higher earners more for their coverage. And it's based on your income from two years ago, so by the time you find out, it's usually too late to do anything about it.
My video breaks the whole thing down in plain English. If you're on Medicare or getting close to 65, take a few minutes and watch it. It might save you a lot of money.