InsuranceSmart moves can help you dodge costly Medicare surcharges.Keep Medicare premiums down with tax-smart strategies. THICHA SATAPITANON/ShutterstockJavier Simon3/27/2026|Updated: 3/27/20260:00If you’re a high earner approaching the Medicare age of 65 or are already receiving these benefits, you may have to pay a surcharge on your Medicare Part B and Medicare Part D premiums.This is known as the income-related monthly adjustment amount (IRMAA). And it could mean you’d pay more than twice as much for Medicaid than the average citizen.
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