You are probably not being charged for Medicare Part D IRMAA, but rather only Medicare Part
Income-Related Monthly Adjustments Amounts (IRMAA
) are additional amounts of money charged
to Medicare beneficiaries who have annual income (modified adjusted gross income (MAGI)) over certain limits.
The IRMAA charges are then paid in addition to both Medicare Part B and Medicare Part D
(You can see the annual changes in IRMAA limits in our Q1Medicare News section: https://q1medicare.com/q1group/MedicareAdvantagePartD/Blog.php?category_id=16
However, Part D IRMAA will not be charged
if you are not enrolled in a Medicare Part D plan - but, you will still need to pay
your Medicare Part B IRMAA.
As noted by the Centers for Medicare and Medicaid Services (CMS):
individual does not have or no longer has Medicare prescription drug
coverage, they shouldn’t be charged the Part D-IRMAA." However, the CMS memo does continue on to note that "if someone didn’t
pay the Part D-IRMAA that was owed before disenrolling from their
prescription drug coverage, they are responsible for the past due
(Source: Part D-Income Related Monthly Adjustment Amount—Frequently
Asked Questions & Answers, from Anthony Culotta, Director Medicare
Enrollment & Appeals Group, December 10, 2010)
2017 Example of IRMAA without drug coverage: "I have VA drug benefits and no Part D plan, so why am I being charged $53.50 for IRMAA?"
You are paying only Part B IRMAA.
Using this 2017 example, the 2017 Medicare
Part B IRMAA
was $53.50 for couples who earn between $170,000 and $214,000
annually or individuals who earn $85,000 to $107,000.
During the same year, the 2017 Medicare
Part D IRMAA
was $13.30 for the same income brackets (couples who earn between $170,000 and $214,000
annually or individuals who earn $85,000 to $107,000).
Since this person was only assessed $53.50, and do not have a Medicare Part D prescription drug plan, they are only being charged for their Part B IRMAA.
You can click
to read more about 2017 IRMAA payments ("Roughly a 4.5% increase in the 2017 Income Related Monthly Adjustment Amounts (IRMAA) for Medicare beneficiaries with higher annual incomes.") or click
to read more about 2018 IRMAA payments
("2018 IRMAA: 35% to 58% Medicare Part D IRMAA payment increases for individual earning incomes between $133,500 - $214,000 and couples earning $267,000 - $428,000.").