Irmaa Medicare Premiums 2024. First established as part of the medicare prescription drug, improvement, and modernization act of 2003, irmaa’s purpose is to help ensure the program’s financial viability. The 2024 irmaa brackets by law are going to be larger than 2023.

For 2024, irmaa only applies to you if your modified adjusted gross income is more than $103,000. Here is how you can learn about the change and how to avoid irmaa.