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Retired Ironworker Faces Steep Medicare Surcharges on Final $180,000 Year

Original: He Retired From Ironwork in June. Medicare’s 2027 Letter Will Price Him on the $180,000 He Earned During His Last Overtime Year

An ironworker who retired in June is learning that Medicare will base his 2027 income-adjusted premiums on his final working year, when overtime pushed his earnings to about $180,000. The case highlights how income-related monthly adjustment amounts are calculated from tax returns from two years earlier, catching new retirees off guard with higher Part B and Part D surcharges.

Why now: Stories of unexpected Medicare premium surcharges hitting new retirees resonate widely as Americans approach retirement and confront the program's income-based pricing rules.

MedicareCenters for Medicare & Medicaid Services

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