| 2023 MAGI, single, head of household, or surviving spouse with dependent child | 2023 MAGI, married filing jointly |
2025 Part B Monthly Premium |
2025 Part D Monthly Premium |
|---|---|---|---|
| $106,000 or less | $212,000 or less | $185 | Plan premium (varies by provider) |
| $106,001 to $133,000 | $212,001 to $266,000 |
$259 ($74 surcharge)
|
Plan premium + $13.70 |
| $133,001 to $167,000 | $266,001 to $334,000 |
$370 ($185 surcharge)
|
Plan premium + $35.30 |
| $167,001 to $200,000 | $334,001 to $400,000 |
$480.90 ($295.90 surcharge)
|
Plan premium + $57 |
| $200,001 to $499,999 | $400,001 to $749,999 |
$591.90 ($406.90 surcharge)
|
Plan premium + $78.60 |
| $500,000 or more | $750,000 or more |
$628.90 ($443.90 surcharge)
|
Plan premium + $85.80 |
Disclosure Title
Source:
Disclosure