Page 8 - Cover Letter and Evaluation for Steve Decker
P. 8
2020 Part B & Part D premiums for people with higher incomes
Income levels shown are for Modified Adjusted Gross Income (MAGI) based 2018 tax returns*
Monthly Part B Monthly Part D
IRMAA Tier File Individual Tax Return File Joint Tax Return
premium premium
1 $87,000 or less $174,000 or less $144.60 Plan premium
(baseline)
above $87,000 up to above $174,000 up to Plan premium +
2 $202.40
$109,000 $218,000 $12.20
above $109,000 up to above $218,000 up to Plan premium +
3 $289.20
$136,000 $272,000 $31.50
above $136,000 up to above $272,000 up to Plan premium +
4 $376.00
$163,000 $326,000 $50.70
above $163,000 and less above $326,000 and Plan premium +
5 $462.70
than $500,000 less than $750,000 $70.00
Plan premium +
6 $500,000 and above $750,000 and above $491.60
$76.40
*Modified adjusted gross income (MAGI) equals adjusted gross income (AGI) plus tax-exempt interest
income.
