Medicare Part D Premium 2024 Based On Income Limits. Since 2011, a beneficiary’s part d monthly premium has been based on his or her income. If you have medicare part b and/or medicare part d prescription drug coverage, you could owe a monthly surcharge based on an income related monthly.
Irmaa represents the additional amount that some people might have to. Medicare premiums are not a fixed cost for everyone as they can vary based on your income.