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8 Medicare Changes Coming in 2027

September 7, 2026 · Personal Finance
Senior man sitting at a wooden table reviewing financial paperwork with a calculator and notepad.
Standard Part B monthly premiums are projected to reach $209.50 in 2027, with higher earners facing additional IRMAA surcharges.

7. Projected Part B Premiums and IRMAA Surcharges Adjust Upward

Medicare Part B expenses will see modest upward adjustments for 2027. Based on Medicare Trustees projections, the standard Part B monthly premium is expected to rise 3.5% to $209.50, up from $202.90 in 2026.

The annual Part B deductible also climbs to a projected $292, up from $283. These standard costs apply to all beneficiaries receiving outpatient medical care.

Higher-income retirees face additional adjustments through the Income-Related Monthly Adjustment Amount (IRMAA). The 2027 IRMAA surcharges rely on the 2025 tax data you file in 2026.

Projected Part B monthly IRMAA surcharges range from $83.70 to $502.60 above the standard rate. The Social Security Administration notifies affected beneficiaries each autumn regarding these surcharge brackets.

Managing your taxable retirement withdrawals today helps protect against unexpected premium spikes in future years.

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