1 Important Medicare Rule All Retirees Need to Know in 2026

Core Insights - A common misconception about Medicare is that coverage is free; while Medicare Part A is generally free, Part B requires a monthly premium [1][2] - The standard monthly premium for Medicare Part B in the current year is $202.90, but some enrollees may pay significantly more due to income-related surcharges [2][6] Medicare Part B Premiums - Medicare Part B premiums are automatically deducted from Social Security benefits for those enrolled; others must pay premiums directly [1] - Income-related monthly adjustment amounts (IRMAAs) can significantly increase Part B costs, based on income from two years prior [3][4] IRMAA Triggers and Management - High income can trigger IRMAAs, which may be influenced by factors such as large withdrawals from retirement accounts [5][6] - Consulting with a tax professional is advisable for those concerned about future IRMAAs, as they can provide strategies to manage income levels [7]