Medicare IRMAA Surcharges and Late Enrollment Penalties — Florida Guide The Health Experts Insurance helps Florida residents understand Medicare IRMAA surcharges, late enrollment penalties, and appeal options. Free consultations available at 1-800-380-6821. What is IRMAA? IRMAA stands for Income-Related Monthly Adjustment Amount. It is an extra surcharge added to your Medicare Part B and Part D premiums if your income exceeds certain thresholds. IRMAA is determined by your income from two years prior. What are the 2026 IRMAA surcharges? The 2026 Medicare Part D IRMAA surcharge ranges from $13.70 to $85.80 per month depending on your income. Part B IRMAA surcharges range from $244.60 to $594.00 per month above the standard premium. Can I appeal an IRMAA determination? Yes. If you experienced a life-changing event such as retirement, divorce, loss of a spouse, or a significant reduction in income, you may be able to appeal your IRMAA determination using Form SSA-44. Our licensed brokers can help you understand your options. What is the Medicare Part B late enrollment penalty? If you do not enroll in Medicare Part B when you are first eligible and do not have qualifying coverage, you may face a permanent penalty of 10% added to your Part B premium for each full 12-month period you went without coverage. What is the Medicare Part D late enrollment penalty? If you go 63 or more consecutive days without creditable prescription drug coverage after becoming eligible for Medicare Part D, you may face a permanent penalty. The penalty is calculated as 1% of the national base beneficiary premium for each month without coverage. What counts as creditable drug coverage? Creditable coverage means your current drug coverage is at least as good as Medicare Part D. This typically includes coverage from an employer, union, TRICARE, VA, or Indian Health Service. Always get written confirmation that your coverage is creditable. How do I avoid Medicare penalties? Enroll in Medicare Part B and Part D when you are first eligible unless you have creditable coverage from an employer or other qualifying source. Contact a licensed Medicare broker before making any decisions about delaying enrollment. The Health Experts Insurance — 1695 NW 110 Ave, Suite 224, Doral, FL 33172 — 1-800-380-6821