Irmaa income limits 2023. Tell the representative you want to lower your Medicare Income-Related Monthly Adjustment Amount (IRMAA) due to a life-changing event. Irmaa income limits 2023

 
 Tell the representative you want to lower your Medicare Income-Related Monthly Adjustment Amount (IRMAA) due to a life-changing eventIrmaa income limits 2023 That amount changes from year to year, but it's generally consistent for most Medicare enrollees

Part D – 4. High-income households pay an extra charge—IRMAA—on top of the standard Medicare premium. CMS’s goals for Medicare Advantage and Part D mirror our vision for the agency’s programs as. Since 2007, a beneficiary’s Part B monthly premium is based on his or her income. 10 to as. 90 a month to $329. 70 in 2024. 49 in 2023 to $55. Based on this year’s standard monthly premium of $170. The first income threshold for 2023 Medicare premiums will be at least $95,000 if the average CPI-U for Sep 2021 to Aug 2022 is at least. Here are the IRMAA income brackets for 2022 2023, and 2024. 80 and $560. Look up IRMAA income limits. However, for those earning. Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act. They both plan on retiring on July 1, 2024 and will. 8% in 2024, from $56. extra amount is called the Part D Income Related Monthly Adjustment Amount, sometimes called “Part D IRMAA”. Total Monthly Premium Amount. 280. B. Beneficiaries who file individual tax returns with modified adjusted gross income: Beneficiaries who file joint tax returns with modified adjusted gross income: Income-Related Monthly Adjustment Amount. To figure out your amount of IRMAA income simply look at lines 2a and 11 of your 2022 IRS form 1040. 80 to as much as $560. You'll also learn what IRMAA is and how to avoid IRMAA this year. The following are the income thresholds that apply for the 2023 tax year: Part B IRMAA Brackets : Individuals with a 2021 income of $97,000 or less (or married couples filing jointly with an income of $194,000. If you happen to reach IRMAA in any given year you will be notified by the Social Security Administration. Your 2023 monthly payment, if your filing status and yearly income in 2021 was. For example, in 2023 the IRMAA brackets look like this: For example, in 2023, if a married couple on Medicare had income of $194,000 in 2021, each person will pay $164. If your yearly income in 2021 was File individual tax return File joint tax return File married & separate tax return You pay (in 2023) $97,000 or less $194,000 or less $97,000 or less Your plan premiumEven the 2025 IRMAA brackets are not 'locked in' as it is predicated on the inflation adjustment from Sept 2023 - Aug 2024. This brief video outlines the 2023 Medicare Part B Premium Amounts as well as the Income Related Monthly Adjustment Amounts (IRMAA) for both Part B and Part. 90 a month. It is expected that tiers 1-4 will increase by 2% year over year. It says the "projected" 1st IRMAA tier in 2025 for a MCFJ in 2023 will be 212k, if inflation is 3% for this year. The average total Part D premium is the sum of the average basic premium and the average supplemental premium for plans with enhanced coverage and is the most accurate current projection of what. Income-related monthly adjustment amount. Call +1 800-772-1213. 70: Greater than $103,000 and less than or equal to $129,000We are clearly above the current $182k MAGI limit, but I read one article that estimates the limit could be $190k for 2021 income when they look back in 2023. The 2024 IRMAA Brackets. There are five IRMAA income brackets depending on your income and filing status. Medicare Part B covers physician services,. 70. An estimated 2 million Medicare beneficiaries (about 3. $0. 10 in 2022. For individuals the first $250,000 capital gain and for couples the first $500,000 capital gain does not count towards IRMAA. 20). Plus, individuals with earned income of more than $200,000, or. 94%. Beyond that, there are steps you can take now to avoid IRMAA charges in the future. The standard monthly premium for Medicare Part B enrollees will be $174. 00. While 2023 IRMAA rates haven’t been finalized, we expect they will increase slightly. Please reference our article with Important Tables for 2023 to see the Federal Income Tax Brackets and IRMAA thresholds. gov. 06%. Ordinarily, the following year is expected to be a little higher, but if you are wanting something sort of rock solid safe, I think $103k is a good limit for 2023 income (for use in avoiding IRMAA in 2025). Total Monthly Premium. 70. Beneficiaries who file an individual tax return with income: Beneficiaries who file a joint tax return with income: Income-related monthly adjustment amount Total monthly Part B premium amount; Less than or equal to $103,000: Less than or equal to $206,000: $0. 50 a month or $6,732 for the year. $103. Here are the IRMAA income brackets for 2022 2023, and 2024. 001D in this section, Appeals processing procedures for service representatives (SR) and 800 number agents (N8NN)The current Medicare costs and IRMAA brackets can be found at this link. QCDs are direct gifts from an individual retirement account to an eligible charity, and may reduce your adjusted gross income. And for 2024, the Roth IRA contribution limit is $7,000 for those under 50, and $8,000 for those 50 and older. Any premium increase above the standard amount is referred to as IRMAA, which stands for Income-Related Monthly Adjustment Amount. 00 for an individual and $23,517. 00. As it can be seen through the changes from 2007 to 2011, thankfully, the IRMAA income thresholds increased by roughly 1. 70 for 2024, an increase of $9. 70. 4 million in 2019 and then drop to 3. CMS’s goals for Medicare Advantage and Part D mirror our vision for the agency’s programs as. 80 more than. If your income is above a certain limit, you'll pay an income-related monthly adjustment. Income-Related Monthly Adjustment Amount Total Monthly Premium Amount. The 2023 IRMAA Brackets are: GET YOUR FREE MEDICARE IRMAA AND SOCIAL SECURITY STRESS TEST GET YOUR FREE REPORT NOW Do IRMAA. Here are the 2022 and 2029 estimates for each level, along with current Part B premiums and income figures: Level 1. 00% for IRMAA-Part B and for IRMAA-Part D the surcharges will inflate by 5. 90 (2023). The numbers depicted here are based on the Social Security Administration’s (SSA) most current records. In 2023, the standard premium for Part B is $164. This article breaks down all of your 2023 Medicare costs. 10The same income tiers apply to Part D prescription drug plans, with IRMAA surcharges ranging from an additional $12. Total Monthly Premium Amount. The first IRMAA MFJ threshold could be less than $194k for the Medicare premiums to be paid during 2024. Why does my very low-income limit not equal 50% of my median family income (or my low. Premiums start to increase for individuals who made $97,000 in 2021 or joint filers who made $194,000. – If MAGI is between $111,001 and. 90 a month to $329. IRMAA thresholds are adjusted for inflation each year. B. The income limit for the Saver's Credit is $36,500 (single and married filing. If your income is above a certain limit, you’ll pay an income-related monthly adjustment amount in addition to your plan premium. The standard monthly premium for Medicare Part B decreased from $170. 00 . The extra amount that higher-income individuals must pay is called an Income Related Monthly Adjustment Amount. Here are the IRMAA income brackets for 2022 2023, and 2024. The. If you go over the IRMAA cliff in 2022 (for 2024 premiums), you pay the IRMAA for 2024 only. . (if there is 3% inflation between now and Sept, 2024, the 2025 income limit to avoid IRMAA is estimated to be $212,000) This website is well explains IRMAA. The standard monthly premium for Medicare Part B enrollees will be $174. Note that it is not IRMMA (just like HIPAA is not HIPPA). 80 IRMAA surcharge) Medicare Part D Premium: $31. Then there was another $31. This is down $5. $97. However, high earners could be saddled with a monthly payment of up to $560, depending on their income bracket. 2. 80 in. Unfortunately, though, the Medicare Part B premium inflated by 5. 50. People who qualify for Medicaid automatically qualify for Medicare Part D Extra Help. 462. 70 for 2024, an increase of $9. So, for 2024, the SSA looks at your 2022 tax returns to see if you must pay an IRMAA. This means that the IRMAA Brackets, by law, will increase at the same rate. if inflation is 0% from September 2022 through August 2023, congress doesn't change the law,. In the latter filing scenario, Part B premiums are $238. $0. Learn more about IRMAA here. The decrease in the 2023 Part B premium. Medical equipment. 3 Lessons Learned From a. The IRMAA Brackets in 2019 were: As it can been seen since 2007 the IRMAA surcharges have grown over time and in some ways they have grown substantially. 6)The 2023 IRMAA is based on 2021 tax returns; the 2024 IRMAA will be based on 2022 tax returns. (if there is 3% inflation between now and Sept, 2024, the 2025 income limit to avoid IRMAA is estimated to be $212,000) This website is well explains IRMAA. There are higher income limits if you have a disability and are working. 90 premium + $164. The income-related monthly adjustment amount (IRMAA) has increased to $97,000 for individuals and $194,000 for couples. 80 for a total of $3955. There are also three tax filing status levels. 00. Then there was another $31. Total Monthly Premium. And contribution limits for IRAs were also increased by an additional $500, to $6,500 for 2023. 1. The minimum monthly Medicare Part B premium in 2023 is $164. 7 million, after the inflation adjustments. 40 to $77. 90 per month. Total Monthly Premium Amount. This IRMAA creates a surcharge you must pay in addition to the standard premiums. Similar for me. The tax return from two years ago year is used. 20 and savings of $2,577. The following are the income thresholds that apply for the 2023 tax year: Part B IRMAA Brackets : Individuals with a 2021 income of $97,000 or less (or married couples filing jointly with an income of $194,000. The article assumes IRMAA for 2021 applies to 2022 and 2023. RMD Effect Address required minimum distribution (RMD) requirements well in advance of the. The table below shows the income limits and potential Medicare Part B premiums for 2023: Filing Individual Tax Return. What is the Medicare IRMAA for 2023? The Income-Related Monthly Adjustment Amount begins with $97,000 for individual beneficiaries filing. Less than or equal to $88,000 . Total monthly premium amount. Minimizing Taxes In Retirement is a sure way to increase your retirement income. 50 a month, depending on income. Medicare-eligible retirees and their Medicare-eligible dependents can submit an IRMAA application if they paid above the standard amount of $170. Beneficiaries who are married and lived with their spouses at any time during the year, but who file separate tax returns from their spouses with modified adjusted gross income: Income-Related Monthly Adjustment Amount. The 2024 annual IRA contribution limit is $7,000 for individuals under 50, or $8,000 for 50 or older. 20 to your 2022 monthly Medicare Part B premium, increasing it from $170. IRMAA stands for Income Related Monthly Adjustment Amounts. That surcharge is known as an Income-Related Monthly Adjustment Amount, aka IRMAA. Looks like the avg inflation will be more than 3% for 2023. The Premium Amounts per IRMAA Bracket: According to the Medicare Board Trustees Report from 2019, the surcharges will inflate at as follows through 2028: Part B – 6. For 2023, the amount of earnings that will have no effect on eligibility or benefits for SSI beneficiaries who are students under age 22 is $8,950 a year. 3. What are the Medicare income limits for 2024? The income threshold for full benefits currently is 135 percent of the federal poverty guideline ($19,683 for an individual in 2023). IRMAA Brackets. You want to know whether SSA will use your possible high income in 2022 to retroactively to charge you IRMAA in 2022. High-income Medicare beneficiaries are also subject to monthly. You are new to Medicare in 2024. 90 in. 40, bringing the total monthly cost for Part B to $504. With only three months remaining for federal fiscal year (FFY) 2022, our 2023 IRS limits forecast will most likely set the record for a one-year increase, in terms of both dollars and percentage, even if inflation transitions to 3. 80 and $560. 45% while the surcharges in each bracket inflated on average by over 17%. The monthly surcharge for Medicare Part D ranges from $0 to $76. This is the maximum amount you pay in the initial coverage limit as well. *Housing Income Limits (HILs) were previously called the Core Need Income Thresholds (CNITs). 2023 Medicare Amounts. For instance, up to $147,000 of income is subject to Social Security payroll tax in 2022, but that figure will rise 9% to $160,200 in 2023. The higher a beneficiary’s MAGI is, the higher the premium will be. Less than or equal to $194,000. $97. 2022 IRMAA Tier = 2019 IRMAA Tier * (Average CPI-U Sep 2020 through Aug 2021) / (Average CPI-U Sep 2017 through Aug 2018) [rounded to nearest $1,000] For those with an income filing status of Single, the first 2019 MAGI threshold was $85,000; the Average CPI-U Sep 2017 through Aug 2018 was 249. Just watch what conversions will do to ACA premiums each year. In 2023, the threshold is $97,000 for a single individual; in 2024, it’s $103,000 for a single person. For 2024, the Part B premium is $174. 10 to as. Since they will file as married filing jointly, the following applies for 2023: Beneficiaries who are married and lived with their spouses at any time during the year, but who file separate tax returns from their spouses with modified adjusted gross income: Income-Related Monthly Adjustment Amount. 74 in 2023. Income-related monthly adjustment amount. The IRMAA income brackets for 2023 determine whether you’ll be subject to the additional surcharge and how much you’ll have to pay. Those who earn more than that amount will be subject to Medicare IRMAA amounts according to the IRMAA income limits displayed below. Medicare beneficiaries who reported an individual income at or below $103,000 in 2022, or a married couple who earn no more than $206,000 per year in 2022, will now pay $174. 90 for 2023, while the annual deductible for all Medicare Part B beneficiaries declined by $7 to $226. For. 90/month. First, it is important to note that the official IRMAA Brackets for 2024 have not yet been released. Step 3: Compare Your MAGI to the IRMAA Thresholds. 10Beneficiaries who are married and lived with their spouses at any time during the year, but who file separate tax returns from their spouses with modified adjusted gross income: Income-Related Monthly Adjustment Amount. For 2023, IRMAA kicks in if your 2021 MAGI was over $97,000; for married couples filing joint tax returns, above $194,000. 2% of your Social Security benefit. That surcharge is known as an Income-Related Monthly Adjustment Amount, aka IRMAA. About the Program. 90. Preventative care. 92% on average per threshold. While 2023 IRMAA rates haven’t been finalized, we expect they will increase slightly. 50 (monthly plan premium + $31. There are five IRMAA-related MAGI brackets for Part B for those filing single as well as for those who are married filing jointly. There's no yearly limit on what you pay out-of-pocket, unless you have supplemental coverage,. From 2022 to 2023 the CPI-U, if inflation remains constant, will increase by 5. income-related adjustments from benefit payments it processes. Medicare Part D Premium Increase Limits. This can add up to $839 more a year for Part B — in addition to the. In other words, the highest earners could end up paying an. The Medicare portion of the FICA payroll tax is 1. 90 in 2023. 20 per month ($410. Greater than $103,000 and less than $397,000. 00. This. All gains above those amounts do, though. this site may help you out and you can see where I got the $210,000 from. Congress held down this cost in a spending bill passed earlier this year. If your income exceeds certain thresholds, you could be subject to the income-related monthly adjustment amount (IRMAA). 00% in 2024. 2025 IRMAA Per Person. The annual deductible for all Medicare Part B beneficiaries will be $240 in. If your income is above a certain limit, you’ll pay an income-related monthly adjustment amount in addition to your plan premium. 70/month in 2024. 50 IRMAA surcharge) Example 2: Alison and Jeremiah are married with a MAGI of $300,000 in 2021. All gains above those amounts do, though. If you retire in 2022, CMS may not look at your 2021 tax return, which will help you avoid IRMAA that year, but it may look at your income in 2022 for the year 2023. 40 per year) - paid in addition to. Unlike Part B, the Part D IRMAA brackets will remain the same in 2022. $170. Affordable rental housing is housing with rents equal to, or lower than, average rates in the private-market. 2023 2024 401k 403b 457 IRA FSA HSA Contribution Limits. Per the table below, IRMAA can add $68. More than or equal to $750,000. Note: there are. Learn about the "Initial IRMAA Determination Notice," which Social Security sends you if you have Medicare Part B and/or Part D and Social Security determines that any Income Related Monthly Adjustment Amounts (IRMAA) apply to you. That's more or less how I do it. pdf Author: MPB4 Created Date: 1/4/2023 11:28:15 AM. 2023 Part D premium. Although it's decreasing, the CMS said there will be income-related adjustments to the monthly premium, ranging between $12. 60. Total Monthly Premium Amount. 3 Tier 1 consists of individuals with MAGIs of up to $97,000 and married couples filing jointly with MAGIs of less than or equal to $194,000. 50, though this varies based on individual plans. IRMAA is an additional fee that high-earning Medicare beneficiaries must pay each month. Less than or equal to $103,000. Medicare Part B Premium: $329. For those filing jointly, the IRMAA starts at $194,000. [RELATED: 2023 Medicare Part B Rates Announced] IRMAA brackets are different from tax brackets. The “standard premium” for 2023 is $31. 60/month for Part B premiums and $432. For 2023, the standard Medicare Part B premium is $164. Similarly, the tax return filed for 2021 will be used to calculate IRMAA surcharges for the year 2023. According to the Centers for Medicare and Medicaid Services, the 2022 Medicare. The finance buff's guess is as good as any. also, based on no inflation, to avoid IRMAA, the 2023 Joint filing income limit is estimated to be $210,000. 50 a month during 2023, down from a peak of $578. 90 per month. The majority of seniors impacted by the Medicare premium surcharge are between ages 65 and 80. The current Medicare costs and IRMAA brackets can be found at this link. 00: $174. Less than or equal to $103,000. 2023 Medicare Part D Income Related Adjustment Amount (IRMAA) Income Brackets: If your filing status and yearly income in 2021 (filed in 2022) was: File individual tax return: File joint tax return: File married & separate tax return: You pay each month for Part D (in 2023) $97,000 or less: $194,000 or less: $97,000 or less: no IRMAA, only your. The income brackets that trigger IRMAA surcharges increased from $86,000 for single taxpayers and $176,000 for married couples in effect in 2021. 00. Remember the income listed is for 2022. 0% annually (0. $194,000 or. Higher-income Medicare beneficiaries also pay. Less than or equal to $194,000. Published On 01/24/2023. 00. If you are over 63 and have a high income, this Roth conversion calculator shows the projected Medicare Income-Related Monthly Adjustment Amount (IRMAA) you may pay per month starting in 2025. Note: unfortunately, the previous 2 Medicare Board of Trustees Reports (2022 and 2021) due to circumstances on coverage and Covid-19 do not reflect. the Medicare program) paying the remaining 75 percent. This is the ultimate guide to the 2023 IRMAA brackets (and 2024 projected). HI 01120. The standard monthly premium for Medicare Part B enrollees will be $135. The Part B insurance premium is set annually by the CMS. IRMAA represents the additional amount that some people might have to pay for their Medicare Part B (medical insurance) or Part D (Medicare prescription drug plans) coverage. What are the 2024 IRMAA Brackets? Nothing is official yet, but by law the IRMAA Brackets adjust according to the Consumer Price Index for Urban Consumers (CPI-U). com. 90 per month for anyone with an income under the IRMAA limit. Retirement plan at work: Your deduction may be limited if you (or your spouse, if you are married) are covered by a retirement plan at work and your income exceeds certain levels. (877) 410-9594 info@irmaacertifiedplanner. “The higher premiums are referred to as an Income-Related Monthly Adjustment Amount or IRMAA, and in 2021, IRMAA surcharges apply to individual Medicare beneficiaries who earn more than $88,000. The IRMAA Income Limits for 2024 only applies to those whose 2022 modified adjusted gross income was: Greater than $103,000 (if you’re single and file an individual. What are the IRMAA Brackets for 2024. Use this calculator to determine your Medicare IRMAA charge for making over the income limit for Medicare. If one of these events affects a Medicare enrollee, he or she can proactively notify the SSA by using a “ Medicare Income-Related Monthly Adjustment Amount – Life-Changing Event “ form. IRMAA charges affect. Here is an excerpt: "It’s too early to know what the 2023 IRMAA brackets will be. Initial Coverage Limit (ICL) $5,030: Out-of-Pocket Threshold. 00. In 2023, the standard premium is $164. 40 per month to $491. 60 in 2020. The Medicare Part B standard monthly premium is $164. 2023 IRMAA Brackets. 20 to $76. Beneficiaries who file individual tax returns with modified adjusted gross income: Beneficiaries who file joint tax returns with modified adjusted gross income: Income-Related Monthly Adjustment Amount. IR-2023-203, Nov. Here is an excerpt: "It’s too early to know what the 2023 IRMAA brackets will be. Please reference our article with Important Tables for 2023 to see the Federal Income Tax Brackets and IRMAA thresholds. 90. Up to 85% of Social Security benefits are taxable if “combined income” — adjusted gross income, plus nontaxable interest, plus half of Social Security benefits —. IRMAA is a surtax that increases with higher levels of income. $0. If inflation is 0% from June 2022 through August 2023, these will be. Your Part D Premium will depend on the plan you choose. In 2024, if your income. The Medicare portion of the FICA payroll tax is 1. 40 per month, depending on income. S. Calendar Year (CY) 2024 Medicare Physician Fee Schedule Final Rule. If your income falls above a certain threshold, you will be subject to paying an Income-Related Monthly Adjustment Amount. Roth Conversion Consideration for IRMAA 2023. 00. 00. Your premium is based on gross income (MAGI). This can add up to $839 more a year for Part B — in addition to the. The Medicare Part B monthly premium is increasing to $174. In 2024, that standard Part B premium sits at $174. 010: Modified Adjusted Gross Income (MAGI) TN 20 12-22: HI 01101. exceed the dollar limit for calendar year 2014 increased by an amount equal to the product of that amount and the premium adjustment percentage for 2024. $97,000 or less. Most people pay the standard Part B premium amount. 50 IRMAA surcharge) Example 2: Alison and. The annual deductible for all Medicare Part B beneficiaries is $226 in 2023, a decrease of $7 from the annual deductible of $233 in 2022. 1) However, the premiums for Part B (medical insurance) and Part D (prescription drug insurance) can vary between individuals based on their income level. Part D premiums are dictated by the Part D plan carrier, but beneficiaries with an income over the IRMAA limit must pay an additional amount. If your income is above a certain limit, you’ll pay an income-related monthly adjustment amount in addition to your plan premium. The IRMAA surcharge is added to your 2023 premiums if your 2021 income was over $97,000 (or $194,000 if you’re married). 80 (compared to $238. 2021 Joint tax return. Depending on your yearly income, you may have an additional IRMAA surcharge. For 2023, the thresholds are $97,000 and $194,000. 80 IRMAA surcharge) Medicare Part D Premium: $31. 030: IRMAA Determination Process: TN 3 11-10: HI 01101. Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act. Beneficiaries who file individual tax returns with modified adjusted gross income: Beneficiaries who file joint tax returns with modified adjusted gross income: Income-Related Monthly Adjustment Amount. The annual contribution limit for a traditional IRA in 2023 was $6,500 or your taxable income. Married Submitting Individually >= $403,000. 70. 80 per month increase from the 2023 Part B premium of $164. At the first income level subject to IRMAA — individual taxpayers with MAGI greater than. 90 (down from $170. The COLA in 2024 is 3. $148. The lower your taxable income is, the lower your tax bill. tax-exempt interest income (line 2a of IRS Form 1040). 4 Single, Head of Household or Qualifying Widow(er) with dependent child. Nov 02, 2023. Less than or equal to $103,000. Modified Adjusted Gross Income - MAGI: Modified adjusted gross income (MAGI) is used to determine whether a private individual qualifies for certain tax deductions . The issue, though, is that your Social Security benefit pays for these IRMAA surcharges automatically. Per the table below, IRMAA can add $68. 90 for Medicare Part B. by boglegirl » Mon Jan 23, 2023 1:43 pm. While your AGI will be locked in on Dec 31, 2023, only 4 of the 12 inflation numbers that 'lock in' the 2025 IRMAA brackets will be known. Understand your Medicare coverage in 2023. A different Alzheimer’s medication, Aduhelm, was part of. And the more you earn, the more you’ll pay. The annual deductible for all Medicare Part B beneficiaries will be $240. If you had an event that caused your income to go down, you can request a reduction in your IRMAA. 70 per month in 2024. g. The 2024 Medicare IRMAA surcharge kicks in when modified adjusted gross income exceeds $103,000 for single taxpayers or $206,000 for married couples filing jointly. Filing Joint Tax Return. 60. 90 a month to $329. 50 a month, depending on income. I have a fat 401-K, so no real money worries (unless both stocks and bonds crash, plus inflation). less than $412,000 ; $326. Beneficiaries who file individual tax returns with modified adjusted gross income: Beneficiaries who file joint tax returns with modified adjusted gross income: Income-Related Monthly Adjustment Amount. 5%) will pay less than the full Part B standard monthly premium amount in 2019 due to the statutory hold harmless provision, which limits certain. For Part D, the IRMAA surcharges range from an additional $12. Page 1 of 8 OMB No. 847, for the Sep. However in 2023, 2024, and 2025 there is no maximum income limit, and premiums are limited to 8. If your income is above a certain limit, you’ll pay an income-related monthly adjustment amount in addition to your plan premium.