
Retirees with higher incomes often face an unpleasant surprise: Medicare surcharges called IRMAA (Income-Related Monthly Adjustment Amount). These add significant costs to Part B and Part D premiums, sometimes totaling thousands of dollars annually. While the Social Security Administration (SSA) allows appeals, success isn’t guaranteed. The most common reason retirees lose is simple—missing paperwork. An appeal without the right documents is like building a case without evidence. Here’s how to make your IRMAA appeal strong enough to succeed.