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IRMAA life-changing events › Marriage

IRMAA after marriage: when getting married lowers it

You got married, and your new joint income is under the joint line, which is twice the single one. If that lowered your income, Social Security can set your IRMAA from the newer, lower year instead of your income from two years ago. You ask with Form SSA-44 and tick "Marriage".

Does it qualify?

Counts

  • You married someone with a lower income, so your joint income is under the joint bracket

Doesn't count

  • Marrying someone with a high income too: marriage can raise IRMAA instead
  • Living together without marrying

Worked example: Ann, married in May 2025

Ann was single in 2024 with a high income, so she pays IRMAA in 2026. She married Jim in May 2025. Jim's income is modest, and their joint 2025 income is under the joint line.

IRMAA before and after the request, 2026 brackets
IncomeMAGIIRMAA a month
2024 single income (used now)$150,000$240.40
2025 joint income (asked for)$186,000$0.00

Saves $240.40 a month

That's $2,884.80 a year, Part B and Part D surcharges together, at the 2026 brackets.
SSA-44 · Steps 1 and 2EXAMPLE
Field 1: Marriage ☑ Date of event (mm/yyyy)
05/2025
The month and year of the wedding. It must be in or before the Step 2 tax year.
Field 2: Tax year · Filing status
2025 · Married, Filing Jointly
Their income for 2026 will be about the same as 2025, so she uses 2025, the year they married, with their filed joint return.

Watch out: Run the numbers first: when both spouses have high incomes, marriage can push you into a higher joint bracket.

Proof of the event: send one

You also need proof of income for the year in Step 2: a signed copy of your Form 1040 or an IRS transcript. For a year you haven't filed yet, your estimate on the form is enough for now.

Don't have it yet?

Order a certified copy from the county or state vital records office. It usually takes a few days to a few weeks. You can file now and send it when it arrives: Social Security can mark the proof as pending for 30 days.

Check before you send

Send it online after signing in to your my Social Security account, or to your local Social Security office. The Form SSA-44 guide walks through every step. If Social Security says no, see how to appeal IRMAA.

Get it right the first time

A filled SSA-44 for "Marriage", ready to copy

2026 EDITIONIRMAAAppeal Kit
Lower your Medicare surcharge with Form SSA-44
Part B Forms
MONEY-BACKGUARANTEE14DAYS

Ann would save $2,884.80 a year. The kit costs $49 once, with a filled SSA-44 for your exact event.

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  • SSA-44 walkthrough for all 8 life-changing events
  • Evidence checklist for your event
  • What gets rejected, and why
  • Income estimate worksheet
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The other life-changing events

Questions people ask

Does marriage count as a life-changing event for IRMAA?

Yes. "Marriage" is one of the 8 life-changing events on Form SSA-44. You got married, and your new joint income is under the joint line, which is twice the single one. It lowers IRMAA only if your income dropped enough to move you to a lower bracket.

What proof do I need?

The original marriage certificate. Or a certified copy of the public record of your marriage. You also need proof of income for the year in Step 2: a signed copy of your tax return or an IRS transcript, or your estimate for a year not filed yet.

What date goes in Step 1?

The month and year of the wedding. It must be in or before the Step 2 tax year.

Which tax year do I put in Step 2?

The first year with the lower income. It must be more recent than the year Social Security used, and not before the event. If this year (the premium year) will be lower than last year, use this year as an estimate.

Last checked: November 12, 2026
Sources: Form SSA-44 (12-2025), Social Security: lower your IRMAA, SSA POMS HI 01120.001, CMS 2026 Part B premiums fact sheet
Written by the Part B Forms team · Not affiliated with Medicare, CMS, or Social Security