The 2027 cost-of-living adjustment is projected at 3.8 percent, with the official number due mid-October 2026. But the Medicare Part B premium that comes out of most checks is rising too, and if your income puts you in an IRMAA bracket, nothing protects your check from shrinking. Enter your numbers to see your actual 2027 deposit: raise in, Medicare out.
A $91.20 raise, minus $15.70 more for Medicare. You keep about 83 cents of every raise dollar.
Most people are protected by the hold-harmless rule: if the Part B premium increase would exceed your COLA dollars, the premium is capped so your deposit cannot fall. That protection has four exceptions, and the largest one is income. Anyone paying an IRMAA surcharge is outside hold harmless entirely: the full premium increase lands no matter what the COLA covers.
New enrollees, people whose premiums are not deducted from a check, and people whose premiums Medicaid pays are the other three exceptions. If you are near an IRMAA threshold, the difference between brackets is worth far more than the COLA itself: check the 2027 IRMAA brackets, and if your income has dropped since 2025 because of retirement or another life event, Form SSA-44 can move you down.
For how your benefit and IRMAA interact the rest of the year, read Social Security and IRMAA.
Sources: 42 U.S.C. 415(i) (COLA computation); CRS Report R40082 (Part B premiums and hold harmless); The Senior Citizens League 2027 COLA projection (July 2026); projected 2027 IRMAA sliding scale, official 2026 figures from SSA and CMS. The 3.8% COLA and 2027 premiums are projections until the official releases; this page is updated when they publish. Informational only, not financial or tax advice. Last verified August 2026.