IRMAA (Medicare Income-Related Adjustment)

Higher Medicare premiums for higher-income beneficiaries.

What is IRMAA (Medicare Income-Related Adjustment)?

Income-related monthly adjustment amounts are surcharges on Medicare Part B and Part D premiums, based on modified adjusted gross income from two years earlier. Large one-time income - a Roth conversion, a big capital gain - can raise premiums two years later, which is a government-benefit consideration in tax planning.

IRMAA (Medicare Income-Related Adjustment): a worked example

A $150,000 Roth conversion at 64 can raise the client's Medicare premiums at 66.

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