Topic Archive
IRMAA
IRMAA is one of the least intuitive Medicare costs in retirement planning. This topic page collects articles on how higher income can raise Medicare premiums and how to plan around those cliffs.
2 articles
Curated reading on irmaa.
Why this topic matters
A strategy that looks fine on taxes alone can still be expensive if it trips Medicare surcharges two years later.
April 04, 2026
A lot of retirees treat RMDs like an administrative nuisance. They are not. A badly timed RMD can stack on top of Social Security, pensions, capital gains, and Roth conversions to create a surprisingly expensive tax year.
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January 17, 2025
You're 65. Your income hits $103,001. Congratulations - you just triggered an extra $1,678/year in Medicare premiums. And because it's based on 2-year-old income, you might not even realize it until you get the bill.
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Stress-test Medicare surcharge risk before it shows up.
Project income spikes, Roth conversions, and retirement withdrawals with IRMAA in view instead of as an afterthought.