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2026 Medicare Open Enrollment: The IRMAA Checklist Every Retiree Needs

Medicare open enrollment IRMAA planning starts now—the deadline is December 7th, 2026.It’s that time of year again. Your mailbox is full of Medicare Advantage flyers, and you have until December 7th to pick your Medicare Advantage plan for 2026. But here is the trap most retirees fall into: They think...

Avoid IRMAA by Borrowing Instead of Selling: Securities-Based Lending for Retirees

After 30 years in financial planning, I've seen the difference between clients who understand leverage and those who liquidate at the worst time. Most retirees' instinct is to sell stock when they need cash. But in 2026, that sale could trigger Medicare IRMAA surcharges on top of 15-20% capital...

Permanently Avoid IRMAA Surcharges with Portfolio Asset Allocation Changes 2026

You have probably spent years obsessing over Asset Allocation—how much stock vs. bond exposure you have. That is important for growth. But in retirement, there is a silent killer of wealth that allocation doesn't solve: Asset Location. Here is the reality I’ve seen in 25 years of financial planning: You...

Capital Gains Spiking Your IRMAA? Use Tax-Loss Harvesting to Cut Medicare Costs (2026)

You’ve spent decades saving, only to find out that Medicare has a "success penalty." It’s called IRMAA (Income-Related Monthly Adjustment Amount), and it is a cliff. Go one dollar over, and you pay the full surcharge. But there is a defensive move most retirees miss. Tax loss harvesting to...

IEP vs. SEP: Still Working at 65? Here’s Exactly When to Enroll in Medicare

You are 66, still working, and your HR director just told you: "Don't worry about Medicare, you're covered by our plan." Do not trust them. Your HR department is trained on company benefits, not federal Medicare coordination law. This gap is where most lifetime penalties happen. I have seen dozens of...

FEHB Retirees: Should You Enroll in Medicare Part B? (The Cost-Benefit Analysis)

If you are a federal retiree approaching age 65, your mailbox is likely full of Medicare flyers screaming about "permanent penalties" if you don't sign up immediately. Throw them away. Let's take a look at FEHB and Medicare Part B... As a federal retiree with FEHB (Federal Employees Health Benefits), you...

Medicare’s HSA 6-Month Rule & Lookback Trap: How to Avoid the Tax Penalty

You think you’re being responsible by working past 65 and maxing out your Health Savings Account (HSA). A strategy often favored by financially savvy individuals like yourself. The IRS thinks you’re breaking the law. There is a hidden tripwire in the Medicare enrollment process that catches my smartest clients every...

Medicare’s “Hold Harmless” Rule: The IRMAA Safety Net That Fails High Earners (2026 Guide)

You think your Social Security net benefit is statutorily guaranteed to never decrease? You’re wrong. While the "Hold Harmless" rule is designed to prevent Medicare premiums from eating up your cost-of-living raise, there is a statutory exclusion that most retirees don't see until January. If you trigger IRMAA (the Income-Related...

Medicare IRMAA: Why Qualified Charitable Distributions QCDs Beat Standard Donations

You’ve been generous your whole life. In retirement, you continue to support the charities you care about, writing a check for a few thousand dollars each year. You feel good about it, and you assume your generosity is at least giving you a bit of a break on your...

How Qualified Charitable Distributions QCDs Can Lower Your IRMAA (If You’re 70½+)

For retirees who are charitably inclined, there is no single greater tool for tax and Medicare premium savings than the Qualified Charitable Distribution (QCD). Yet, it remains one of the most misunderstood and underutilized strategies in retirement finance. This is what I saw in nearly 3 decades advising people....