Health Insurance

The letter arrives when you’re least prepared for another crisis. Months after a divorce was finalized, or just as you’re navigating the grief of losing your spouse, a notice from the Social Security Administration (SSA) informs you that your Medicare premiums are about to skyrocket. It feels like a...

Got that shocking IRMAA determination letter? Before you do anything else, read this. Every year, thousands of retirees see that massive Medicare premium surcharge and make a panic-driven, and costly, mistake. They immediately assume it's a tax problem and turn to a seemingly clever strategy: IRMAA Married Filing Separately (MFS). This is the 99% mistake. It's an...

The couple sat across from me, retirement just two years away, staring at a projected $5,451 tax bomb they never saw coming. They had just sold their family home of 30 years, and their advisor told them, "Don't worry, the gain is mostly excluded." He was right about the capital...

You can trigger a five-figure Medicare premium increase with a single large taxable event. And not see the IRMAA Surcharge bill until two years later. This IRMAA calculator puts that delayed “tax bomb” on a chart. Enter your filing status, baseline MAGI, and one-time events (Roth conversions, capital gains,...

If you're facing higher Medicare premiums due to Income-Related Monthly Adjustment Amount (IRMAA) surcharges, there's hope for relief. The Social Security Administration recognizes that financial circumstances can change dramatically due to unexpected life events. That's why they created Form SSA-44 - the official appeal form for Medicare beneficiaries who've...

The couple sat across from me, both retired 18 months. Staring at a letter from Social Security. Their financial advisor had told them to "let it ride" on their final year bonus, which led to a $10,000 annual surcharge they didn't see coming. Look, the projected 2026 Medicare Part...

The term "IRMAA" can feel like a penalty for a lifetime of hard work and saving. It's the Income-Related Monthly Adjustment Amount, a surcharge that can add thousands of dollars to your annual Medicare premiums. But it doesn't have to be a surprise. I created this free IRMAA calculator to...

Your 2024 Modified Adjusted Gross Income (MAGI) determines whether you'll pay Part D IRMAA surcharges in 2026 through Medicare's two-year look-back rule. If you're a single filer earning over $109,000 or filing jointly above $218,000, you'll face monthly surcharges ranging from $14.50 to $91.00 added to your base premium. These income-related adjustments affect approximately 8% of Medicare beneficiaries,...

You're 63. Your tax preparer says your AGI is $105,000. Comfortably below the $109,000 IRMAA threshold. You relax. Two years later, at 65, you get a letter: your Medicare Part B premium is $1,165 higher because of $5,000 in tax-free municipal bond interest you (and your CPA) forgot about. That's when you learn...

You’ve spent decades planning, saving, and investing diligently. Now, on the cusp of retirement, you’re confronted with a penalty for your success: the Income-Related Monthly Adjustment Amount, or IRMAA. It’s a surcharge on your Medicare Part B and D premiums, and the anxiety it produces is palpable. You’re worried...