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Episode Description
You did everything right. You saved aggressively, earned well, maybe converted to Roth or sold a property. Then two years into retirement, a letter arrives from Social Security: your Medicare premiums are going up, sometimes by thousands of dollars a year, per person. Your income is lower now. So why the surcharge?
Because IRMAA, the income-related monthly adjustment amount, isn't looking at your income now. It's looking at your tax return from two years ago. It's a cliff, not a ramp: one dollar over a threshold triggers the full surcharge for an entire year, and it's charged to each spouse separately.
In this episode, Hazel Secco, CFP®, CDFA®, fee-only fiduciary and founder of Align Financial Solutions, breaks down why the bill arrives two years late, which of your smartest financial moves are the very things that trigger it, and what you can still do about a number that was set two years ago (including the form most retirees are entitled to file and never do).
What You'll Learn
- What IRMAA is and why the two-year look-back makes it feel like an ambush
- Why the surcharge is a cliff, not a ramp, and why a single dollar of income can cost you thousands
- The number Medicare actually watches (MAGI, and yes, your tax-free municipal bond interest counts)
- This year's approximate threshold lines: ~$109,000 (single) and ~$218,000 (married filing jointly). Always recheck for your own year.
- The five triggers hiding in your best moves: your last big working years, required withdrawals (RMDs at 73 or 75 depending on birth year), Roth conversions, large one-time sales, and the widow's penalty
- Three moves that put you back in control: watching the line before year-end, sizing Roth conversions to fit under the brackets, and appealing with form SSA-44 after a life-changing event like retirement or the death of a spouse
- Two extra tools that lower the number: qualified charitable distributions (from age 70½) and choosing which capital gains you realize, and when
Chapters
- 00:00 The Two-Year Ambush
- 01:41 What IRMAA Really Is
- 02:05 The Three Sneaky Features
- 02:55 Thresholds and MAGI Math
- 04:14 Five Common Triggers
- 05:50 Widows and the Penalty
- 06:32 Three Ways to Respond
- 07:16 Conversion and MAGI Tools
- 08:16 Appeal with SSA-44
- 08:44 Key Takeaways and Next Steps
Three Things to Write Down
- The surcharge is set by your tax return from two years ago, steps up in blocks rather than smoothly, and is charged to each spouse separately, so the planning has to happen two years before the bill.
- The triggers are the things you did right: your last big work years, required withdrawals, Roth conversions, a large one-time sale, and for a widow, the move from joint thresholds to single ones.
- You have more control than the letter suggests: watch the line before year-end, size conversions to fit under it, and if you've retired or lost a spouse since that tax year, file the SSA-44.
Question for You
Which of the five triggers did you see yourself in: the last big work years, required withdrawals, Roth conversions, a one-time sale, or the widow's penalty? Tell me in the comments. The fix is slightly different for each one, and your answer tells me what to make next.
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About Hazel Secco, CFP®, CDFA®
Hazel is the founder of Align Financial Solutions. As a fee-only, fiduciary advisor, she specializes in helping independent women navigate career transitions, equity compensation, and building toward a Work Optional life.
Disclaimer: All content in this podcast is for educational and informational purposes only and does not constitute individual investment, legal, or tax advice. Investing involves risk. Always consult with a qualified professional regarding your specific situation.