Many retirees assume their Medicare premiums will stay consistent once they enroll. But that’s not always the case, especially for higher-income individuals.
In this episode, Larry Heller, CFP®, CDFA®, breaks down IRMAA, the income-related surcharge that can increase your Medicare Part B and Part D premiums based on income from two years prior. He explains how everyday financial decisions, from IRA withdrawals to capital gains and Roth conversions, can unexpectedly push you into higher premium brackets.
Larry discusses:
What IRMAA is and how it impacts Medicare premiums
How income from two years prior determines your current costs
Common triggers like Roth conversions, property sales, and large withdrawals
Strategies to potentially reduce IRMAA through proactive tax and income planning
Why coordinating tax, investment, and healthcare decisions is essential in retirement
And more!
Resources:
SSA Form 44 (to report a life-changing event and potentially reduce IRMAA)
Heller Wealth Management is now part of Savant Wealth Management. Savant is a Registered Investment Advisor. This content is provided for informational and educational purposes only and should not be construed as personalized investment advice.
Effective March 31, 2026, Heller Wealth Management joined Savant Wealth Management (“Savant”). A copy of Savant’s current written disclosure Brochure discussing our advisory services and fees is available at www.savantwealth.com/disclosure-brochures/
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