I was one of the early COVID movers, moving into my current home in June 2020. My wife was teaching kindergarten remotely, and my 2-year-old was finding new, dangerous ways to entertain herself. The space got very small, very fast.
As part of our move, I had all of our property and casualty policies reviewed. We decided to increase our auto coverage. Yes, the cost was higher, but the peace of mind was worth more than the additional premium. A classic cost-benefit analysis. However, paying a higher premium doesn’t always mean you’re getting more benefits.
If you are on Medicare and receive the dreaded income-related monthly adjustment amount (IRMAA) letter, there are four important things to know:
Sign up for Kiplinger’s Free E-Newsletters
Profit and prosper with the best of expert advice on investing, taxes, retirement, personal finance and more - straight to your e-mail.
Profit and prosper with the best of expert advice - straight to your e-mail.
1. A higher premium does not equal more coverage.
Unlike my auto example above and pretty much every other type of insurance, your premium doubling does not mean that you get more coverage. This may sound tongue-in-cheek, but I don’t intend it that way.
Your income from two years ago determines your Medicare Part B and Part D premiums. Unlike Medigap plans, Part B (physician coverage) and Part D (prescription drug coverage) of Medicare are the same for everyone. While your premium changes from year to year, your coverage will remain the same.
2. Your premium is based on gross income (MAGI).
We live in a world where taxable income is more important than gross income because it dictates our income tax bracket. Oversimplifying, our taxable income is our adjusted gross income minus “below-the-line” deductions. Adjusted gross income (AGI) is the total of our taxable sources of income. Modified adjusted gross income is AGI plus municipal bond income. Confused yet? The important takeaway is that it’s hard (but not impossible) to reduce MAGI.
The way to reduce MAGI is through “above-the-line” deductions. Our go-tos include qualified charitable deductions (QCDs), self-employed retirement plan contributions (IRA, 401(k), etc.) and, if you’re 63 or 64, a health savings account (HSA). All of these have specific requirements for eligibility that you’ll want to evaluate with a financial professional.
3. It’s not forever.
Well, I guess, nothing is… But with Medicare premiums, it is most definitely a one-year adjustment. As we do our 2023 end-of-year planning, we are considering 2025 premiums.
The inspiration for this article was a number of people who ended up paying more because they did something without realizing its impact on their Medicare premium. They sold their family home. They converted money from an IRA to a Roth IRA. They took on consulting work that took them over the income threshold(s). I often have to deliver the bad news that the premium increase is correct, though maybe not fair. The silver lining is that it is just for one year.
4. You can appeal.
And you probably should. Too often, I see people who paid higher-than-necessary premiums because they didn’t appeal when they could. Form SSA-44, aka the life-changing event appeal form, outlines very specific situations that allow you to appeal your premium. They are:
- Marriage
- Divorce/annulment
- Death of your spouse
- Work stoppage
- Work reduction
- Loss of income-producing property
- Loss of pension income
- Employer settlement payment
Medicare is an expense that needs to be planned for in retirement. While we sometimes go to great lengths to avoid the Medicare IRMAA for our clients, there are other situations where the benefit of going over the threshold outweighs the cost of the additional premium. That may be the case when doing Roth conversions. It also may be the case when deciding whether to sell a stock or a piece of property.
There is a domino effect to every financial move in retirement. I hope this keeps the dreaded surprise of IRMAA less of a surprise.
Related Content
-
What 401(k) Savers Near Retirement Can Do Amid Market VolatilityWhether retirement is years away, a year or two out, or in the rearview mirror, here's how to handle uncertainty in your 401(k).
-
The New Space Age Takes OffThe Kiplinger Letter From fast broadband to SOS texting, space has never been more embedded in peoples’ lives. The future is even more exciting for rockets, satellites and emerging space tech.
-
Could You Retire at 59½? Five ConsiderationsWhile some people think they should wait until they're 65 or older to retire, retiring at 59½ could be one of the best decisions for your quality of life.
-
Home Insurance: How to Cut Costs Without Losing CoverageNatural disasters are causing home insurance premiums to soar, but don't risk dropping your coverage completely when there are ways to keep costs down.
-
Markets Roller Coaster: Resist the Urge to Make Big ChangesYou could do more harm than good if you react emotionally to volatility. Instead, consider tax-loss harvesting, Roth conversions and how to plan for next time.
-
Why Homeowners Insurance Has Gotten So Very ExpensiveThe home insurance industry is seeing more frequent and bigger claims because of weather, wildfires and other natural disasters.
-
Going Through Probate? How to Find the Right AttorneyJust having the skills and experience to do the job isn't enough. The probate attorney you hire needs to have the right temperament for your particular case.
-
Widow's Penalty: Three Ways to Protect Your FinancesHigher Medicare premiums, smaller Social Security payments, bigger tax bills … Financial changes can hit hard when a spouse dies. How to counter the blow.
-
Four Ways Your Phone Can Help You Weather Market VolatilitySmartphone apps can help investors make healthy decisions and maintain a disciplined investment approach — even when emotions try to steer them off course.
-
Stick to the Plan: Don't Panic During Economic UncertaintyTake a breath and step back. Focus on a solid fiscal foundation to stabilize your investments during stock market volatility.
