The Hidden Medicare Charge That Surprises Retirees
Автор: Brennan Decima
Загружено: 2026-04-18
Просмотров: 224
Описание:
What if the IRS is using your income from two years ago to charge you thousands of dollars more for Medicare right now? That's exactly what IRMAA does, and most retirees have never heard of it until the bill shows up. In this video, Certified Financial Planner Brennan Decima breaks down what IRMAA is, how the two-year lookback works, what triggers it, and the practical strategies to avoid getting hit by it.
IRMAA surcharges can cost a married couple $10,000 to $15,000 a year in extra Medicare premiums for the exact same coverage. A Roth conversion that's too aggressive, a capital gain you didn't plan for, or selling a property at the wrong time can push you over a cliff threshold and spike your premiums overnight. Brennan explains why this is one of the most important puzzle pieces in retirement tax planning and how to keep it from falling through the cracks.
TIMESTAMPS:
0:00 - The Medicare surcharge most retirees don't know exists
0:35 - What is IRMAA and how much can it cost you
1:30 - The two-year lookback: why your 2024 income sets your 2026 premiums
2:30 - The speed camera analogy
3:00 - What triggers IRMAA (Roth conversions, capital gains, property sales)
3:45 - IRMAA cliff thresholds explained: one dollar can cost you thousands
4:30 - Strategy 1: Know your thresholds starting at age 63
5:00 - Strategy 2: Spread Roth conversions across multiple years
5:30 - Strategy 3: Why your tax return is the roadmap
6:00 - Strategy 4: Qualified charitable distributions (QCDs)
6:30 - Turning the unknown into clarity
ABOUT BRENNAN DECIMA:
Brennan Decima, CFP, is the founder and Managing Director of Decima Wealth Consulting in St. Petersburg, Florida. With nearly two decades of experience in financial planning, Brennan specializes in Medicare premium planning, IRMAA avoidance strategies, Roth conversions, retirement tax planning, and helping retirees and pre-retirees navigate the hidden costs of retirement with clarity and confidence.
Learn more about Decima Wealth Consulting: https://decimawealth.com
Read Brennan's book, "The Summit and Beyond": [LINK]
Subscribe for more retirement planning guidance: / @decimawealth
TOPICS COVERED IN THIS VIDEO:
IRMAA explained in simple terms
What is the Income-Related Monthly Adjustment Amount
How IRMAA surcharges work for Medicare Part B and Part D
The two-year lookback rule for Medicare premiums
IRMAA income thresholds and cliff brackets
How Roth conversions trigger IRMAA surcharges
Capital gains and IRMAA in retirement
How to avoid IRMAA with tax bracket management
Why age 63 is the critical year for Medicare premium planning
Spreading Roth conversions to stay below IRMAA thresholds
Qualified charitable distributions (QCDs) to reduce IRMAA exposure
How your tax return connects to Medicare premiums
IRMAA surcharges for married couples in retirement
The connection between IRMAA, RMDs, Social Security, and Roth conversions
The content provided is for informational purposes only and does not constitute tax advice. Brennan Decima is not a licensed tax professional. For guidance specific to your tax situation, please consult a qualified tax advisor or accountant.
Investments are subject to various risks, including market fluctuations, regulatory change, possible delays in repayments and loss of income and principal invested. The value of investments can fall as well as rise and you may not recover the amount originally invested at any point in time. Furthermore, substantial fluctuations in the value of the investment are possible even over short periods of time.
Investment Advisory Services offered through Csenge Advisory Group, LLC, a registered investment advisor. Decima Wealth is not affiliated with Csenge Advisory Group, LLC.
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