Mon May 12 2025, by Tyler Gardner

MedicareTax StrategyRoth ConversionsFinancial PlanningWealth Management

3 Ways to Lower Your Medicare Premiums, Even If You're Wealthy

If any of this is helpful, sign up for my free weekly newsletter by clicking the link in my bio. Medicare premiums go up when your income does, but there are smart ways to stay under the limits and keep more money in your pocket.

1. Roth Conversions Before Age 63

Why 63? Medicare premiums are based on your income from two years ago. So the year you turn 63 is when IRMA (Income Related Monthly Adjustment Amount) starts to matter.

2. Smooth Out Your Taxable Income

If you're above key IRMA limits ($103,000 for singles, $206,000 for married filing jointly), you'll pay more for Medicare Parts B and D. Roth conversions allow you to smooth out your annual taxable income.

3. Withdrawals from Roth Do Not Count Towards MAGI

Once converted, withdrawals from your Roth IRA do not count towards your modified adjusted gross income (MAGI). So if you need cash and want to stay under the IRMA limits, tap the Roth or other savings accounts instead of drawing from your 401k or other pre-tax accounts. Stay under the radar and smooth out taxable income.

Conclusion

And someone please tell me in the comments why Lin-Manuel did not agree to do the music for Moana 2. That soundtrack just didn't hit the same.

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