Medicare Blog

how to avoid paying medicare premiums

by Mertie O'Conner Published 2 years ago Updated 1 year ago
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10 ways to avoid paying higher Medicare premiums.

  • Start early. Once you start taking required minimum distributions (RMDs), in most cases starting at age 70½, you have no control over that income, ...
  • Maximize contributions to HSAs.
  • Take money from your Roth IRA.
  • Consider an HECM.
  • Life insurance withdrawals?

How Can I Reduce my Medicare Premiums?
  1. File a Medicare IRMAA Appeal. ...
  2. Pay Medicare Premiums with your HSA. ...
  3. Get Help Paying Medicare Premiums. ...
  4. Low Income Subsidy. ...
  5. Medicare Advantage with Part B Premium Reduction. ...
  6. Deduct your Medicare Premiums from your Taxes. ...
  7. Grow Part-time Income to Pay Your Medicare Premiums.
Aug 30, 2021

Full Answer

Are You having trouble paying your Medicare premiums?

Aug 12, 2021 · The first way to control Medicare premiums is to be aware of the ways that you can influence your income. After the age of 63 (assuming that you start Medicare at age 65), maximizing pre-tax contributions to retirement plans, IRAs, HSAs, and other tax-deferred vehicles can help to reduce your income below one of these premium thresholds.

Does avoiding Medicare premiums reduce premiums?

Jan 07, 2022 · If the MAGI of the individual or couple crosses a threshold, there is no way to avoid paying IRMAA. Failing to pay the adjustments will result in cancellation of coverage, leaving many out-of-pocket expenses uncovered. Plus, without Part B, a beneficiary cannot purchase a Medigap policy or a Medicare Advantage plan . Last updated: 11-11-2020

Why is my Medicare premium higher than my other Medicare premiums?

Dec 22, 2019 · 10 ways to avoid paying higher Medicare premiums. Start early. Once you start taking required minimum distributions (RMDs), in most cases starting at age 70½, you have no control over that income, ... Maximize contributions to HSAs. Take money from your Roth IRA. Consider an HECM. Life insurance ...

Can I lower my Medicare Part B premium?

Dec 21, 2021 · To avoid getting issued an IRMAA, you can proactively tell the SSA of any changes your income has seen in the past two years using a “Medicare Income-Related Monthly Adjustment Amount – Life-Changing Event” form or by scheduling an interview with your local Social Security office (1-800-772-1213). Even if you are married, file jointly, and only had one …

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How do you not have to pay Medicare premiums?

A: Most Medicare-eligible people do not have to pay premiums for Medicare Part A. If you are 65 and you or your spouse has paid Medicare taxes for at least 10 years, you don't pay a premium for Part A.

Can I opt out of paying for Medicare?

If you do not want to use Medicare, you can opt out, but you may lose other benefits. People who decline Medicare coverage initially may have to pay a penalty if they decide to enroll in Medicare later.

How do you qualify for $144 back from Medicare?

How do I qualify for the giveback?Be a Medicare beneficiary enrolled in Part A and Part B,Be responsible for paying the Part B premium, and.Live in a service area of a plan that has chosen to participate in this program.Nov 24, 2020

At what income level do you pay more for Medicare?

For example, when you apply for Medicare coverage for 2022, the IRS will provide Medicare with your income from your 2020 tax return. You may pay more depending on your income. In 2022, higher premium amounts start when individuals make more than $91,000 per year, and it goes up from there.Nov 16, 2021

What happens if you decline Medicare Part B?

If you didn't get Part B when you're first eligible, your monthly premium may go up 10% for each 12-month period you could've had Part B, but didn't sign up. In most cases, you'll have to pay this penalty each time you pay your premiums, for as long as you have Part B.

Are you automatically enrolled in Medicare if you are on Social Security?

Yes. If you are receiving benefits, the Social Security Administration will automatically sign you up at age 65 for parts A and B of Medicare. (Medicare is operated by the federal Centers for Medicare & Medicaid Services, but Social Security handles enrollment.)

Is there really a $16728 Social Security bonus?

The $16,728 Social Security bonus most retirees completely overlook: If you're like most Americans, you're a few years (or more) behind on your retirement savings. But a handful of little-known "Social Security secrets" could help ensure a boost in your retirement income.Dec 9, 2021

Will Social Security get a $200 raise in 2021?

Which Social Security recipients will see over $200? If you received a benefit worth $2,289 per month in 2021, then you will see an increase worth over $200. People who get that much in benefits worked a high paying job for 35 years and likely delayed claiming benefits.Jan 9, 2022

Why is my Medicare premium so high?

CMS officials gave three reasons for the historically high premium increase: Rising prices to deliver health care to Medicare enrollees and increased use of the health care system. Some of the higher health care spending is being attributed to COVID-19 care.Nov 15, 2021

Does Social Security count as income for Medicare premiums?

Medicare premiums are based on your modified adjusted gross income, or MAGI. That's your total adjusted gross income plus tax-exempt interest, as gleaned from the most recent tax data Social Security has from the IRS.

How much does Medicare take out of Social Security?

In 2021, based on the average social security benefit of $1,514, a beneficiary paid around 9.8 percent of their income for the Part B premium. Next year, that figure will increase to 10.6 percent.Nov 22, 2021

What is deducted from your monthly Social Security check?

You can have 7, 10, 12 or 22 percent of your monthly benefit withheld for taxes. Only these percentages can be withheld. Flat dollar amounts are not accepted. Sign the form and return it to your local Social Security office by mail or in person.

How long do you have to wait to sign up for Medicare?

You can sign up for Medicare three months before your 65th birthday month. You then have a seven-month-long Initial Enrollment Period. There’s a financial motive to enroll during that time. In general, if you wait and sign up for Part B later, you will pay a late enrollment penalty.

Who is Lindsay Malzone?

Lindsay Malzone is the Medicare expert for MedicareFAQ. She has been working in the Medicare industry since 2017. She is featured in many publications as well as writes regularly for other expert columns regarding Medicare.

What are some examples of life changing events?

Examples of life-changing events include retirement, divorce, and the death of your spouse.

Do you pay taxes on a Roth IRA?

If you contribute money to a Roth IRA or 401K, you pay taxes on the money when you put it in. But the income you earn is tax-free. In some cases, you can convert a traditional IRA or 401K to a Roth. If you contribute to a health savings account, your contributions AND the income from them aren’t taxed as long as you use them for healthcare.

Can you deduct Medicare premiums?

Deductible medical expenses include premiums you paid for Parts B, D, and Medicare Advantage. However, there are limits to this deduction. First, you must have enough total deductions to itemize your deductions rather than taking the standard deduction.Second, you cannot deduct all your medical charges.

What is the IRMAA based on?

Your IRMAA will be based on your income two years prior. For example, 2020 Medicare premiums will be based on income reported on 2018 tax returns, says Floyd. “If you have stopped working and your income will be lower than the amount shown on the tax return used to figure the IRMAA, you can appeal using Form SSA-44.

What is a HECM mortgage?

An HECM, or home equity conversion mortgage, is a reverse mortgage insured by the U.S. Federal Government. A HECM allows seniors to convert the equity in their home into tax-free cash flow. Medicare Part B premium 2020: Rates and deductibles rising 7% for outpatient care. Watch out: How you could endanger your own 401k.

Can you borrow against a life insurance policy?

You might be able to borrow against the accumulated funds or cash value in your whole or permanent life insurance policy to fund living expenses and avoid an increase in your MAGI. Another option: Use a short-term, low-interest loan to reduce your taxable income, says Oh.

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Background

  • Medicare Part B is commonly called “medical insurance.” For each Medicare participant, premiums are $148.50 per month for 2021, but could be higher. Part D is commonly called “prescription drug coverage.” For each participant, premiums are paid each month; the rate depends on the Part D plan chosen. For some participants, the premiums per month could be hi…
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Prior Articles

  • Kitces (2017) points out that IRMAA tax began in 2007 and started hitting a lot more individuals in 2018 as the threshold amounts were lowered. IRMAA tax thus has become an important issue for financial planners with higher-income clients relatively recently. Slott (2018) recommends proactive tax planning to lower future MAGI amounts to reduce or avoid IRMAA tax. For example…
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Filing Form Ssa-44 When The Client Retires

  • Clients might owe no or lower IRMAA tax in the first two years of retirement if there is a “life-changing event” and Form SSA-44 is filed with the Social Security Administration (SSA), and properly shows that MAGI from the current or previous year will be one or more IRMAA thresholds below MAGI from two years prior—when the client was employed. For that reason, when a client …
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Mechanics of Filing Form Ssa-44

  • When an individual first applies for Medicare, and then in subsequent years, during November, they receive a letter from SSA, called an Annual Verification Notice, that determines if they have to pay IRMAA for the upcoming year. After receiving such Notice, Form SSA-44 can be filed if MAGI drops at least one threshold lower due to a life-changing event, which includes a work reduction …
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Summary

  • The Medicare Part B base premium amount in 2021 is $148.50 per month. Most individuals with Medicare Part B pay this base premium amount. However, if modified adjusted gross income (MAGI) as reported on Form 1040 from two years prior is above a certain amount, the individual will pay both the base premium amount and an Income-Related Monthly Adjustment Amount (IR…
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Conclusion

  • Assuming a client wants to keep after-tax cash flow the same before and after retiring, the client requires far less income—even if the only source of income at the start of retirement is tax-deferred retirement accounts. This is because after retiring, contributions to retirement accounts from salary and FICA (Medicare and Social Security) taxes end, and these both improve after-ta…
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Endnotes

  1. To be more specific, modified AGI = AGI + tax-exempt interest (on muni bonds) + interest from U.S. savings bonds used to pay higher education tuition and fees + earned income of U.S. citizens livin...
  2. Above-the-line deductions include items that are common for employed or self-employed individuals, not retirees. Such deductions are contributions to a traditional IRA, which can onl…
  1. To be more specific, modified AGI = AGI + tax-exempt interest (on muni bonds) + interest from U.S. savings bonds used to pay higher education tuition and fees + earned income of U.S. citizens livin...
  2. Above-the-line deductions include items that are common for employed or self-employed individuals, not retirees. Such deductions are contributions to a traditional IRA, which can only be done if th...
  3. There is one more threshold not mentioned. It is $500,000 if single and $750,000 if married filing jointly. This threshold will not be a focus of this article for three reasons: first, it is so muc...
  4. For simplicity, assume the employee’s health insurance and all parts of the retiree’s Medicar…

References

  • Kitces, Michael. 2017, November 29. “New IRMAA Surcharges on Medicare Part B and Part D Taking Effect in 2018.” Nerd’s Eye View. www.kitces.com/blog/irmaa-medicare-part-b-part-d-premium-surcharges-new-2018-magi-thresholds/. Slott, Ed. 2018. “Avoid a Medicare Hit.” Financial Planning48 (9): 38. Thomas, Francis C. 2019. “Planning for Medicare Taxes, Premiums, and Surc…
See more on financialplanningassociation.org

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