Medicare Blog

how to avoid the surtax on medicare premiums

by Jerrell Gaylord Published 3 years ago Updated 2 years ago
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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).Dec 21, 2021

Do top taxpayers pay more Medicare surtax?

Taxpayers in the top income brackets are likely to also be subject to an additional 3.8% Medicare Surtax on much of their income. In case you wondered about my politics with this post, here I am with Michelle Obama at the Whitehouse. Why? Income levels tend to be higher in the Golden State.

What is the Medicare surtax on much of my income?

This is on top of a top 37% Federal Tax Bracket. Taxpayers in the top income brackets are likely to also be subject to an additional 3.8% Medicare Surtax on much of their income. In case you wondered about my politics with this post, here I am with Michelle Obama at the Whitehouse.

What is medicare surcharge tax?

Medicare surtax is the additional Medicare tax that applies to taxpayers with income above a certain threshold. The income threshold depends on the filing status of the taxpayer.

How does the Obamacare Medicare tax work?

How the Obamacare Medicare Tax works. There is a flat surtax of 3.8% on net investment income for married couples who earn more than $250,000 of adjusted gross income (AGI). For single filers, the threshold is just $200,000. Another example of the marriage penalty at work in our tax code. The levy is only investment income above the thresholds.

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How do I avoid Medicare surcharges?

What are the best tips to avoid an IRMAA?Inform Medicare if you've had a life changing event that affected your income. ... Avoid certain income-boosting changes to your annual income. ... Utilize Medicare savings accounts. ... Consider a qualified charitable distribution. ... Explore tax-free income streams.

How can I lower my Medicare Part B premium?

To request a reduction of your Medicare premium, contact your local Social Security office to schedule an appointment or fill out form SSA-44 and submit it to the office by mail or in person.

What income level triggers higher Medicare premiums?

In 2022, higher premium amounts start when individuals make more than $91,000 per year, and it goes up from there. You'll receive an IRMAA letter in the mail from SSA if it is determined you need to pay a higher premium.

What is the threshold for Medicare surcharge?

Key takeaways. For 2022, beneficiaries who earn over $91,000 a year – and who are enrolled in Medicare Part B and/or Part D – pay a surcharge that's added to their Part B and Part D premiums. IRMAA is determined by income from your income tax returns two years prior.

Why is my Medicare Part B premium so high?

If you file your taxes as “married, filing jointly” and your MAGI is greater than $182,000, you'll pay higher premiums for your Part B and Medicare prescription drug coverage. If you file your taxes using a different status, and your MAGI is greater than $91,000, you'll pay higher premiums.

Will 2022 Part B premium be reduced?

Medicare Part B Premiums Will Not Be Lowered in 2022.

What is the Medicare surcharge for 2021?

Higher-income Medicare beneficiaries will pay more. In 2021, individuals with modified adjusted gross income of $88,000 or more and married couples with MAGIs of $176,000 or more will pay additional surcharges ranging from $59.40 per month to $356.40 per month on top of the standard Part B premium.

How do I stop Irmaa?

Reducing your MAGI (Modified Adjusted Gross Income) will help you reduce or avoid IRMAA in future years. To appeal IRMAA in 2022, you will need to file Form SSA-44. From 2007 to 2021, IRMAA bracket increases have ranged from 4.73% – 8.02%. The official 2023 IRMAA brackets will be announced later this year.

Does my income affect my 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 is Medicare surtax calculated?

It is paid in addition to the standard Medicare tax. An employee will pay 1.45% standard Medicare tax, plus the 0.9% additional Medicare tax, for a total of 2.35% of their income....What is the additional Medicare tax?StatusTax thresholdmarried tax filers, filing separately$125,0003 more rows•Sep 24, 2020

What income is subject to the 3.8 Medicare tax?

The tax applies only to people with relatively high incomes. If you're single, you must pay the tax only if your adjusted gross income (AGI) is over $200,000. Married taxpayers filing jointly must have an AGI over $250,000 to be subject to the tax.

How is Medicare surcharge calculated?

The surcharge aims to encourage individuals to take out private hospital cover, and where possible, to use the private system to reduce the demand on the public Medicare system. The surcharge is calculated at the rate of 1% to 1.5% of your income for Medicare Levy Surcharge purposes.

How much does Medicare cost per month?

For 2018, the standard premium for Part B is $134 per month, while the premium for Part D depends on the plan elected. Individuals with “high income” pay more.

Can you convert an IRA to Medicare?

On the other hand, converting an IRA to save Medicare premiums will not make sense if the increased taxes on the conversion more than offset the projected future Medicare premium savings.

Can a large Roth conversion cause a one year increase in Medicare premiums?

Thus, a large conversion in single year might cause a one-year increase in Medicare premiums. While this might still make sense depending on the future premiums saved, a better strategy would be to do a series of small Roth conversions, either before Medicare eligibility, or while there is some room within the various IRMAA tiers. ...

Is an HSA tax deductible?

Contributions to an HSA are tax-deductible, like a contribution to a retirement plan, grow tax-deferred, also like a retirement plan, but are not taxed when used for qualified medical expenses, unlike a distribution from a retirement plan, which is taxed. Because a qualified distribution from an HSA is tax-free, it has no impact on MAGI and therefore Medicare rates.

Can I convert my IRA to a Roth IRA without Medicare?

Of course, a Roth IRA conversion strategy must always be considered in light of the entire tax picture. There may be very good income tax reasons to convert an IRA to a Roth even without Medicare impact, especially in light of the new expanded tax brackets, if the conversion will reduce the tax rate on future RMDs.

How to avoid late penalties on Medicare?

Avoid Late Penalties by Signing Up When First Eligible. While avoiding penalties doesn’t directly reduce Medicare premiums, it does prevent them from becoming higher. 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 ...

Why do people delay enrolling in Medicare?

Some people delay enrolling in Medicare because they have other insurance that’s cheaper or has other advantages. Those advantages won’t matter if your plan doesn’t count as “creditable coverage” and you have to pay a late enrollment penalty.

What is Social Security premium based on?

That means your premium is based on your modified adjusted gross income from two years prior. You can ask the Social Security Administration to re-evaluate your premium if your income lowers because of a life-changing event. Examples of life-changing events include retirement, divorce, and the death of your spouse.

Is Medicare tax free?

It’s best to get advice from a professional about ways to grow your income tax-free. Medicare rules change from year to year, and so do the plans available in your area. It makes good financial sense to contact an agent every year to compare your options.

Can you change your Medigap plan at another time?

If you try to join a Medigap plan at another time, health issues can raise your premium. There are also yearly opportunities to change your advantage or Part D plans. These give you a chance to compare options and choose one with a lower cost.

Do you pay Medicare if you are a high income taxpayer?

Most people pay a standard rate for Medicare. If you’re a high-income taxpayer, you pay more. If your income is more than $88,000 for individuals or $176,000 for married couples, you’ll have a higher premium or an Income Related Monthly Adjustment Amount .In assessing IRMAA, Medicare doesn’t look at your current income.

Can you get extra help if you don't qualify for medicaid?

People with Medicaid automatically qualify for the Extra Help subsidy. However, you can obtain Extra Help, even if you don’t qualify for Medicaid. When your income is low, a subsidy can help reduce Medicare premiums and other costs.

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.

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.

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.

First Scenario: 401 (k) Contribution as Employee and 100 Percent Tax-Deferred Retirement Accounts as Retiree

Even if the client has the most tax-disadvantaged investments (i.e., all in tax-deferred retirement accounts (TDRAs) such as traditional 401 (k)s and IRAs) to be used for spending in retirement, filing Form SSA-44 can still result in IRMAA tax savings while maintaining the same level of after-tax cash flow.4 In the present scenario, assume the client’s only wealth is in TDRAs.

Second Scenario: Roth 401 (k) Contribution as Employee and 100 Percent TDRAs Before Such Contribution

Continue to assume the same facts with two changes: salary increases to $119,738; and during the last two years as a salaried employee, the client contributes $13,000 to a Roth 401 (k) instead of a traditional 401 (k) as in the first scenario.

Fourth Scenario: Roth 401 (k) Contribution as Employee, 54.5 Percent in TDRAs and 45.5 Percent in Taxable Account Before Such Contribution

Continue to assume the same facts as the last scenario with two changes: salary increases to $178,452; and during the last two years as a salaried employee, the client contributed $18,000 to a Roth 401 (k) instead of a traditional 401 (k). These last two years are the first time the client has ever contributed to a Roth retirement account.

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.

What is Medicare surtax?

0 1 minute read. Medicare surtax is the additional Medicare tax that applies to taxpayers with income above a certain threshold. The income threshold depends on the filing status of the taxpayer. Medicare surtax was first introduced in 2010 with the Affordable Care Act of 2010 and applies to investment income.

What is Form 8960?

Form 8960, Net Investment Income Tax —Individuals, Estates, and Trusts is the tax form where you can calculate the net investment income earned. Upon figuring out your net investment income, you will need to attach it to Form 1040—your federal income tax return and pay the surtax.

What is Medicare Part B premium for 2021?

In 2021, the standard Medicare Part B premium is $148.50 per month. However, if your modified adjusted gross income ( MAGI) from 2 years ago is above a certain amount, you are faced with an Income Related Monthly Adjustment Amount (IRMAA). This IRMAA is a surcharge you must pay in addition to the standard premium.

Can you spend Roth conversions on your taxes?

For a large Roth conversion, you can explain that the conversion income on your tax return isn’t money that you can spend because it is in your Roth IRA. If you did a total conversion, you can explain that you don’t have any traditional IRA assets any more and won’t have that income on any future returns.

Can you get out of Social Security surcharge?

Depending on your particular case and Social Security agent, you may get your surcharge waived, lowered, or upheld. If you skip the proactive notification of a life changing event, you instead have to “ Question the Determination ” and go through a “ Reconsideration Process ” after the fact to get out of the surcharge.

How to contact Social Security about IRMAA?

There are 3 things to do to first: Visit SocialSecurity.gov or call Social Security at 800-772-1213 (TTY users can call 800-325-0778) for help. Make sure you contact Social Security within 10 days of receiving an IRMAA notice. You may need to download Social Security Form SSA-44.

What is the difference between Medicare Part B and Part D?

Medicare is made up of several parts. Most have monthly premiums, which is the amount you pay each month for coverage. Part B has a standard premium amount that most people pay each month. That amount changes from year to year , but it's generally consistent for most Medicare enrollees .

What is a message optional?

Message (Optional) Important legal information about the e-mail you will be sending. By using this service, you agree to input your real e-mail address and only send it to people you know. It is a violation of law in some jurisdictions to falsely identify yourself in an e-mail.

Do you get a quarterly bill if you don't take Social Security?

If the amount isn't taken from your payment, you should receive a quarterly bill in the mail. And if you're not taking Social Security retirement benefits, you'll get a bill in the mail for the standard Part B premium amount, plus any IRMAA you owe.

Is MSA tax exempt?

An MSA is like a health savings account (HSA). Contributions made to an MSA are tax-exempt, and withdrawals are tax-free, if the money taken out is spent on qualified health care expenses. Moving money into an MSA could potentially lower your taxable income.

Is it important to get Medicare?

So as part of your retirement income planning, it's important to get the Medicare decisions right. Many older Americans are working longer and continuing to earn income well into their 60s and 70s. This income can help boost their retirement security, but it may also mean they face higher Medicare premiums.

Can you buy an annuity with a 401(k)?

One final possible option is setting up a qualified longevity annuity. * The IRS allows individuals to use their 401 (k) or traditional IRA to buy an annuity that offers regular income but reduces the amount of required minimum distributions. However, this approach might not be a good option for everyone.

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