Boca Retirement Strategies
Fee-only · Fiduciary · Jupiter, FL

How $1 Could Raise Your Medicare Premiums by Thousands

Now playingBoca Retirement · YouTube
May 26, 2026

How $1 Could Raise Your Medicare Premiums by Thousands

📘 Download our Tax-Smart Retirement Workbook to see how this fits into your plan: https://bocaretirement.com/retirement-workbook/

What if earning just one extra dollar could increase your Medicare premiums by thousands per year?

That’s exactly what happens to many retirees who unknowingly trigger IRMAA, the Income-Related Monthly Adjustment Amount. In this video, Hunter Brockway with Boker Retirement Strategies explains one of the most overlooked retirement tax traps and how smart planning may help you avoid it.

IRMAA affects Medicare Part B and Part D premiums when your income crosses specific thresholds. The problem is that these thresholds work like cliffs, not gradual increases. Going even $1 over the line can result in significantly higher premiums.

In this video, Hunter breaks down: • What IRMAA is and how it works • Why Medicare premiums suddenly increase • How MAGI impacts Medicare costs • Roth conversions and IRMAA planning • Capital gains and retirement income traps • Why tax-free municipal bond interest still counts • The two-year Medicare lookback rule • Strategies to reduce Medicare surcharges • Retirement tax planning mistakes to avoid

Hunter also shares a real-life example of a retiree whose side income unexpectedly triggered thousands of dollars in additional Medicare premiums simply because his income crossed the wrong threshold at the wrong time.

You’ll learn several practical planning strategies retirees can use to potentially reduce IRMAA exposure, including: • Timing Roth conversions carefully • Splitting distributions across tax years • Managing retirement withdrawals strategically • Coordinating Social Security, taxes, and Medicare together

If you’re approaching retirement or already retired, understanding how Medicare premiums interact with your tax return is critical to protecting your long-term retirement income plan.

Download the free Tax Smart Retirement Workbook linked below to help evaluate key retirement planning decisions around taxes, income, Social Security, Roth conversions, and Medicare planning.

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