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Heather Schreiber and Brad Pistole discuss the crucial impact of age 63 on Medicare premiums due to the Income-Related Monthly Adjustment Amount (IRMAA), which is based on Modified Adjusted Gross Income (MAGI) from two years prior. Large income events, such as Roth conversions, IRA withdrawals, or inheritances, can push retirees into higher premium bands, increasing Medicare costs for a full 12 months. Premiums range from the standard $174.70 to over $594 per month, and for married couples, these costs double. While certain life-changing events, like retirement, allow for premium appeals, retirees must carefully balance tax-saving strategies with potential Medicare surcharges. Working with a financial professional ensures proper planning to minimize taxes while avoiding unnecessary premium increases

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