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IRMAA: The Medicare Cost That Can Catch Retirees by Surprise

Written by Evermay | June 16, 2026

Why IRMAA catches people off guard

IRMAA often shows up long after the financial event that caused it.

Maybe you retired and had one last high-income year. Maybe you sold a business, took a larger withdrawal from a retirement account, completed a Roth IRA conversion. At the time, those decisions may have made perfect sense. But two years later, Medicare may look back at that higher-income year and increase your premiums.

That is why IRMAA can feel frustrating. The added cost may arrive after the moment has passed and after your income has already come back down. For adult children helping with a parent’s financial life, understanding IRMAA can also make sudden Medicare premium increases easier to trace back to prior financial events.

A few common examples

Moving money from a traditional IRA to a Roth IRA can be a very smart planning move and one we often explore with our clients. However, this can also be a trigger for IRMAA, as the amount converted counts as income that year, which can temporarily push you into a higher Medicare premium range later on.

The same can happen when someone sells a business, sells appreciated investments, or has a year with unusually large capital gains. Medicare does not really care whether the income was a one-time event or part of your normal lifestyle. It simply looks at what was reported on the tax return for that year.

This does not mean the decision was a mistake. IRMAA is something to plan for, not necessarily something to avoid at all costs. Planning ahead can help you make better decisions with a clear understanding of the trade-offs.

Here are a few key scenarios where Evermay Wealth can help you plan for IRMAA’s impact:

  • Roth conversions. A Roth conversion can still be a good opportunity to explore, especially if it helps reduce future taxes or future required minimum distributions. Spreading your Roth conversions across multiple years may help smooth your reported income levels. (Please note: Evermay Wealth will provide clients and prospective clients with an analysis and important information that should be reviewed carefully before making your decision to engage in Roth conversion.)
  • Business or asset sales. Selling your business, real estate, or appreciated securities can create a significant one-year increase in income. Even when the sale is absolutely the right decision, it is helpful to understand how doing so may affect Medicare premiums down the line.
  • Required minimum distributions (RMDs). Once RMDs from your tax-deferred retirement accounts begin, they can raise taxable income in ways that catch retirees off guard. Planning earlier by considering Roth conversions or charitable contributions may help reduce the chance of larger income spikes in retirement.

Is there a way to ask for relief?

In some cases, yes.

If your income has gone down because of a major life event, Social Security may allow you to request a lower IRMAA amount. Qualifying events can include retirement or work stoppage, marriage, divorce, or the death of a spouse. The request is generally made using Form SSA-44, and though it is not guaranteed, many retirees do qualify.

The bottom line

IRMAA is one of those retirement details that is easy to miss until it shows up in real life.

It is not the biggest cost most retirees face, but it is one worth paying attention to, especially when you are making larger tax or income decisions. A little planning today can help prevent confusion later.

At Evermay Wealth, we believe retirement planning works best when the smaller details are not overlooked. If you are nearing Medicare age, considering a Roth conversion, planning the sale of a business, or helping a parent navigate retirement decisions, we are here to help you understand how IRMAA fits into the bigger picture.

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