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For retirees who booked a large capital gain in 2024, the Income-Related Monthly Adjustment Amount is now adding thousands of dollars to their Part B and Part D Medicare premiums.
The surcharge stems from Medicare's two-year lookback rule, which pulls modified adjusted gross income (MAGI) from a prior tax return to calculate current-year costs.
A married couple filing jointly with a $210,000 taxable gain layered on top of roughly $130,000 in other retirement income could face combined surcharges exceeding $5,600 for the year, 24/7 Wall St. reported.
The surcharge applies even though the gain was a one-time event, because Medicare treats it the same as recurring income.
The Social Security Administration uses MAGI from the tax return filed two years prior to set surcharge levels.
3 months ago

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