You may know a Roth conversion can affect your taxes—but what about your Medicare premiums?
In this episode, Catherine Magaña and Rachel Ivanovich break down the important connection between Medicare and Roth conversions. A Roth conversion increases taxable income, which could push you into a higher IRMAA bracket and increase what you pay for Medicare. And because Medicare generally looks back at income from two years earlier, the impact may not show up right away.
But does a higher Medicare premium mean you shouldn’t convert? Not necessarily. The key is looking beyond one year and understanding how a Roth conversion fits into your overall retirement and tax strategy.
In this episode:
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How Roth conversions can increase Medicare premiums
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How Medicare IRMAA works
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Why the two-year lookback matters
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Other income that can affect your planning
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Why spreading Roth conversions over time may make sense
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How Medicare costs compare with potential long-term benefits
Before making a Roth conversion, know how Medicare, taxes, and retirement income can all work together.
Date Recorded: 9/24/26
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