The Income You Generate in Retirement Determines Your Taxes, Your Social Security, and Your Medicare Premiums
Not all retirement income is treated equally. Learn which types of income count toward your taxes, Social Security taxation, and Medicare's IRMAA surcharges — and which types don't.

There is an ideology shared by almost every person in the country when it comes to retirement income: the more of it you have, the better off you will be.
The logic is simple, and on the surface it appears to be sound — everyone can agree that having more is always better. In retirement, though, things are different when it comes to income, and the difference exists solely because of regulations passed by Congress over the years.
Those regulations mean that how you generate income in retirement matters just as much as how much you generate. Two retirees with identical lifestyles and identical spending can pay dramatically different amounts in taxes and Medicare premiums, purely because of where their income comes from.
Key Takeaway:
In retirement, the source of your income matters as much as the amount. Federal regulations tie your taxes, your Social Security benefit, and your Medicare premiums to the type of income you generate.
There are three specific federal regulations you need to be aware of before retiring:
Under current federal regulations dating back to 1984, if you are generating too much income (measured by your adjusted gross income, or AGI) while receiving Social Security, up to 85% of your benefit can be taxable. The "wrong type" of retirement income leads directly to keeping less of your Social Security benefit.
Starting in 2007, anyone in Medicare who generates too much income — measured by Modified Adjusted Gross Income (MAGI) — is subject to means testing through the Income-Related Monthly Adjustment Amount, or IRMAA. IRMAA functions like a tax collected through Medicare: if your income crosses the thresholds, your Part B and Part D premiums increase. The "wrong type" of retirement income leads to higher Medicare costs. You can see exactly where the thresholds fall on our IRMAA brackets page.
For most retirees, Medicare Part B premiums — and any IRMAA surcharges — are deducted automatically from the Social Security benefit. That means the "wrong kind" of retirement income will cost you even more of your Social Security check than you may be planning for: first through taxation of the benefit itself, and then again through higher premiums withheld from it.
Key Takeaway:
Three federal rules connect your income to your retirement costs: Social Security taxation (since 1984), Medicare's IRMAA means testing (since 2007), and the automatic deduction of Medicare premiums from Social Security checks.
Once you factor in these Congressional regulations, you realize there are really only two types of retirement income:
The easiest way to tell the difference between the two:
The benefits of paying taxes today, while you are working and can afford them, often far outweigh delaying taxes until retirement, when you are no longer working and need every dime you have.
The "wrong kind" of retirement income is any income that the Internal Revenue Service (IRS) and the Social Security Administration (SSA) use to determine your adjusted gross income (AGI). AGI allows the IRS and SSA to determine three specific things:
This type of income comes from investment vehicles that utilize tax-deferred contributions, as well as any other income you earn while in retirement that is taxable. Common examples include:
For Medicare purposes specifically, the figure that matters is MAGI — your AGI plus any tax-exempt interest. Our guide to Modified Adjusted Gross Income breaks down exactly what's included.
Key Takeaway:
If income shows up in your AGI — wages, interest, capital gains, dividends, pensions, rental income, or tax-deferred account withdrawals — it counts against you three times: income tax, Social Security taxation, and IRMAA.
The "right kind" of retirement income is simply income you generate that the IRS does not include in your adjusted gross income (AGI). By having a very small — or even no — AGI, you will never be subject to significant ordinary income taxes, nor will you pay a large amount of taxes on your Social Security benefit.
This income comes from investment vehicles that utilize after-tax contributions:
In retirement the key ingredient is income — but having the "wrong kind" of retirement income will only lead to much higher taxes and much lower net income. The goal for every retiree should be to have as little of the "wrong kind" of retirement income as possible, so they can maintain their lifestyle throughout their entire retirement.
Here's where the two kinds of income collide with Medicare. The SSA determines IRMAA using your MAGI from your tax return two years prior — so your 2021 income determined your 2023 premiums. The mechanics are covered in detail in How Is IRMAA Calculated.
When this article was originally published in 2023, the standard Medicare Part B premium was $164.90 per month, and IRMAA began for individuals with MAGI above $97,000 (or $194,000 for married couples filing jointly). Crossing a threshold by even one dollar moved a beneficiary into the next bracket — there is no phase-in. That cliff structure is exactly why the composition of retirement income matters so much.
The thresholds adjust each year, so always check the current IRMAA brackets when planning withdrawals. And if a life-changing event — retirement, divorce, death of a spouse — has reduced your income since that two-year-old tax return, you can appeal the determination using Form SSA-44.
Key Takeaway:
IRMAA is determined by MAGI from two years prior, and the brackets are cliffs — one extra dollar of the "wrong kind" of income can raise Medicare premiums for an entire year.
Shifting from the "wrong kind" to the "right kind" of retirement income doesn't happen by accident — it takes deliberate, multi-year planning, ideally starting well before Medicare enrollment at age 65:
For financial advisors, this is where planning software earns its keep. RetirementAdvisorPro models how each client's income sources flow into MAGI, projects future IRMAA exposure year by year, and quantifies how strategies like Roth conversions change lifetime Medicare costs — turning the "right kind vs. wrong kind" framework into a concrete, client-ready plan.
Two retirees, same income, very different Medicare bills. The difference is the type of income — not the amount. #RetirementIncome #IRMAA
Retirement income is not one-size-fits-all. Because of federal regulations — Social Security taxation since 1984, and Medicare's IRMAA means testing since 2007 — the type of income you generate in retirement determines how much of it you actually keep.
Income from tax-deferred assets and other AGI sources gets counted three times over: in your ordinary income taxes, in the taxation of your Social Security benefit, and in the Medicare premiums deducted from that benefit. Income from after-tax vehicles — Roth accounts, HSAs, life insurance cash value — largely escapes all three.
The goal is not less income. It's less of the wrong kind of income — so more of every dollar you generate stays in your pocket, maintaining your lifestyle throughout your entire retirement.
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