Understanding How Your Earnings Impact Medicare Costs

Deciphering What Income is Used to Determine Medicare Premiums

Explore how your income impacts Medicare premiums. Learn what income is used to determine medicare premiums and uncover strategies for planning.

Mark Annese
Mark AnneseMarch 15, 20248 min read

Understanding Medicare Premium Calculations

Standing at the crossroads of retirement with dreams to chase and hobbies to explore, there's a crucial question: what income is used to determine Medicare premiums?

Your road map for navigating this phase hinges on understanding how Medicare works. Just like mastering a new skill, grasping the ins and outs of Medicare requires patience, diligence, and knowledge.

Intricate yet vital details such as Modified Adjusted Gross Income (MAGI), its components including total gross income and certain non-taxable Social Security benefits play starring roles in calculating your potential Medicare premium payments.

The Role of Income in Medicare Premiums

The cost of your Medicare premium is not fixed. Your premium may vary depending on several factors, with income being a primary one. Understanding how your earnings affect these premiums can help you effectively plan for retirement.

The MAGI is used to calculate premiums for both Parts B and D of Medicare. This system ensures those with higher incomes contribute more towards their healthcare costs through IRMAA surcharges.

In 2023, individuals earning an annual income of $97,000 or less paid a standard premium of $164.90 for Medicare Part B. However, this isn't just any flat fee—it's linked directly to inflation rates as well as federal budget considerations.

What Counts Towards MAGI

Your Modified Adjusted Gross Income (MAGI) for Medicare includes:

Income That Counts

  • • Wages and self-employment income
  • Taxable Social Security benefits
  • • Pension and rental income
  • • Capital gains
  • • Dividends and interest
  • • Traditional IRA/401(k) withdrawals
  • Tax-exempt interest (municipal bonds)

Income That Doesn't Count

  • Roth IRA withdrawals
  • • Health Savings Account withdrawals
  • • Life insurance loans
  • • Reverse mortgage proceeds
  • • 401(h) plan distributions

Learn more about how MAGI is calculated for Medicare.

Strategies to Lower Medicare Premiums

Get ready to uncover effective strategies that could help you lower these costs by leveraging things like retirement accounts or Health Savings Accounts:

  • Roth conversions before Medicare enrollment
  • Maximize HSA contributions while working
  • Time capital gains and large distributions strategically
  • Consider income sources that don't count towards MAGI
  • Plan retirement account withdrawals carefully

For detailed strategies, visit our guide on how to reduce MAGI for Medicare.

Need Help With Medicare Planning?

Our tools help calculate how your income affects Medicare premiums.

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  • MAGI determines Medicare Part B and Part D premiums
  • Income from 2 years prior is used for calculations
  • Tax-exempt interest counts towards MAGI
  • Roth withdrawals don't count towards MAGI
  • Strategic planning can lower Medicare costs
  • IRMAA surcharges apply to higher incomes

Related Resources

MAGI for Medicare

Understanding MAGI calculations

Learn more →

How to Reduce MAGI

Strategies to lower Medicare costs

Learn more →

IRMAA Brackets

View current IRMAA thresholds

Learn more →

Free Demo

See our planning tools

Learn more →

Frequently Asked Questions

Common questions about our platform and services

What income is used to determine Medicare premiums?

Medicare premiums are determined by your Modified Adjusted Gross Income (MAGI), which is your adjusted gross income plus any tax-exempt interest. Social Security uses your tax return from two years prior to calculate your premium.

What is MAGI for Medicare purposes?

MAGI for Medicare is your total gross income including wages, Social Security benefits, pension income, capital gains, dividends, and interest, plus any tax-exempt interest such as municipal bond income.

How does income affect Medicare Part B premiums?

Higher income means higher Part B premiums through IRMAA surcharges. In 2024, individuals earning over $103,000 (or couples over $206,000) pay additional amounts on top of the standard $174.70 premium.

Can I lower my Medicare premiums by reducing income?

Yes, strategies like Roth conversions before Medicare enrollment, utilizing HSAs, and timing income events can help reduce your MAGI and potentially lower Medicare premiums.

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