retirement

Medicare Surcharge Thresholds to Drop

More beneficiaries who are considered high earners will be hit with steeper fees.

High-income retirees socked with premium surcharges for Medicare Part B and Part D may have to pony up even more in 2018. The income thresholds for the highest surcharge tiers drop next year, hitting more beneficiaries with higher premiums.

Resetting the trigger points was part of the Medicare Access and CHIP Reauthorization Act of 2015, known as the "doc fix" law. That law put an end to the annual battles over fee schedules for doctors' Medicare payments. To help pay for the permanent fix, lawmakers put high-income beneficiaries on the hook.

There will still be four surcharge tiers for 2018. There is no surcharge for beneficiaries whose modified adjusted gross income (AGI plus tax-exempt interest) is less than $85,000 for single filers or $170,000 for married taxpayers filing jointly. (See chart below.)

iStockphoto

But the tops of the other tiers are compressed so that some income levels that have been in tier two will be in tier three and some beneficaries previously in tier three will find themselves in the most expensive tier four. The highest surcharges used to kick in when MAGI passed $214,000 for singles and $428,000 for married couples. Those trigger points drop 25% in 2018, to $160,000 and $320,000 respectively. (The standard premium and surcharge amounts will be released later this year.)

Because 2016 tax returns are used to determine 2018 Medicare premiums, and those returns have already been filed, you could be stuck with higher premiums unless you qualify for a waiver because of a life-changing event, such as retirement or death of a spouse (see Medicare Surcharges Have Costly Effects).

But if your income is likely to be at similar levels in 2017, you still have time to try to lower your MAGI for this tax year with the aim of reining in your 2019 Medicare premiums. If you might cross a tier threshold, look to tap sources of income that are exempt from MAGI. That includes Roth account distributions, health savings account distributions, loans from cash-value life insurance, a portion of nonqualified immediate annuity payouts and reverse mortgage proceeds.

If you are subject to required minimum distributions from retirement accounts, consider making a direct charitable contribution from your IRA. Such qualified charitable distributions don't count toward your MAGI.

Most Popular

Where's My Stimulus Check? Use the IRS's "Get My Payment" Portal to Get an Answer
Coronavirus and Your Money

Where's My Stimulus Check? Use the IRS's "Get My Payment" Portal to Get an Answer

The IRS has an online tool that lets you track the status of your second stimulus check.
January 18, 2021
Biden Calls for $1,400 Payments as Part of $1.9 Trillion Relief Package
Coronavirus and Your Money

Biden Calls for $1,400 Payments as Part of $1.9 Trillion Relief Package

Under Biden's plan for a third stimulus check, the $600 second-round stimulus checks would be increased to $2,000.
January 14, 2021
When Could We Get a Third Stimulus Check?
Coronavirus and Your Money

When Could We Get a Third Stimulus Check?

President-elect Joe Biden and others in Congress are pushing for a third-round of stimulus checks, but it might be a while before we get them.
January 18, 2021

Recommended

12 Ways the Biden Stimulus Package Could Put (or Keep) Money in Your Pocket
Coronavirus and Your Money

12 Ways the Biden Stimulus Package Could Put (or Keep) Money in Your Pocket

President-elect Biden's "American Rescue Plan" includes several proposals to assist people financially harmed by the pandemic.
January 15, 2021
What You'll Pay for Medicare in 2021
Healthy Living on a Budget

What You'll Pay for Medicare in 2021

For Medicare premiums 2021, look for modest increases in premiums and out-of-pocket costs.
December 16, 2020
Making Wise Choices During Open Enrollment
health insurance

Making Wise Choices During Open Enrollment

Contributing Editor Lisa Gerstner runs through the new variables of the 2020 open enrollment season. Also, hosts Sandy Block and David Muhlbaum talk a…
November 17, 2020
What the New President Means for Your Money
Politics

What the New President Means for Your Money

President-Elect Biden wants more consumer protections and perks for the middle class and seniors.
November 17, 2020