Advertisement
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.

Advertisement - Article continues below

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.)

Advertisement
Advertisement - Article continues below

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.

Advertisement

Most Popular

Chiropractor Trying to Get Business the Wrong Way – Illegally
careers

Chiropractor Trying to Get Business the Wrong Way – Illegally

A new chiropractor’s fledgling business plan to attract patients may sound reasonable at first look, but it’s actually against the law, and the same p…
June 30, 2020
What Are the Income Tax Brackets for 2020 vs. 2019?
tax brackets

What Are the Income Tax Brackets for 2020 vs. 2019?

The IRS unveiled the 2020 tax brackets, and it's never too early to start planning to minimize your future tax bill.
June 20, 2020
13 Luxury Goods That Are Cheaper at Costco
spending

13 Luxury Goods That Are Cheaper at Costco

You could be missing out on huge savings: Costco sells a limited selection of luxury goods at discounted prices, both in-store and online.
June 27, 2020

Recommended

Pass Along Life Lessons With an Ethical Will
retirement

Pass Along Life Lessons With an Ethical Will

Create a legacy letter to communicate values, experiences and life lessons to your family.
June 9, 2020
Finding Affordable Health Care Now
insurance

Finding Affordable Health Care Now

The pandemic has caused millions of people to lose their jobs — and their health coverage. Here’s a guide to finding affordable insurance.
June 4, 2020
IRS Allows Mid-Year Changes to Health Plans, Expands FSAs and More
taxes

IRS Allows Mid-Year Changes to Health Plans, Expands FSAs and More

You probably never heard of COVID-19 when you picked this year's health insurance policy at work.
May 27, 2020
Coping with Loss of Healthcare Coverage
spending

Coping with Loss of Healthcare Coverage

Families USA’s Cheryl Fish-Parcham joins our hosts Ryan Ermey and Sandy Block to discuss how folks can find medical coverage in the face of job loss. …
May 26, 2020