Medicare Shock Wave

Starting next year, Medicare will begin basing Part B premiums on a recipient's income.

In 2005, when I was still working (I am now retired), my wife and I had an adjusted gross income of about $198,000 ($78,000 plus a $120,000 conversion to a Roth IRA). To set the means-tested MedicarePart B premiums in 2007, will the government use the $78,000 figure or the $198,000 figure? Also, will 2008 premiums be based on 2006 AGI and so on, or will premiums be determined some other way? -- Emil Kreider, Beloit, Wis.

Starting next year, in a move of almost seismic significance, Medicare will begin basing Part B premiums, which cover doctors' visits and outpatient services, on a recipient's income. And seniors like you are feeling the aftershock.

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Kimberly Lankford
Contributing Editor, Kiplinger's Personal Finance

As the "Ask Kim" columnist for Kiplinger's Personal Finance, Lankford receives hundreds of personal finance questions from readers every month. She is the author of Rescue Your Financial Life (McGraw-Hill, 2003), The Insurance Maze: How You Can Save Money on Insurance -- and Still Get the Coverage You Need (Kaplan, 2006), Kiplinger's Ask Kim for Money Smart Solutions (Kaplan, 2007) and The Kiplinger/BBB Personal Finance Guide for Military Families. She is frequently featured as a financial expert on television and radio, including NBC's Today Show, CNN, CNBC and National Public Radio.