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A $2 Million IRA Can Trigger Medicare Surcharges on the First Withdrawal

Original: A Single Retiree With a $2 Million IRA Crosses Medicare's $109,000 Surcharge Line on the First RMD Alone. The $75,000 Withdrawal Plus a $40,000 Social Security Check Lands $500 Over It, and Here's What the Wealthy Do in Their 60s to Stay Under

A single retiree with a $2 million IRA could cross Medicare's income-related surcharge threshold with the very first required minimum distribution. A $75,000 withdrawal combined with roughly $40,000 in Social Security benefits lands about $500 over the $109,000 line, triggering higher premiums. Financial commentators note wealthy retirees in their 60s use strategies such as Roth conversions and early withdrawals before RMD age to stay under the limit.

Why now: Retirees are alarmed that a large retirement balance alone can push them into higher Medicare premiums immediately at RMD age.

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