© 2026 SimplyTrust Software Inc.
Learn how IRMAA affects Medicare premiums for high-income earners and discover estate planning strategies to manage these additional costs in retirement.
IRMAA surcharges are based on your modified adjusted gross income from two years prior, so strategic income planning can help reduce these costs. You can lower your taxable income through charitable giving, maximizing retirement account contributions, or using tax-loss harvesting. If you experience a life-changing event like retirement or loss of income, you can appeal to Medicare with Form SSA-44 to potentially reduce your surcharges based on current circumstances rather than old tax returns.