
Medicare IRMAA Explained: How Income Affects Premiums – 5.21.26
From Baltimore Washington Financial Advisors Podcasts by BWFA
May 21, 2026 · 7 min
About this episode
The episode discusses how income affects Medicare premiums and the implications of IRMAA adjustments.
MEDICARE IRMAA EXPLAINED: HOW INCOME AFFECTS PREMIUMS WATCH ON YOUTUBE Thad Ismart, CFP®, ChFEBC, CEPS Senior Financial Planner, BWFA Tessa Hall Media and Communications Specialist About This Episode Tessa speaks with BWFA’s Thad about how income can affect Medicare premiums and what individuals should understand about IRMAA adjustments. They explain why Medicare reviews prior tax returns, how retirement or major income changes can impact premiums, and why some individuals pay more than others. The conversation also covers Medicare premium appeals, capital gains considerations, and planning opportunities that may help reduce healthcare costs in retirement. To better understand how Medicare planning fits into your broader retirement strategy, visit our Financial Planning services page. Read Full Description Many individuals are surprised to learn that income can increase Medicare premiums. In this episode of Healthy, Wealthy & Wise, Tessa speaks with BWFA’s Thad about IRMAA, which stands for Income-Related Monthly Adjustment Amount, and how Medicare determines premium costs based on income. The discussion explains why Medicare reviews tax returns from two years prior and how…
People in this episode
Host: Tessa Hall
Guest: Thad Ismart
Topics covered
- Medicare
- IRMAA
- income adjustments
- healthcare costs
- retirement planning
Keywords
- Medicare
- IRMAA
- income
- premiums
- retirement
- healthcare costs
- capital gains
Mentioned in this episode
Organizations: BWFA, Medicare, Healthy, Wealthy & Wise
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