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A $60,000 Annuity Payout Pushed a Retired Couple Over the Medicare IRMAA Line Two Years Later
Key takeaways
- IRMAA is assessed per spouse, so one income event generates two monthly surcharges, costing a couple over $2,000 in extra premiums annually.
- Spreading annuity payouts across multiple years instead of a lump sum can keep joint MAGI under the $218,000 IRMAA threshold.
- A recent study identified one single habit that doubled Americans’ retirement savings and moved retirement from dream, to reality.
A $60,000 Annuity Payout Pushed a Retired Couple Over the Medicare IRMAA Line Two Years Later Gerelyn Terzo Fri, June 19, 2026 at 9:02 PM GMT+7 5 min read Quick Read Medicare s IRMAA surcharge uses income from two years prior, so a $60,000 annuity payout in 2024 directly raises 2026 premiums.
IRMAA is assessed per spouse, so one income event generates two monthly surcharges, costing a couple over $2,000 in extra premiums annually.
Spreading annuity payouts across multiple years instead of a lump sum can keep joint MAGI under the $218,000 IRMAA threshold.
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