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RMD Tax Trap: How $122,000 in 401(k) Withdrawals Can Cost You $42,000 in IRMAA Surcharges Alone
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RMD Tax Trap: How $122,000 in 401(k) Withdrawals Can Cost You $42,000 in IRMAA Surcharges Alone

Yahoo Finance · Jun 29, 2026, 1:22 PM

Key takeaways

  • Medicare's 2-year income lookback means three consecutive RMDs lock in three separate years of top-tier surcharges, totaling roughly $42,000 for the couple.
  • A qualified charitable distribution of up to $111,000 per person in 2026 can reduce MAGI enough to drop below the top IRMAA cliff and recover the surcharge.
  • SmartAsset's free tool can match you with a financial advisor in minutes to help you answer that today.

RMD Tax Trap: How $122,000 in 401(k) Withdrawals Can Cost You $42,000 in IRMAA Surcharges Alone Marc Guberti Mon, June 29, 2026 at 8:22 PM GMT+7 5 min read Quick Read A $122,000 RMD pushed Margaret and her husband into the top IRMAA tier, adding $13,872 per year in Medicare surcharges on top of normal premiums.

Medicare's 2-year income lookback means three consecutive RMDs lock in three separate years of top-tier surcharges, totaling roughly $42,000 for the couple.

A qualified charitable distribution of up to $111,000 per person in 2026 can reduce MAGI enough to drop below the top IRMAA cliff and recover the surcharge.

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