Back Open link
Reader View

Want Lower Medicare Premiums in Retirement? 3 Things to Do.

finance.yahoo.com · Tue, July 28, 2026 at 9:27 PM GMT+8

Many people know to anticipate expensive healthcare costs in retirement. But you may be surprised by how much you end up paying in Medicare premiums.

The good news is that there are steps you can take to keep those costs down. Here are three things to do if you don't want to overpay for Medicare.

Missed Nvidia in 2009? This Rare Signal Is Flashing Again. In 2009, a "Double Down" signal flashed for a little-known chipmaker called Nvidia. For the first time in years, that same "Total Conviction" signal is flashing for a company 1/100th the size of Nvidia. Continue »

Your initial Medicare enrollment window is seven months long. It starts three months before the month you turn 65, and it ends three months after that month.

Specifically, you'll be hit with a 10% increase on your Medicare Part B premiums per 12-month period you were eligible for coverage and didn't enroll. And you could face surcharges on your Part D drug plan premiums for going too long without coverage as well.

Open enrollment, which runs from Oct. 15 to Dec. 7 each year, is an opportunity to review your Medicare plan choices and find more affordable coverage. This doesn't mean you're guaranteed to find a plan that saves you money. But if you don't look, you won't know.

Even if you're reasonably satisfied with your Medicare coverage, it pays to see what other options you have. There may be a Part D plan that gives you the same coverage you have now, only with lower premiums. The same could hold true if you have a Medicare Advantage plan.

Medicare Part B charges a standard monthly premium that changes every year, while Part D plan premiums are based on the specific plan chosen. But you could end up paying more for your Part B and Part D coverage if you're hit with an income-related monthly adjustment amount, or IRMAA.

IRMAAs are surcharges imposed on higher earners. If you have a substantial income between Social Security and retirement plan withdrawals, your Medicare premiums could cost more.

One way to potentially avoid IRMAAs is to keep your retirement savings in a Roth IRA. Roth IRA withdrawals are tax-free and do not increase your adjusted gross income, thereby lowering the chances of IRMAAs, provided the rest of your income isn't so high.

If you're nearing retirement and have your savings in a traditional IRA or 401(k), you can look at doing a Roth conversion. But be aware that Roth conversions are a taxable event, and that if you're close to enrolling in Medicare, a large conversion in a single tax year could leave you paying IRMAAs temporarily.

Medicare may be an unavoidable expense in retirement, but there are steps you can take to keep your premium costs more manageable. If you don't want to pay extra, enroll on time, review your plan choices yearly, and be smart about where you house your nest egg.

If you're like most Americans, you're a few years (or more) behind on your retirement savings. But a handful of little-known "Social Security secrets" could help ensure a boost in your retirement income. For example: one easy trick could pay you as much as $23,760 more... each year! Once you learn how to maximize your Social Security benefits, we think you could retire confidently with the peace of mind we're all after.

Many Americans leave money on the table in retirement. Learn more about these retirement strategies and more, available when you join Stock Advisor.

The Motley Fool has a disclosure policy.

Want Lower Medicare Premiums in Retirement? 3 Things to Do. was originally published by The Motley Fool