Reducing the income-related monthly adjustment amount (IRMA) for Medicare Part B requires advanced planning and proactive strategies. One approach is to use Roth conversions, which can help avoid the IRMA surcharge. Another strategy is to open and invest in a health savings account, which can provide tax-free withdrawals for medical expenses. Additionally, a qualified charitable distribution can satisfy the required minimum distribution (RMD) requirement and avoid a taxable event. These strategies can help individuals manage their retirement expenses and reduce their tax burden.
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