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Index/Topics/Medicare IRMAA

Medicare IRMAA

The interaction between Medicare IRMAA and Roth conversions

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Jan 18, 2026
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Which retirement account withdrawals (Roth vs. Traditional IRA vs. 401(k)) affect provisional income and how can timing reduce taxes on Social Security?

Traditional pre‑tax retirement withdrawals—distributions from traditional IRAs and traditional 401(k)s—raise your adjusted gross income and therefore count toward the IRS measure of “provisional” or “...

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