Skip to main content
Retirement

How do Roth conversions affect Medicare IRMAA?

Quick Answer

Roth conversions raise MAGI, which Medicare uses 2 years later to set IRMAA Part B and D surcharges. Crossing the 2025 MFJ Tier 1 threshold of $206,000 MAGI adds about $2,800/year per couple. Always model IRMAA before converting.

Two-year lookback showing Roth conversion impact on Medicare IRMAA surcharges.
Warren Team
Updated April 26, 2026
37

Important Disclaimer:

The information provided is for educational purposes only and should not be considered as personalized financial advice. Warren is a registered investment advisor. Past performance does not guarantee future results. Please consult with a qualified financial advisor before making investment decisions.

Get Expert Advice

Schedule your free consultation with our fiduciary advisors

Book Free Consultation