
A home sale can spike taxable income and push retirees into higher IRMAA brackets. A couple with a $300,000 gain could see premiums jump from $406 to over $800 a month.
Retirees selling a home they've held for decades face a surprise: a big check from the sale can mean higher Medicare premiums two years later. The mechanism is IRMAA, the income-related monthly adjustment amount, Fortune reports.
Medicare sets premiums based on tax returns from two years prior. A large capital gain from a home sale can push a retiree into a higher IRMAA bracket, even if their regular income is modest. Advisers said the sting arrives years after the closing check clears.
A couple with a $300,000 taxable gain from selling their house could see monthly Medicare premiums jump from roughly $406 to more than $800, Fortune said. That works out to thousands of dollars in extra annual costs.
The risk is rising because home appreciation has been so strong for so long. Some homeowners in expensive markets have gains that exceed $1 million. Those gains, on paper for years, become a taxable event when the house sells.
Financial planners recommend selling before age 63 if possible, or using the IRS primary residence exclusion – $250,000 for a single filer, $500,000 for a married couple filing jointly. Timing matters: a sale at 64 shows up on the tax return that Medicare uses at 65.
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