11/02/2026
What if you could lower the income Medicare uses to set your premiums? This article lists six ways to manage the Income-Related Monthly Adjustment Amount (IRMAA):
1. Qualified charitable distributions sent directly to charity.
2. Using A Qualified Longevity Annuity Contract (QLAC).
3. Using a non-qualified tax-deferred annuity instead of municipal bonds.
4. Buying savings bonds and I-bonds.
5. Tax-loss harvesting to offset gains.
6. Loans, such as borrowing against a portfolio, life insurance, or a reverse mortgage.
Each has trade-offs, and the article makes it clear that you should consult a financial adviser and a CPA before acting.
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