Medicare Beneficiaries Face Unexpected Surcharges Due to Two-Year Lookback Rule on Property Sales
Medicare beneficiaries are encountering significant and unexpected surcharges on their Part B premiums due to a two-year lookback rule that considers income from previous tax years. Specifically, the Income-Related Monthly Adjustment Amount (IRMAA) uses tax information from two years prior to determine the current premium. This means that a one-time income event, such as the sale of a property, can lead to increased Medicare premiums years later. For instance, a couple who sold a lake lot in 2024 for a substantial capital gain received a notice in late 2025 indicating a significant increase in their 2026 Medicare premiums. The capital gain from the property sale, which amounted to $167,000, pushed their modified adjusted gross income (MAGI) to approximately $347,000, triggering an additional $9,240 in Medicare surcharges for 2026. This surcharge applies even though the income is a one-time event and will not recur in subsequent years, and by the time the notice arrives, the income cannot be moved or the sa...