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Roth Conversion IRMAA Calculator

Estimate whether a Roth conversion could push your Medicare MAGI into a higher IRMAA bracket.

Retirement account statements, calculator, and laptop used to plan income decisions
1Filing status
2MAGI estimate
3Income events
4Premium impact
  • Uses 2026 CMS Part B and Part D IRMAA surcharge amounts.
  • Shows monthly and annual surcharge estimates in plain English.
  • Built for planning conversations, not tax, legal, or Medicare enrollment advice.

Step-by-step estimate

Check your estimated IRMAA risk

Enter your expected Medicare MAGI and add any one-time income events.

Medicare usually looks back two tax years. See the lookback timeline.
IRMAA is charged per Medicare enrollee.
MAGI is generally AGI plus tax-exempt interest for IRMAA.
Build Medicare MAGI from common income items

Use this if you do not already have a Medicare MAGI estimate. AGI usually already includes taxable Social Security, pensions, consulting income, and taxable gains, so enter those only when they are not already counted in your AGI number.

Base MAGI subtotal$0
Add income events

Your estimate

Estimated bracketStandard premium
Income year used2024
Estimated MAGI$0
Monthly surcharge$0.00
Annual surcharge$0
Household monthly impact$0.00
Household annual impact$0
Room before next bracket$0
Max Roth conversion before next bracket$0
No added events $0 $0.00/mo
Planned events $0 $0.00/mo
Fill to bracket $0 $0.00/mo
Distance to IRMAA cliff $0 before the next bracket

Stay under the next bracket

Save the IRMAA planning checklist before a taxable decision changes your estimate.

This estimate is educational. Check final rules and your situation against official Medicare, SSA, and tax guidance.

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Planning worksheet

Roth conversion schedule worksheet

Compare your planned annual conversion with the largest conversion that fits before the next IRMAA bracket shown above.

This simple timeline assumes the same annual amount and does not project investment growth, taxes, or future bracket changes.
Your planned annual conversion $0

Enter an annual conversion

Fill to next IRMAA bracket $0

Enter an annual conversion

2026 IRMAA brackets at a glance

For 2026 Medicare premiums, IRMAA uses 2024 modified adjusted gross income. The first surcharge begins above $109,000 for single filers and above $218,000 for married couples filing jointly.

Filing statusFirst IRMAA thresholdFirst Part B surchargeFirst Part D surcharge
SingleOver $109,000$81.20/month$14.50/month
Married filing jointlyOver $218,000$81.20/month$14.50/month
Married filing separatelyOver $109,000$446.30/month$83.30/month
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Why Roth conversions can affect IRMAA

A Roth conversion usually adds taxable income in the year of the conversion. For Medicare IRMAA, that extra income can raise Medicare MAGI and may move you into a higher premium bracket two years later.

Use this page to test the conversion amount before you act, then compare the result with the 2026 IRMAA brackets, review what counts in Medicare MAGI, or return to the main IRMAA calculator.

Roth conversion FAQ

Does a Roth conversion count for IRMAA?
A taxable Roth conversion generally increases MAGI for the tax year, which can affect later Medicare premiums.
Can I convert only part of an IRA?
Many people model smaller conversion amounts to see whether a partial conversion stays below a bracket threshold.
Is this tax advice?
No. This estimate is educational and should be checked with official guidance and a qualified professional.