Craig Wear explains how Roth conversions can temporarily raise your Medicare premiums at 65, but the short-term cost is usually small compared to long-term tax savings. Done early, accelerated conversions often result in net lifetime savings and may actually reduce total Medicare premiums.
There are higher Medicare premiums, potentially for you to pay. If you're 65 years old and doing Roth conversions, you need to be aware of them. But we've discovered that the small cost of the added premiums for a few years is well worth the millions of dollars that you can save or avoid in taxes over a lifetime. And as we've already said, most people, by doing accelerated conversions, actually save and net Medicare premiums over their lifetime by getting it taken care of sooner rather than later.
