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This is a July 16, 2024 YouTube video by Craig Wear, CFP® explaining how Roth IRA conversions can affect Medicare Part B and D premiums via the IRMAA (income-related monthly adjustment) calculation. He defines Roth conversions, contrasts traditional IRAs and Roth IRAs, and explains that converting pre-tax retirement accounts (401(k), 403(b), 457, traditional IRA) increases taxable income in the conversion year, which can raise Medicare premiums because of IRMAA. He emphasizes a two-year IRMAA look-back, notes some administrative appeal possibilities, and argues that accelerated conversions (doing more conversions sooner) often produce larger lifetime tax and Medicare-premium savings—despite temporarily higher premiums—because they reduce future RMD-driven income. He references attached PDFs with income thresholds, proprietary case studies on Q3/CRAIG Wear’s site, and gives practical timing/withdrawal details (exceptions for converted principal when over 59½).

Questions this video answers

401(k), 403(b), 457, and traditional IRA.

Two years.

"Over $80,000 to $100,000" (clients' lifetime Medicare premium savings, per presenter).

An IRS exception: if you're over 59½ you may withdraw 100% of the amount converted (converted principal) without tax/penalty; earnings must remain in the Roth for five years.

Chapters

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