Reducing Medicare Premiums and Taxes: Leveraging Qualified Charitable Donations from IRAs

Matt Ward

Medicare beneficiaries with higher incomes often face the burden of increased premiums known as the Income-Related Monthly Adjustment Amount (IRMAA). However, there is a lesser-known strategy that can alleviate the impact of IRMAA and potentially result in significant savings on Medicare premiums and taxes. By making a qualified charitable donation from an Individual Retirement Account (IRA), beneficiaries can lower their taxable income and bring it below the IRMAA threshold. In this article, we will explore how this strategy can help individuals minimize their healthcare expenses and achieve their financial goals.

Understanding IRMAA and Its Implications

IRMAA is an additional premium imposed on Medicare beneficiaries with higher incomes. The income thresholds triggering IRMAA vary depending on the type of Medicare coverage. For instance, in 2023, individuals with Medicare Part B and/or Part D coverage will be subject to IRMAA if their income exceeds $97,000 ($194,000 for married couples filing jointly). The extra premium can be substantial, ranging from $57.80 to $347 per month, depending on income levels. However, there is a viable solution to reduce the impact of IRMAA through qualified charitable donations from IRAs.

Leveraging Qualified Charitable Donations from IRAs

One effective way to lower taxable income and potentially stay below the IRMAA threshold is by making a Qualified Charitable Donation (QCD) from an IRA. By directing a portion of their required minimum distributions (RMDs) to a qualified charity, Medicare beneficiaries can reduce their taxable income. This strategic move can help individuals remain within the income limits for IRMAA, ensuring their Medicare Part B and/or Part D premiums remain lower. It's a win-win situation, as beneficiaries can support a cause they care about while saving on healthcare expenses.

Case Study: Maximizing Savings with a Qualified Charitable Donation

Let's consider a hypothetical scenario to illustrate the benefits of utilizing a QCD. Suppose you are a 67-year-old married individual projected to have an income of $200,000 in 2022. By making a charitable donation of $6,000 from your IRA, your taxable income would be reduced to $194,000. This reduction enables you to remain below the IRMAA limit, resulting in lower Medicare premiums for Part B and/or Part D. Additionally, the charitable donation can provide potential tax deductions, further enhancing your financial savings.

Discover the Benefits with Aligned Wealth Advisors

At Aligned Wealth Advisors, we understand the complexities of managing IRAs and maximizing potential savings. Our team is dedicated to helping clients navigate the intricacies of IRMAA and optimizing their financial well-being. If you're interested in lowering your Medicare premiums and taxes, don't hesitate to contact our office at (817) 238-1360. Our knowledgeable professionals are ready to answer your questions and assist you in reaching your financial goals.

Let us help you utilize Qualified Charitable Donations

The Income-Related Monthly Adjustment Amount (IRMAA) can significantly impact Medicare beneficiaries with higher incomes. However, by leveraging qualified charitable donations from Individual Retirement Accounts (IRAs), beneficiaries have the opportunity to lower their taxable income and potentially remain below the IRMAA threshold. This strategy not only results in lower Medicare premiums but also offers potential tax benefits. By working with experts at Aligned Wealth Advisors, individuals can effectively manage their IRAs and optimize their financial savings for a more secure future.

Matt Ward


Matt began helping clients in the insurance industry. However, he struggled with big business’s emphasis on selling rather than helping, so he came to work with the family business focusing on investment advisory. In his free time, he shreds the gnar on his snowboard and jams on drums and guitar (but not at the same time).

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