For 2026, the first IRMAA tier for married filing jointly begins at roughly $218,000 of MAGI. Cross it by one dollar and both spouses carry surcharges for a full calendar year. The trap sits in the Income-Related Monthly Adjustment Amount, or IRMAA, which uses a two-year lookback on modified adjusted gross income to set Medicare Part B and Part D premiums.
He has accumulated $2.5M in Apple stock that was purchased three decades ago. Now, it is almost all capital gains. He wants to draw on this income to fund his first few years of retirement, but doing so would count as Modified Adjusted Gross Income (MAGI). This would likely trigger higher taxes. So, how does he get around it? Let's look at his situation and see what others can learn from it.