Appreciated the review of how Part B premiums are increased (possibly doubled) for higher income folks. Would seem one way to possibly reduce premiums for 2021 is to skip RMD'S in 2020 from IRA's and deferred comp as allowed by IRS under Covid regulations. This would lower adjusted gross income which will determine medicare B premiums for 2021. (use other $ resources instead if needed)
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You are SO correct--sorry for my error.(hard to think 2 years ahead!). Skipping 2020 RMD'S could affect 2022 Part B premiums.
I thought IRMAA's were made based on income from 2 years ago, rather than just 1.