Roth Conversions + Medicare: The Timing Mistake That Costs You Later

Every fall, the same question comes up: should you convert some of your IRA to a Roth before year-end? Most people treat it as a tax-bracket decision — but there’s a Medicare wrinkle in the timing that catches even sharp, financially sophisticated people off guard.

In this video, the advisor walks through a situation modeled on a real planning scenario: a large traditional IRA, looming RMDs, and a two-year IRMAA lookback that can quietly raise Medicare premiums years after a conversion is made. You’ll learn why the years between retirement and RMD age are the highest-leverage window most people get, how to use low-income years strategically, and a few often-overlooked tools (QCDs, beneficiary review, trust considerations) that round out the plan.

Radiant Wealth Planning is a fee-only fiduciary firm serving high-net-worth professionals and executives. Learn more at RadiantWealthPlanning.com.

This content is for educational purposes only and does not constitute financial, tax, or legal advice.

Have a similar situation? Reach out directly: Randa@RadiantWealthPlanning.com

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Want information about RADIANT Wealth Planning?

Schedule an introductory meeting with Randa or email Randa with any questions: Randa@RadiantWealthPlanning.com


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Welcome to our videos where we share tips and advice on all topics that help women meet their financial goals.

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About the Author

Randa Hoffman is the owner and financial planner at Radiant Wealth Planning, a fee-only financial planning and investment management firm exclusively for women. She helps ease the uncertainty around retirement, tax planning, and transitioning wealth so that women can live a life they’ve always dreamt of. She holds an MBA and EA and lives in Newport Beach, CA.