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Your 2024 Medicare Choices and How They Affect Your Taxes

As we step into 2024, it’s important for Medicare beneficiaries to understand how their coverage choices impact their federal taxes. While the enrollment decisions have been made, there are still important considerations for managing the tax obligations effectively throughout the year. Here’s what you need to know and tips for managing them.

Medicare Premiums and Tax Deductions

  • Itemizing Medicare premiums: Premiums for Medicare Parts B and D and Medicare Advantage plans may be deductible as medical expenses on federal tax returns if they exceed 7.5% of your adjusted gross income (AGI).

Income-Related Monthly Adjustment Amount (IRMAA)

  • Impact on high earners: Beneficiaries with higher incomes face the IRMAA surcharge for Medicare Parts B and D, based on income reported two years prior.
  • Tax management: It’s crucial to manage income levels to potentially mitigate the impact of IRMAA surcharges for future years.

Health Savings Account (HSA) Considerations

  • Post-enrollment contributions: Once enrolled in Medicare, you cannot contribute to an HSA. However, existing HSA funds can still be used tax-free for qualified medical expenses, including Medicare premiums (except Medigap).

Social Security Benefits and Taxation

  • Taxable benefits: The initiation of Medicare often coincides with receiving Social Security benefits, which can be taxable up to 85% depending on your income level.

State Tax Implications

  • Varied state rules: Different states have distinct rules on the deductibility of Medicare premiums and medical expenses, so understanding your state’s tax law is crucial.

Recommended Action Steps for 2024

  1. Review past decisions: Reflect on your Medicare choices to ensure they align with your current health and financial situation.
  2. Seek tax advice: Consult a tax professional for advice tailored to your circumstances, especially regarding IRMAA and HSA considerations.
  3. Plan ahead for the next enrollment period: Start planning for the next enrollment period by considering how changes in your income or health needs could affect your future Medicare choices and tax situation.

Understanding these tax implications can help you navigate the complexities of Medicare in 2024. Stay informed and proactive in managing your strategies for both health care and taxes.

How Right at Home Can Help

Right at Home’s professional in-home caregivers provide services that support both the physical and emotional health of senior clients. Use our location finder to contact your local Right at Home* and ask for a FREE in-home consultation.

To receive ongoing information, tips and advice about the aging journey, subscribe to our monthly Caring Right at Home® e-newsletter today.

The information in this article is not intended to replace expert financial advice. For questions about Medicare, visit www.medicare.gov or call 1-800-MEDICARE (1-800-633-4227).

*In-home care services vary by location.

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Right at Home offers in-home care to seniors and adults with disabilities who want to live independently. Most Right at Home offices are independently owned and operated, and directly employ and supervise all caregiving staff.

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