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Thursday, October 29, 2026Oct 29

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Can required minimum distributions raise your Medicare premiums?

Dear Toni,

I am over 73 and began taking my required minimum distributions from my 401(k) when I turned 72. Could this have increased my Medicare Part B premium for 2023?

This year my monthly premiums increased to $329.70 for Part B and an extra income-related monthly adjusted amount premium of $31.50 for Part D.

I am married, and my wife began a new job in 2021 with a higher salary. Since we are filing jointly, could this have increased my Medicare premiums? She has recently been laid off and our joint income has changed drastically. What can I do?

– James from Pearland, Texas