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Retirees Caught in Medicare Income Trap

Retirees beware: a big capital gain from selling property could trigger massive Medicare surcharges for Part B and Part D premiums—years later. Medicare’s two-year lookback rule treats one-time income like regular income, meaning a sale in 2024 could hike your premiums in 2026. The thresholds are brutal—cross even one dollar over $218,000 for joint filers, and you’re hit with full-tier surcharges that can erase Social Security cost-of-living increases. Voluntary sales can’t be appealed, but strategies like installment sales or like-kind exchanges can help defer or spread the gain. Plan ahead…

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