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Financial Center for Women

RMDs, Taxes, and Medicare: The Hidden Costs of Turning 73

Turning 73 often feels like just another birthday.

But financially, it is one of the most important turning points in retirement.

This is the age when Required Minimum Distributions begin for many retirees. And while RMDs are often described as “just taking money out,” the real impact is far bigger than most people expect.

RMDs are not optional. Once they begin, the IRS decides how much you must withdraw each year based on your account balance and life expectancy. That withdrawal becomes taxable income whether you need the money or not.

What many people don’t realize is that a single required withdrawal can quietly trigger a chain reaction.

First, there are taxes. RMDs are added to your ordinary income. That can push you into a higher tax bracket, increase the taxes on Social Security, and reduce deductions or credits you may have relied on.

Then come Medicare premiums.

Medicare Part B and Part D premiums are income-based. A higher reported income today can mean higher Medicare premiums two years later. This is known as IRMAA, and it often surprises retirees who thought their healthcare costs were stable.

Your account statement does not warn you about this.

It doesn’t show how an RMD could turn a manageable tax bill into an unexpected one. It doesn’t show how a single distribution can raise your Medicare costs for an entire year. And it doesn’t show how these increases compound over time.

Another hidden cost is flexibility.

Once RMDs start, your ability to control income narrows. Withdrawals happen whether markets are up or down. If you haven’t planned ahead, you may be forced to sell investments at an unfavorable time to satisfy the requirement.

This is why planning before age 73 matters.

Strategies like Roth conversions, tax-efficient withdrawal sequencing, charitable giving, and income smoothing can reduce the long-term impact of RMDs. But these strategies work best when implemented years before RMDs begin.

Waiting until age 73 often limits your options.

Turning 73 should not feel like a financial ambush. With proper planning, RMDs can be managed thoughtfully, taxes controlled, and Medicare costs anticipated rather than feared.

The key is understanding that RMDs are not just about withdrawals.

They are about income, taxes, healthcare costs, and confidence in your plan.

If you are within a few years of turning 73 or already navigating RMDs, now is the time to understand how these required withdrawals affect your overall plan. With the right strategy, it’s possible to reduce unnecessary taxes, anticipate Medicare costs, and create more control over your income.

If you’d like to review how RMDs fit into your retirement income plan and explore ways to manage their impact, I invite you to schedule a conversation.

Traditional IRA account owners have considerations to make before performing a Roth IRA conversion. These primarily include income tax consequences on the converted amount in the year of conversion, withdrawal limitations from a Roth IRA, and income limitations for future contributions to a Roth IRA. In addition, if you are required to take a required minimum distribution (RMD) in the year you convert, you must do so before converting to a Roth IRA.

Financial Center for Women and LPL Financial do not provide legal advice or tax services. Please consult your legal advisor or tax advisor regarding your specific situation.