Marc Guberti
Thu, June 11, 2026 astatine 10:24 AM CDT 5 min read
Quick Read
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A $25,000 part-time consulting gig tin propulsion a retired couple's MAGI implicit $218,000, triggering $2,297 successful yearly Medicare IRMAA surcharges.
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After 22% national taxes and IRMAA surcharges, a $25,000 consulting occupation nets the mates lone astir $17,200 earlier authorities taxes.
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Retirees tin debar crossing the IRMAA cliff by cutting 401(k) withdrawals dollar-for-dollar to offset consulting income, keeping MAGI flat.
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A scholar connected the Bogleheads forum laid retired a acquainted setup past month: 67 years old, spouse the aforesaid age, $1.4 cardinal divided crossed 2 accepted 401(k)s, Social Security flowing, and a consulting connection connected the array for 20 hours a week astatine $25,000 a year. The existent question was what it would really cost.
For astir couples successful this band, the reply is hiding successful a spot they seldom look: the IRMAA tables that govern Medicare Part B and Part D premiums. A part-time occupation that feels similar recovered wealth tin softly trigger $2,297 successful other Medicare premiums per twelvemonth for the couple. Worse, the measure does not amusement up until 2 years later.
The income stack that creates the occupation
Picture the mates earlier the consulting gig. They propulsion astir $60,000 from the 401(k)s. They cod a combined $55,000 successful Social Security, of which 85%, oregon astir $47,000, is taxable. Add a spot of dividend income from a taxable brokerage account, and their modified adjusted gross income lands adjacent $200,000. That sits comfortably nether the $218,000 associated threshold wherever IRMAA kicks successful for 2026.
Now driblet a $25,000 consulting cheque connected top. MAGI jumps to astir $225,000. That pushes them implicit the associated cliff into the archetypal IRMAA bracket, which runs from $218,000 to $274,000 successful MAGI.
What the IRMAA tier really costs
In the archetypal IRMAA tier, each spouse connected Medicare pays a Part B surcharge of $81.20 per period connected apical of the modular $202.90 premium. Each spouse besides pays a Part D surcharge of $14.50 per month.
Two people. $95.70 per idiosyncratic per period successful surcharges. Multiply by 12 months and the household pays $2,297 successful other Medicare premiums it would not different owe. The marginal taxation mathematics is brutal erstwhile you stack it: the consulting income gets deed with national taxation successful the 22% bracket, which unsocial is $5,500. Add the IRMAA measure and the effectual outgo approaches $7,800, leaving astir $17,200 of take-home from a $25,000 gig. State income taxation tin propulsion that lower.

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