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In a recent episode of Retire Ready TV, Chris Heerlein of REAP Financial, a wealth management firm in Austin, Texas, emphasizes the significance of effectively managing healthcare expenses, a major concern for retirees. Heerlein draws attention to an often-overlooked aspect of retirement planning: Medicare IRMAA (Income-Related Monthly Adjustment Amount) surcharges. These surcharges can significantly increase Medicare premiums for those with higher incomes, impacting families who have diligently saved for retirement or maintain a comfortable lifestyle. Heerlein points out that many are caught off-guard by these additional costs and underscores the importance of understanding how Medicare premium increases work. He advises retirees to strategize for controlling these costs, particularly focusing on the impact of Required Minimum Distributions (RMDs) that commence at age 72. These mandatory withdrawals from IRAs and 401(k)s can inadvertently increase income, leading to higher Medicare premiums.