It's easy to get the last Roth conversion of the year wrong, and you pay either way. Convert too much and your Medicare premiums jump two years later. Convert too little and the room you leave on December 31 is gone for good. Measuring against the wrong year's IRMAA thresholds alone can leave a married couple $10,000 to $15,000 of conversion room short every year.
I went through every piece of this while updating WhenIm64 for 2027. Here's how the IRMAA thresholds really work, and how to size the last conversion of the year.
This is the second of three year-end articles. Start with the overview, and decide your gains and losses first: Before December 31: Take Your Gains and Losses on Purpose.
The Morrisons
The example is the couple in WhenIm64's demo. James is 66, retired and on Medicare. Linda is 62 and earns $220,000 through 2028. They have $2.3 million in traditional IRAs. Their plan calls for $31,309 in conversions for 2026. They converted $7,500 a quarter through September, which leaves $8,809 for December.
The Threshold Is Two Years Out
IRMAA, the Income-Related Monthly Adjustment Amount, is the surcharge higher-income Medicare enrollees pay on Part B and Part D premiums. It's based on your modified adjusted gross income (MAGI) from two years earlier: your adjusted gross income plus any tax-exempt interest. Your 2026 MAGI, including every conversion you do this year, sets your 2028 premiums.
And it's measured against the 2028 thresholds, not this year's. The thresholds rise with inflation every year, so the threshold you actually have to stay under is higher than any number published today.
A common mistake is to compare each year's MAGI against that same year's thresholds. That's two years of inflation too strict, roughly 5%. It feels safe, which is why it's easy to miss, but it costs real conversion room. WhenIm64 measures each year against the thresholds that will actually apply.
| IRMAA year | First tier starts at (married filing jointly) | Based on MAGI from |
|---|---|---|
| 2026 (official) | $218,000 | 2024 |
| 2027 (projected) | about $222,000–$224,000 | 2025 |
| 2028 (projected) | about $226,000–$234,000 | 2026 |
Single filers' thresholds are half of these. The top IRMAA tier, frozen since 2018, starts adjusting for inflation in 2028.
For the Morrisons, about $275,000 of 2026 MAGI sets James's 2028 premiums. Their plan uses WhenIm64's Moderate strategy, which stays in the first surcharge tier. WhenIm64 projects the 2028 threshold for the second tier at about $289,500 and stops 5% short of it, which is where their $31,309 comes from. Measured against this year's $274,000 instead, the plan would say they'd already converted too much.
The 2027 income tax brackets don't matter here. A 2026 conversion is taxed under the final 2026 brackets, whatever the IRS announces for next year.
Sidebar: The Cliffs That Actually Matter
I assumed the tax brackets were the cliffs to plan around. Building WhenIm64's conversion strategies, I found that once you're on Medicare, the IRMAA steps matter more.
The federal brackets come in near-flat pairs: 22% and 24%, then 32% and 35%. Going from 22% to 24% costs two points and opens about $190,000 of room for a married couple. The real jump is 24% to 32%, eight points at once.
IRMAA works differently. Each step is a flat surcharge on both spouses' Part B and Part D premiums. The second step alone adds about $3,500 a year for a couple, and one dollar over the threshold costs the whole step. So each WhenIm64 strategy stops at a cliff, not just a bracket:
| Strategy | Before Medicare, fill to | On Medicare, stay under (2026, married) | Surcharge at that tier (couple, 2026) |
|---|---|---|---|
| Conservative | 12% bracket | No surcharge ($218,000) | $0 |
| Moderate | 22% bracket | 1st surcharge ($274,000) | about $2,300 a year |
| Aggressive | 24% bracket | 2nd surcharge ($342,000) | about $5,800 a year |
| Maximum | 35% bracket | Top surcharge ($750,000) | about $12,700 a year |
Why no 32% strategy? For a married couple on Medicare, the 24% bracket runs to roughly $440,000 of MAGI once deductions are added back. The third IRMAA step ends at about $410,000. A strategy that stopped there would never reach 32%. It would just pay a bigger surcharge for a little more room, and in my testing it never beat Aggressive or Maximum.
Maximum is for large IRAs, roughly $3 million and up, where RMDs would push you, your surviving spouse and your heirs into the 32% to 37% brackets anyway. For most couples the real choice is Moderate or Aggressive. The question is whether emptying the IRA a few years sooner is worth the second IRMAA step.