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Medicare Open Enrollment: The Perfect Time to Review Your Retirement Income Plan

Posted on Tuesday, September 30, 2025
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by RoseMark Advisors
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6 Comments
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Every fall, Medicare Open Enrollment (October 15 – December 7) reminds retirees to take a closer look at their health coverage. But here’s something many people overlook:

Your Medicare choices are tied directly to your financial plan.

At RoseMark Advisors, we don’t sell Medicare policies — AMAC has a dedicated Medicare division for that — but we do help AMAC members build coordinated retirement income strategies that align with their healthcare costs, taxes, and legacy goals.


How Medicare Decisions Impact Your Finances

1. IRMAA Thresholds Can Raise Your Medicare Premiums
Medicare premiums are based on your income. Drawing large sums from IRAs or realizing capital gains can push you over IRMAA thresholds — leading to higher monthly Part B and Part D premiums.
A proactive income strategy can help you stay under the limits and keep more of your retirement dollars.

2. Qualified Plans & RMDs Can Trigger Higher Costs
Required Minimum Distributions (RMDs) from 401(k)s and IRAs are fully taxable. These withdrawals can increase your taxable income, which may:

  • Cause more of your Social Security benefits to be taxed
  • Push you into higher Medicare premium brackets
  • Shrink what you can save, spend, or leave to your heirs

3. Social Security Timing Impacts Taxes and Premiums
Claiming Social Security too early can reduce benefits permanently. Waiting can grow them — but also affects how much of your benefits are taxed and whether they push you into IRMAA surcharges.


A Better Way: Coordinate All the Pieces

Your health, income, and taxes are all connected. Looking at Medicare in isolation can lead to costly surprises.

At RoseMark Advisors, we help AMAC members design comprehensive retirement income plans that:

  • Minimize lifetime taxes
  • Protect Social Security benefits
  • Manage withdrawals from qualified accounts strategically
  • Keep income below IRMAA thresholds whenever possible

Bottom Line

While AMAC’s Medicare division can help you choose the right coverage, our role at RoseMark is to make sure your financial plan supports it — and your entire retirement.

This is the perfect season to pause and make sure your income, tax, and Social Security strategy is working as hard as you did to build your savings.


Schedule Your Complimentary Retirement Income Strategy Review

Let’s make sure your financial plan is Medicare-ready — and built to last.

Click here to schedule your Retirement Income Strategy Review

Your healthcare costs are just one piece of the puzzle. We’ll help you see the whole picture.

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Richard
Richard
8 months ago

President Trump making AMAC better in 2025 than it was in 2020.

Robert
Robert
7 months ago

Great Article!!!

John
John
7 months ago

Great Article!

Richard
Richard
7 months ago

The CEO of AMAC & her beloved husband need to be the follow on leadership pre Trump funeral.

Anne
Anne
8 months ago

We have not even began our mandatory draw down. Our current income can not be hidden. We have one choice. Start a business, (for deductions,) which we retired to, NOT work or we’re screwed. I think we’re screwed.What the government needs to do, is STOP including our SS in our income.That is BULLOCKS.

AMAC, america 250
taxes, government building, democrats
transgender flag and supreme court

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