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Will selling my home affect my medicare?

Selling your home can be an exciting and profitable experience, but it might have some unexpected consequences on your Medicare premiums. Here’s everything you need to know to avoid surprises:

Capital Gains and Medicare Premiums

When you sell your primary residence, the IRS allows you to exclude capital gains of up to $250,000 for individuals and $500,000 for married couples filing jointly. However, if your profit from the sale exceeds these limits, the excess is considered taxable income and increases your Modified Adjusted Gross Income (MAGI).

Example: If you sell your home and make a profit of $600,000 as a single filer, you can exclude $250,000, leaving $350,000 subject to tax. This additional taxable income will increase your MAGI.

This increase in MAGI may result in higher Medicare Part B and Part D premiums due to the Income-Related Monthly Adjustment Amount (IRMAA).

How Does IRMAA Impact Your Medicare Premiums?

IRMAA is based on your MAGI from tax returns filed two years prior. So, if you sold your home in 2023 and made a significant capital gain, your Medicare premiums could rise in 2025.

Here’s how Medicare premiums can increase based on income:

Income (Individual)Part B Premium (2025)Part D Premium (2025)
$97,000 or less$164.90$33.19
$97,001 to $123,000$230.80$50.28
$123,001 to $153,000$296.90$67.37
$153,001 to $183,000$362.00$84.46
Above $183,000$428.10$101.55

Note: These amounts are estimates and are based on 2023 tax data. Adjustments may occur annually.

Exemptions and Special Circumstances

There are situations where you may not be able to take advantage of the capital gains exclusion, such as:

  • You haven’t used the home as your primary residence for at least two of the last five years.
  • You’ve already used the exclusion for another home sale in the last two years.
  • The home was acquired through a 1031 exchange in the last five years.

In these cases, the full gain from the sale may be taxable and impact your Medicare premiums.

Tips for Managing the Impact on Your Medicare Premiums

  • Consult a Tax Advisor: Before selling your home, speak with a tax professional to understand the potential tax implications and strategies to reduce taxable income.

  • Consider the Timing of Your Sale: If possible, plan the sale of your home during a year when you expect lower overall income to minimize the impact on your Medicare premiums.

  • Be Prepared for Possible Temporary Premium Increases: Understand that the increase in premiums could be temporary and will adjust when your income decreases.

Projected Impact of Selling Your Home on Medicare Premiums

Below is a simple chart showing how increased income could affect your Medicare premiums due to IRMAA.

Chart: Projected Increase in Medicare Premiums Based on Income Increase

Income Increase (after selling home)Estimated Part B Premium IncreaseEstimated Part D Premium Increase
$50,000+$65+$17
$100,000+$130+$34
$150,000+$196+$51

By planning ahead and understanding how selling your home affects your finances, you can minimize the potential impact on your Medicare premiums and secure your financial future.

selling home Medicare premiums

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