10/21/2026
Planning for retirement income and Medicare together
Medicare premiums can rise with income. For many people with TIAA retirement accounts, that income can include withdrawals from a 403(b), required minimum distributions, annuity payments and Roth conversions. Social Security generally uses the tax return from two years earlier to set premiums, so decisions made in the years before 65 can show up later in a Medicare bill. People whose income falls after they retire may be able to ask Social Security to use more recent income after a qualifying life-changing event.
Medicare open enrollment runs through December 7, which makes this a good time to look at coverage and retirement income side by side.
Work through the questions at your own pace. Download the TIAA retirement guide: https://www.tidewaterwealth.com/the-university-professionals-guide-to-tiaa-retirement-decisions
Want the full picture? Read David Wheatley's article, How Your TIAA Retirement Income Can Affect Your Medicare Costs: https://www.tidewaterwealth.com/blog/how-your-tiaa-retirement-income-can-affect-your-medicare-costs