50 Wishes for
Medicare’s Future

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Wish #41:
Exclude the sale of a primary home from the calculation for premiums based on income

Higher-income individuals are required to pay a higher amount in Medicare Part B and Part D premiums. These amounts are calculated based on income tax information from two years prior to the current year. Some individuals are subjected to these higher premiums after selling their home, often to relocate to more affordable or suitable housing. To accurately target higher-income individuals, Congress should exempt all proceeds from the sale of a primary residence from the calculation for income-related premiums.