Can you make too much money to be eligible for Medicare?

Medicare eligibility is not limited by income; anyone 65 or older or qualifying by disability can enroll. However, higher income affects premiums for Part B and Part D through the Income-Related Monthly Adjustment Amount (IRMAA), increasing costs for wealthier beneficiaries. IRMAA is based on income from two years prior. Strategic retirement planning, such as managing withdrawals, Roth conversions, and appealing IRMAA adjustments, can help control Medicare costs.