Roth Conversions for Pre-Retirees: Why Waiting Until RMDs Can Cost You More in Taxes and Medicare Premiums
- Logan Queck
- 4 hours ago
- 5 min read
The Real Reason Roth Conversions Get Ignored
If Roth conversions are such a powerful tax strategy, why do so many people never do them?
Most pre-retirees assume that if a Roth conversion made sense, their advisor or CPA would have already recommended it.
That assumption is usually wrong.
Not because your advisor is lazy.Not because your CPA can’t do the math. But because Roth conversions require forward-looking planning, most advice is built to look backward.
Roth conversions don’t show up neatly on last year’s tax return. They show up in lower taxes, lower Medicare premiums, and more control years — even decades — down the road.
That disconnect is why Roth conversions are often ignored until it’s too late to use them effectively.
Roth Conversions Are a Forward-Looking Tax Strategy
A Roth conversion is not a tax trick. It’s a forward-looking tax strategy.
It forces one simple question: When do you want to pay taxes — now, or later, when you have fewer options?
Most CPAs are trained to focus on tax compliance:
What happened last year
What income was earned
What deductions apply
That’s valuable work. But it’s backward-looking by design.
Roth conversions require projecting:
Future tax brackets
Required Minimum Distributions (RMDs)
Social Security income
Medicare premium thresholds
Portfolio growth over time
That kind of analysis doesn’t fit neatly into a tax return. So it often gets pushed aside.
Why Many Financial Advisors Don’t Recommend Roth Conversions
This part makes people uncomfortable, but it matters.
Most financial advisors are compensated based on assets under management (AUM). In other words, advisors are compensated by a % of your account balance.
A Roth conversion often requires:
Paying taxes out of pocket
Liquidating part of an IRA
Temporarily reducing managed assets
Even when a Roth conversion clearly benefits the client over the long term, it can reduce advisory fees in the short term. If a firm had 200 clients, each converting $100,000 from an IRA to a Roth, and the conversion was in the 24% tax bracket ($24,000 withheld), the firm would lose $4,800,000 in AUM, or $48,000 in annual revenue each year. There is no incentive for an adivsor to do this other than it's the right thing to do for the client
That doesn’t mean advisors are dishonest. It means incentives shape behavior.
Roth conversions are often ignored, not because they don’t work, but because they disrupt the traditional investment-only advisory model.
The Risk of Waiting Until Required Minimum Distributions (RMDs)
For many pre-retirees, the default strategy is waiting.
“I’ll be in a lower tax bracket later.” “I don’t want to pay unnecessary taxes now.” “Let’s see what tax laws do.”
The problem is that RMDs don’t wait.
Once RMDs begin:
They are mandatory
They increase taxable income every year
They stack on top of Social Security
They reduce your control over tax brackets
What feels like tax avoidance in your 50s often turns into forced taxation in your 70s.
How RMDs Can Push You Into Higher Tax Brackets
RMDs are calculated based on account size and life expectancy. Larger IRAs mean larger required withdrawals.
Those withdrawals:
Increase ordinary income
Push more Social Security into taxation
Compress tax brackets later in retirement
At that point, Roth conversions become far less effective — and sometimes impossible without major tax consequences.
Roth Conversions and Medicare IRMAA
Taxes aren’t the only issue.
Roth conversions and RMDs also affect Medicare Part B and Part D premiums through IRMAA (Income-Related Monthly Adjustment Amount).
Medicare looks at your income from two years prior. Cross certain thresholds, and premiums increase — sometimes by thousands of dollars per year.
How Higher Income Can Increase Medicare Part B and Part D Premiums
Large RMDs can:
Increase taxable income
Trigger IRMAA surcharges
Raise Medicare premiums for years at a time
Strategic Roth conversions earlier in retirement can reduce future RMDs and help control Medicare costs later.
This is often overlooked — and rarely explained clearly.
The Best Window for Roth Conversions Before Retirement
There is usually a golden window for Roth conversions:
After retirement
Before RMDs
Before or early in Social Security
When income is temporarily lower
For many people, this window lasts 5 to 10 years.
Using it intentionally can:
Smooth lifetime tax brackets
Reduce future RMDs
Lower Medicare premiums
Create tax-free flexibility later in retirement
Wasting it means fewer options later.
Roth Conversions for Pre-Retirees Ages 55–65 With Large IRAs
This matters most if you:
Are between the ages of 55 and 65
Have $500,000 to $5 million in IRAs
Have worked with an advisor for years
And have never seen a coordinated tax strategy
At this stage, small annual decisions compound into large lifetime outcomes.
Roth Conversions Are About Tax Control, Not Tax Avoidance
This is the key reframe.
The goal of a Roth conversion strategy is not to eliminate taxes.
It’s to:
Pay taxes when rates are known
Avoid forced income later
Maintain control over your balance sheet
Roth conversions are about certainty, flexibility, and control — not short-term tax minimization.
Why Roth Conversions Require a Multi-Year Strategy
Roth conversions work best when they’re planned over time.
A proper strategy considers:
Current and future tax brackets
Medicare IRMAA thresholds
Social Security timing
RMD projections
Portfolio structure
Available cash reserves
This is not a one-year decision made during tax season. It’s a multi-year planning strategy that coordinates taxes, investments, and retirement income.
Final Thoughts for Pre-Retirees With $500,000–$5 Million in IRAs
If no one has ever walked you through a forward-looking Roth strategy, it doesn’t mean you don’t need one.
It usually means:
Your CPA is focused on compliance
Your advisor is focused on investments
And no one is quarterbacking the entire plan
Clarity now beats regret later.
Frequently Asked Questions About Roth Conversions
Should pre-retirees do Roth conversions before RMDs?
For many pre-retirees, Roth conversions before RMDs can reduce future tax brackets, smooth retirement income, and lower Medicare IRMAA. The key is converting strategically over multiple years.
Do Roth conversions increase Medicare premiums?
Roth conversions increase taxable income in the year they occur, which can temporarily raise Medicare Part B and Part D premiums if IRMAA thresholds are crossed. However, they may reduce future Medicare costs by lowering RMDs later.
How much should I convert to a Roth each year?
The ideal Roth conversion amount depends on current tax brackets, future income, Medicare thresholds, and long-term projections. Many strategies aim to fill a tax bracket without triggering higher Medicare premiums.
Why hasn’t my advisor recommended a Roth conversion?
Many advisors focus on investments or short-term tax savings rather than long-term tax planning. Roth conversions require forward-looking analysis that is often missing from traditional advisory models.

