A 68-year-old widower in south Georgia spent the summer of 2024 arranging the sale of a pine stand his grandfather planted in 1958. His usual modified adjusted gross income (MAGI) runs about $46,000 between pension income, taxable Social Security and other sources.
A regional mill offered $240,000 for the standing timber. After timber basis and selling expenses, roughly $200,000 remained as taxable gain, receiving favorable long-term capital-gain treatment. He signed. Two years later, the Social Security Administration mailed him a new Medicare premium notice. His 2026 Part B bill had jumped from $202.90 to $649.20 a month. That is nearly $5,400 more for the year, arriving long after the timber check.
How a Timber Sale Turns Into a Medicare Bill
Standing timber held long enough and sold under qualifying rules can receive capital-gain treatment instead of being taxed like ordinary business income. The IRS also makes clear that timber basis matters: taxable gain is the difference between what the owner realizes and the applicable adjusted basis and costs, not simply the size of the check.
The favorable tax treatment does not keep the gain out of Medicare’s calculation. The taxable gain flows into adjusted gross income (AGI), and Medicare’s MAGI adds tax-exempt interest on top. Medicare generally looks back two years. His 2024 tax return therefore determines his 2026 income-related monthly adjustment amount (IRMAA). This year, a single filer with MAGI above $205,000 but below $500,000 pays $649.20 a month for Part B instead of the standard $202.90. The good news is that IRMAA gets recalculated annually. If his 2025 income returned to normal, the timber sale does not necessarily leave him paying the higher amount indefinitely.
Bracket the Timber Check Bought
Add the $240,000 gain to $46,000 of baseline income and MAGI lands near $286,000. As a single filer, that clears the fifth IRMAA tier: greater than $205,000 and less than $500,000. The 2026 numbers, from the CMS fact sheet issued November 14, 2025:
| Single MAGI (2024) | Part B total (monthly) | Part B IRMAA surcharge (monthly) |
|---|---|---|
| ≤ $109,000 | $202.90 | $0 |
| $109,001 to $137,000 | $284.10 | $81.20 |
| $137,001 to $171,000 | $405.80 | $202.90 |
| $171,001 to $205,000 | $527.50 | $324.60 |
| $205,001 to $499,999 | $649.20 | $446.30 |
| ≥ $500,000 | $689.90 | $487.00 |
The Part B surcharge alone runs $446.30 monthly for 2026. Part D piles on: the 2026 Part D IRMAA rises to a substantial amount a month at the top tier, on top of whatever the drug plan itself charges (we mapped the full set of income surcharges and coverage traps in a free Medicare guide here: Medicare’s Hidden Bills). The 3.1% Social Security COLA tracking for 2027 will not close the gap.
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