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The government tacks on steep surcharges for wealthy Medicare recipients.

If you have enough wealth, your Medicare costs — specifically your premiums — might be more than you had bargained for. Not everyone knows this, but there are Medicare surcharges (officially called income-related monthly adjustment amount, or IRMAA) that correspond to income brackets. These additional costs can really add up. It is the highest-earning 5% of Medicare recipients who pay more for…