RMD Strategies for High-Net-Worth Seniors
Once RMDs start, the moves that matter are sending the money to charity tax-free, shrinking next year's forced withdrawal, and steering income to protect your Medicare premiums.
What do you do when the tax bill you spent decades deferring finally comes due, and the accounts are large? You stop scrambling and start steering. By the time required minimum distributions begin, at 73 if you were born 1951 to 1959 and 75 if you were born in 1960 or later, the easy fix is gone. But there’s still real money on the table, and for a large balance the dollars are significant.
First, get the mechanics right
The RMD is your prior-year-end balance divided by an IRS life-expectancy factor. Miss it and the penalty is brutal: a 25% excise tax on the shortfall for 2026, cut to 10% if you correct it quickly. That penalty alone is reason to never let an RMD slip.
The deeper point is that the forced income climbs every year. The balance compounds, the divisor shrinks, and the withdrawal grows right when you have the least flexibility. The full 2026 rules and deadlines cover the calendar. The strategy below is about shrinking the bite.
The single best move: give it away through a QCD
If you’re charitable, this is the most efficient tool you have. A Qualified Charitable Distribution sends money straight from your IRA to a charity, and it counts toward your RMD without ever landing on your tax return. For 2026 you can give up to $111,000 this way per person, and you’re eligible starting at age 70½, even before RMDs begin.
Why this beats writing a check from your checking account: a normal donation only helps if you itemize, and most retirees take the standard deduction now. A QCD helps regardless. The income never shows up at all, which keeps it from inflating the figures that drive your Medicare surcharges. For a couple where both spouses have IRAs, the limit is per person, so up to $222,000 combined can go to charity straight off the top.
Shrink the balance before it’s forced out
The forced withdrawal is just a percentage of the balance, so the way to lower it is to lower the balance, on your terms, beforehand. Roth conversions in your 60s, before RMDs start, move money out of the tax-deferred account and into a Roth that never has an RMD while you’re alive. You pay tax now, at a rate you choose, instead of later at a rate the table forces.
Once RMDs are running, the conversion math gets harder, because you have to take the full RMD first and only then convert on top. But it can still pay if you expect even higher forced income later, or if the goal is leaving heirs a Roth they can inherit clean.
The hidden price: IRMAA and the widow’s trap
Here’s what catches large balances by surprise. A big RMD doesn’t just cost income tax. Push your income high enough and it raises your Medicare premiums two years later through IRMAA, the income-based surcharge on Parts B and D. The RMD and the surcharge are linked, and people rarely connect the two until the premium notice arrives.
The trap gets worse for couples. When one spouse dies, the survivor files as single the following year, and the single brackets and IRMAA tiers hit at far lower income. The same RMD that was comfortable for a couple can shove a widow into a higher bracket and a higher surcharge on her own. Planning the survivor’s tax picture in advance is part of doing the RMD job properly.
If your accounts are very large
When the tax-deferred balance runs to seven or eight figures, the RMD will likely exceed what you spend, year after year, forever. At that point the goal shifts from “minimize this year’s tax” to “drain the account efficiently across your whole life and your estate.” That usually means aggressive Roth conversions in the low-income window between retirement and your RMD start age, sustained QCDs, and naming the right heirs, since most non-spouse beneficiaries now must empty an inherited IRA within ten years.
The RMD is the rare tax bill that announces itself a decade ahead. With a large balance, the only mistake is treating it as a surprise.
Related questions
Still have questions?
Join the community to ask directly, or see if a one-on-one planning call is a fit.