DISCLAIMER: I am not a tax attorney, accountant, or financial planner. I did utilize ACA subsidies for ~5 years.
What is your anticipated MAGI? ACA subsidies are available up to 400% of the federal poverty level. They are also tied to inflation and go up every year:
https://www.goodrx.com/insurance/aca/aca-income-limits
The subsidies and plans vary by state, but my understanding is that they are all based off a percentage of a Silver plan premium. So, if you can live with a Bronze plan they can be a substantial portion of the premium (my average subsidy was in the 80-85% range). High-deductible Bronze plans are also HSA eligible and HSA contributions are deducted from MAGI. So, max out the HSA, drive down your MAGI (2025 limit is almost $10k if you're over 55), and you get to keep the money for medical expenses. At 65 anything in your HSA converts to an IRA. HSA funds can also be invested.
I assume you claim no dependents on your tax return?
IRA contributions are deducted from MAGI, so you could potentially convert money from cash accounts into IRA contributions to avoid losing your subsidies if your income may be a little too high. Depends on how far over you might be and how your savings are allocated. I assume you're over 50, so between you and your wife you could drive down your MAGI by up to $15k.
Do you have Roth IRAs/401ks? Withdrawals of principal from Roth accounts are not taxable income (well, Roth withdrawals are are not taxable income period, but if you withdraw gains prior to age 59.5 you pay a steep penalty), so if available you could preferentially draw on Roth accounts until you hit Medicare eligibility.
If you go over the ACA income limit by $1 you have to pack back all your subsidies, so make sure you have everything accounted for. If you did not max out an HSA and/or IRA, contributions can be made for the prior year until April 15 of the following year.
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