Retirement decisions can look simple when you’re making them one at a time.
Claim Social Security. Choose a Medicare plan. Leave an old 401(k) alone. Take money from an IRA. Deal with long-term care if it ever happens.
The problem is that some of these decisions can have consequences that last for years.
Here are nine retirement pitfalls worth understanding.
2. Ignoring the survivor-benefit consequences
Social Security claiming decisions can affect a surviving spouse.
A survivor benefit can range from 71.5% of the deceased worker’s primary insurance amount when claimed at 60 to as much as 100% at the survivor’s full-retirement age.
There’s an important complication when the higher earner claimed retirement benefits early. Under the survivor rules, the benefit can be limited by the worker’s reduced benefit or by the statutory RIB-LIM formula, which uses 82.5% of the worker’s primary insurance amount as one part of the calculation. If the worker delayed retirement, delayed-retirement credits can also carry into the survivor benefit.
What to do: Couples should consider Social Security as a household decision, especially when one spouse has a substantially larger benefit.
3. Accidentally triggering Medicare’s IRMAA surcharge
Medicare premiums can depend on your income from two years earlier.
For 2026, the standard Part B premium is $202.90 per month. The first IRMAA tier begins above $109,000 of modified adjusted gross income for an individual or $218,000 for a married couple filing jointly. At that first tier, the Part B premium rises to $284.10. Higher income can push it as high as $689.90 per month. Part D also has income-related surcharges.
That means a large Roth conversion, capital gain or retirement-account distribution can have consequences beyond the tax bill itself.
What to do: If you’re approaching Medicare age or already enrolled, understand the two-year income lookback before making unusually large taxable transactions. If retirement or another qualifying life-changing event substantially reduced your income, Medicare has an appeal process.
4. Missing Medicare Part B enrollment rules
The Part B late-enrollment penalty is generally 10% for each full 12-month period you could have had Part B but didn’t. The penalty generally lasts as long as you have Part B.
The important exception involves qualifying coverage through current employment. If you or your spouse are still working and you have qualifying employer group coverage, you may be able to delay Part B and later use an eight-month Special Enrollment Period.
COBRA and retiree coverage are different. Medicare specifically says they don’t count as current-employment coverage for this Special Enrollment Period.
What to do: Don’t assume that “I have insurance” means you can safely postpone Medicare. Find out exactly what type of coverage you have before passing your enrollment deadline.
6. Assuming Medicare will pay for long-term care
Medicare generally does not pay for long-term custodial care. It can cover certain short-term skilled nursing services when eligibility requirements are met, but that’s different from paying for ongoing assistance with everyday activities.
CareScout’s 2025 national medians were $129,575 a year for a private nursing-home room, $114,975 for a semi-private room, $74,400 for assisted living and $80,080 for 44 hours a week of non-medical in-home care.
The Administration for Community Living estimates that someone turning 65 today has almost a 70% chance of needing some type of long-term care, although one-third may never need it and needs vary enormously.
What to do: Learn what long-term care actually costs where you live and understand which expenses Medicare, Medicaid, insurance and personal savings could cover.
7. Retiring into a market downturn without flexibility
Sequence-of-returns risk is one of those concepts that sounds technical until you see what it can do.
Kitces illustrated the difference using two otherwise identical $1 million portfolios invested 60/40 and withdrawing 4% annually, adjusted for inflation. One retiree began at the end of 1973; another waited until the end of 1975. After 30 years, the historical outcomes were approximately $278,000 versus $3.36 million.
That is a historical illustration, not a prediction. Its point is that the order of investment returns can matter enormously when you’re withdrawing money.
What to do: Consider whether your retirement spending plan can adapt during a severe downturn rather than assuming spending will remain identical every year.
8. Ignoring the fees in an old 401(k)
Small differences in investment fees can compound for decades.
The Department of Labor provides a striking illustration: with a $25,000 balance, 35 years to retirement and a 7% average investment return, reducing returns by 0.5% in fees produced a projected $227,000 balance. At 1.5% in fees, the balance was $163,000—a 28% reduction from the additional 1% in annual fees.
Your actual result would depend on returns, contributions, fees and time.
What to do: Find the fee disclosure for every old retirement account you own. Don’t assume a former employer’s plan is inexpensive simply because it is a large company—or expensive simply because it is a small one.
9. Forgetting RMDs—or taking retirement money too early
Required minimum distributions generally begin at age 73 for people subject to the current rules. If you take less than your required amount, the IRS generally imposes an additional tax of 25% on the shortfall, potentially reduced to 10% if the correction requirements are met within the applicable correction window.
There’s another trap at the other end of retirement planning: taking taxable retirement money before age 59½. The IRS generally applies a 10% additional tax to taxable early distributions unless an exception applies.
What to do: Keep a list of every retirement account and its RMD requirements. And before taking money early, check whether an exception applies.
The bigger lesson
None of these decisions exists in isolation.
Social Security affects household income. Income can affect Medicare premiums. Retirement-account withdrawals can affect taxes and IRMAA. Investment fees compound over time. And long-term care can introduce expenses that Medicare generally doesn’t cover.
That’s why the most expensive retirement mistake may simply be making an important decision without understanding what it connects to.
You don’t need to become a retirement expert.
But before making a decision that could affect your income or healthcare for years, find out what the decision changes—and what else it might affect.
Evidence: Moderate to strong
This article describes population-level research, government rules and historical examples. It is not individualized financial, tax, Medicare or legal advice. Rules and costs can change, so verify current information with the relevant government agency before making an important decision.
Official sources
- Social Security Administration — Benefit reduction for early retirement
- Social Security Administration — Delayed retirement credits
- Social Security Administration — Survivor benefit reductions
- CMS — 2026 Medicare Parts A & B premiums and deductibles (including IRMAA)
- Medicare.gov — Avoid late-enrollment penalties (Part B)
- KFF — Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024
- HHS Office of Inspector General — Medicare Advantage appeal outcomes and audit findings (2018)
- Medicare.gov — Long-term care coverage
- CareScout — Cost of Care Survey
- Administration for Community Living — How much care will you need?
- Kitces — Understanding sequence of return risk
- U.S. Department of Labor — A Look at 401(k) Plan Fees
- IRS — Required minimum distributions FAQs
- IRS — Topic 558: Additional tax on early distributions
About this information
Senior Life Watchdog provides general public information and is not a government agency, law firm, financial advisory service, or healthcare provider. This information is intended to help readers understand changes and locate official resources. Rules can change and individual eligibility depends on your circumstances. Always verify important information with the appropriate government agency or qualified professional before making financial, legal, or healthcare decisions.
Last verified: September 26, 2026
We’ll update this page when official information changes.
VERIFY THE INFORMATION
- Source:
- Social Security Administration, CMS/Medicare, and IRS
- Official publication:
- 2026 Medicare Parts A & B premiums and deductibles
- Last verified by Senior Life Watchdog:
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