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New Update: Healthcare Costs Increasing by Over 60% in Some States. Will you be impacted?

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Are Ghost Taxes Creeping Into Your Boston Scientific Retirement Plan?

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Healthcare Provider Update: Healthcare Provider for Boston Scientific Boston Scientific does not have a single healthcare provider; rather, employees may access healthcare through various plans that might include partnerships with major insurance carriers such as UnitedHealthcare, Cigna, and others. Specific details about available providers would vary based on the health plan chosen by employees. Potential Healthcare Cost Increases in 2026 As we approach 2026, Boston Scientific employees may face significant healthcare cost pressures exacerbated by anticipated increases in Affordable Care Act (ACA) marketplace premiums, some exceeding 60%. The confluence of rising medical expenses, a potential lapse of enhanced subsidy programs, and adjustments in employer-sponsored coverage models could see out-of-pocket costs for many employees increase dramatically. Companies like Boston Scientific, responding to these market forces, might shift more healthcare costs onto employees, making it crucial for them to understand upcoming benefit changes and explore financial strategies to mitigate the impact on their budgets. Click here to learn more

'Many Boston Scientific employees underestimate how much “ghost taxes” can erode retirement income. Understanding these hidden thresholds today can help you make more thoughtful decisions for tomorrow’s financial well-being,' — Michael Corgiat, a representative of The Retirement Group, a division of Wealth Enhancement.

'Many Boston Scientific employees are surprised by how quickly hidden taxes like AMT, NIIT, and IRMAA can reduce retirement income, making it important for retirees to stay informed and thoughtfully plan so these costs don’t catch them off guard.' — Brent Wolf, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

  1. The five “ghost taxes” that may unexpectedly impact retirement income.

  2. How these taxes can affect Boston Scientific employees and retirees.

  3. Strategies to better understand and prepare for these tax implications.

How Boston Scientific Employees Can Prepare for the Five “Ghost Taxes” That Could Haunt Retirement

There are several lesser-known surcharges and thresholds that may unexpectedly increase your tax bill in retirement, even if you already understand federal, state, and local tax obligations. These include the Alternative Minimum Tax (AMT), the Net Investment Income Tax (NIIT), the Medicare Income-Related Monthly Adjustment Amount (IRMAA), the Social Security “tax torpedo,” and the new senior deduction. Because many of these thresholds are not adjusted for inflation, they increasingly impact retirees, including those from Boston Scientific.

1. AMT: Alternative Minimum Tax

The AMT is a parallel tax system designed to make sure higher-income individuals pay at least a minimum amount of taxes. It has its own tax brackets, forms, and rules, with a top rate of 28%. 1  Some deductions available under the traditional tax system are limited under AMT rules.

For 2025, the AMT exemptions are:

  • - $88,100 for single filers (phasing out at $626,350)

  • - $137,000 for married couples filing jointly (phasing out at $1,252,700)

High income, exercising incentive stock options, large capital gains, or numerous itemized deductions may trigger AMT. Even though long-term capital gains receive preferential tax treatment, they can still reduce your AMT exemption. If AMT is paid in one year, a tax credit may be available in future years when AMT is not owed.

2. NIIT: Net Investment Income Tax

The NIIT applies a 3.8% tax on net investment income when modified adjusted gross income (MAGI) exceeds:

  • - $200,000 for single filers

  • - $250,000 for married couples filing jointly 2

This tax applies to dividends, interest, rental income, gains from home sales, and capital gains beyond exclusion limits. Withdrawals from 401(k)s and traditional IRAs are not directly taxed by NIIT, but they may increase MAGI and cause other investment income to be taxed.

Strategies to limit exposure include contributing to traditional retirement accounts, using health savings accounts (HSAs), and tax-loss harvesting. For instance, tax-loss harvesting allows you to use up to $3,000 in capital losses annually to offset ordinary income. 3  

For individuals age 70½ or older looking to reduce MAGI, qualified charitable distributions (QCDs) may help. QCDs allow you to donate to qualified charities on a tax-free basis directly from your IRA, satisfying required minimum distribution (RMD) rules without bringing distributions into income. In 2025, up to $108,000 may be donated tax-free. 4

3. IRMAA: Income-Related Monthly Adjustment Amount

IRMAA adds a surcharge to Medicare Parts B and D premiums for higher-income retirees and is based on MAGI from two years prior.

For 2025, IRMAA applies when MAGI exceeds:

  • - $106,000 for single filers

  • - $212,000 for married couples filing jointly

Even a small increase above these limits can place retirees in a higher premium bracket. Tax-exempt interest from municipal bonds is included in MAGI for IRMAA purposes. Premiums and IRMAA can be deducted from Social Security payments or paid directly. Social Security allows individuals experiencing major life changes, such as retirement or death of a spouse, to request revised IRMAA calculations.

4. The Social Security “Tax Torpedo”

Social Security benefits may be taxable depending on “provisional income,” which includes:

  • - Adjusted gross income

  • - Non-taxable interest

  • - One-half of Social Security benefits

If provisional income exceeds:

  • - $34,000 for single filers

  • - $44,000 for married couples filing jointly

...then up to 85% of Social Security benefits may be taxable. 5

Delaying Social Security up to age 70 increases benefits by 8% per year beyond full retirement age.

5. The 2025–2028 New Senior Deduction

From 2025 to 2028, individuals age 65 and older may qualify for a new senior deduction:

  • - $6,000 for single filers

  • - $12,000 for married couples filing jointly

This deduction phases out at:

  • - $75,000 MAGI for single filers

  • - $150,000 MAGI for joint filers

This is separate from the standard senior deduction, which currently adds $2,000 for individuals or $3,200 for married couples age 65 or older.

Need Help Navigating These Taxes?

Understanding how AMT, NIIT, IRMAA, Social Security rules, and senior deductions affect retirement income can be complex, especially for Boston Scientific retirees managing pensions, 401(k)s, and other investments. The Retirement Group can help you better understand how these tax considerations relate to your retirement planning. Call  (800) 900-5867  for guidance.

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Sources:

1. Tax Foundation. “ 2026 Tax Brackets .” 9 Oct. 2025.

2. Gravelle, Jane G., and Don J. Marples.  The 3.8% Net Investment Income Tax: Overview, Data, and Policy Options .  Congressional Research Service, 30 June 2023, crsreports.congress.gov/product/pdf/R/R41413.

3. IRS. ' Topic no. 409, Capital gains and losses .' 12 Sep. 2025.

4. Wealth Enhancement. ' 7 Tax Moves to Consider Before The End of The Year ,' by Mary Taliaferro, CFP. Nov. 5, 2025. 

5. Investopedia. ' Provisional Taxes: What They Are and How They Work ,' by Julia Kagan. 4 Sep. 2025.

What is the Boston Scientific 401(k) Savings Plan?

The Boston Scientific 401(k) Savings Plan is a retirement savings plan that allows employees to save for their future by contributing a portion of their salary on a pre-tax or post-tax basis.

How can I enroll in the Boston Scientific 401(k) Savings Plan?

You can enroll in the Boston Scientific 401(k) Savings Plan by accessing the employee benefits portal or contacting the HR department for guidance on the enrollment process.

What types of contributions can I make to the Boston Scientific 401(k) Savings Plan?

Employees can make pre-tax contributions, Roth (after-tax) contributions, and, in some cases, catch-up contributions if they are age 50 or older, to the Boston Scientific 401(k) Savings Plan.

Does Boston Scientific offer a company match for 401(k) contributions?

Yes, Boston Scientific offers a company match for employee contributions to the 401(k) Savings Plan, which helps employees maximize their retirement savings.

What is the vesting schedule for the Boston Scientific 401(k) company match?

The vesting schedule for the Boston Scientific 401(k) company match typically follows a graded vesting schedule, where employees earn ownership of the match over a specified period of service.

Can I change my contribution rate to the Boston Scientific 401(k) Savings Plan?

Yes, you can change your contribution rate to the Boston Scientific 401(k) Savings Plan at any time by accessing the employee benefits portal or contacting HR.

What investment options are available in the Boston Scientific 401(k) Savings Plan?

The Boston Scientific 401(k) Savings Plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to help employees diversify their portfolios.

How can I access my Boston Scientific 401(k) account information?

You can access your Boston Scientific 401(k) account information by logging into the employee benefits portal or by contacting the plan administrator for assistance.

What happens to my Boston Scientific 401(k) Savings Plan if I leave the company?

If you leave Boston Scientific, you have several options for your 401(k) Savings Plan, including rolling it over to an IRA or another employer's plan, or cashing it out (subject to taxes and penalties).

Is there a loan provision in the Boston Scientific 401(k) Savings Plan?

Yes, the Boston Scientific 401(k) Savings Plan may offer a loan provision that allows employees to borrow against their account balance under certain conditions.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Boston Scientific recently announced a restructuring plan aimed at streamlining operations and cutting costs. This involves a reduction in workforce across several departments and a realignment of its business units.
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For more information you can reach the plan administrator for Boston Scientific at 300 Boston Scientific Way Marlborough, MA 1752; or by calling them at +1 508-683-4000.

*Please see disclaimer for more information

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