With the 2018 tax law changes, converting tax-deferred savings into Roth IRAs is advantageous for those who can pay the income taxes. For individuals on Medicare, there are income thresholds that impact Medicare premium costs that must be considered when deciding how much to convert. Converting just under the $267,000 threshold may be best for married couples expecting to complete conversions while both are alive. For those needing access to funds sooner, determining the optimal strategy can be more complicated.