EFFICIENT WEALTHTM BOOK SERIES — VOLUME 1

The system doesn't send a
warning. It sends a bill.

Uncle Sam taxes up to 85% of your Social Security. Aunt IRMAATM quietly adds hundreds to your Medicare premium — based on income from two years ago. Punch in the Gut is the book that explains exactly how, and the 90-day plan to protect what you already earned.

85%Of Social Security Can Be Taxed
2 YrsIRMAA Lookback Window
11Chapters, One 90-Day Plan
ARRIVES YEAR 3
Social Security Administration · Notice
Medicare Part B & D Premium — Income-Related Adjustment
Based on your income tax return from two years ago, your monthly Medicare premium has been adjusted. This is SUBJECT SUBJECT SUBJECT to your reported Modified Adjusted Gross Income of $168,400.
Added Cost / Year +$4,867
THE PROBLEM

You did everything right. That's exactly why this hits you.

The households hit hardest by the punch in the gut tax aren't the ultra-wealthy — they're the ones who saved consistently, avoided debt, and built a retirement account large enough to trigger a threshold they never knew existed.

01

Provisional Income

Half your Social Security, plus other income, plus tax-exempt interest. Most retirees have never heard the term — until it decides how much of their benefit gets taxed.

02

The Hidden Marginal Rate

A 22% tax bracket can behave like a 40% effective rate once Social Security inclusion kicks in. The bracket on paper isn't the bracket you actually pay.

03

The Two-Year Lookback

IRMAA is billed on income from two years ago. By the time the notice arrives, the decision that caused it is long finished — and can't be undone.

Aunt IRMAA doesn't care that your income spike was from selling your business. She just sees the number.
— FROM THE BOOK
MEET THE CHARACTER

Uncle Sam and Aunt IRMAATM are running your retirement.

Punch in the Gut gives the tax code's most confusing mechanism a name and a personality — because a system nobody can picture is a system nobody plans for.

Every dollar of retirement income gets sorted into one of three categories. Knowing which is which, before a distribution is made, is the entire diagnostic.

GREEN — doesn't move the needle YELLOW — raises SS taxation RED — crosses an IRMAA tier
INSIDE THE BOOK

Eleven chapters. One 90-day action plan.

Built around Dave and Karen — a composite couple whose story carries the math from the first surprise to the last fix.

CH. 01

The Letter Nobody Explains

The moment the surcharge notice arrives, and why nobody saw it coming.

CH. 02–03

Provisional Income & the Hidden Rate

The formula behind the tax, and why two couples with identical spending can owe very different amounts.

CH. 04–07

Red, Yellow, Green in Practice

Applying the framework to Roth conversions, business sales, and required distributions.

CH. 08

The 401(h) Account

A legal, tax-free retiree healthcare tool sitting unused inside the tax code.

CH. 10

The 90-Day Action Framework

The exact checklist this site's companion tool personalizes to your numbers.

CH. 11

What We're Really Protecting

A closing word on the difference between money and the life it was meant to fund.

THE COMPANION TOOLS

The book explains it. These tools personalize it.

Every diagnostic below runs a deterministic scoring engine — the AI only explains the result in plain language. It never generates the score, and it never recommends a product.

Free · 5 Minutes

PunchPlanTM

Answer a few questions about your income sources and get a personalized Punch Protection Playbook — your Punch Risk Score, your IRMAA Exposure Level, and the three priority actions to take first.

Run your diagnostic →
Live · 60–75 Min

Punch in the Gut LIVE

The book, delivered as a seminar. Built for employers, associations, and the public — with a dedicated 90-minute session on Social Security timing, IRMAA mechanics, and the Hidden Marginal Rate Effect.

See upcoming sessions →
Reference

The IRMAA White Paper

The practitioner-level companion to Chapter 3 — built for CPAs and referral partners who want the full 2026 threshold tables and the compliance framing behind the diagnostic.

30 Minutes · No Obligation

The Fit Check Call

A direct conversation with Michael about where your income picture sits today — and whether a structural fix is worth exploring before your next tax return is filed.

Book a Fit Check →
MG

Michael Gerali, CLU, ChFC

FOUNDER, BESPOKE RETIREMENT ADVISORS · CREATOR, EFFICIENT WEALTH SYSTEMSTM

Michael Gerali, CLU, ChFC is the founder of Bespoke Retirement Advisors, operating through Bespoke Healthcare LLC as an insurance-only broker. He is the creator of the Efficient Wealth SystemsTM framework — a seven-pillar approach to structural wealth planning built specifically for business owners, professionals, and high-income households navigating the real complexity of retirement.

Based in Lakewood, Colorado, Michael specializes in the intersection where retirement income, tax strategy, and healthcare planning converge — a space most advisors avoid because it requires expertise across multiple disciplines simultaneously. His clients are business owners and pre-retirees who have built real wealth and need a specialist who understands not just how to grow it, but how to protect what they've already earned from the hidden tax systems that quietly work against them in retirement.

His approach was sharpened by something beyond professional training. A personal health experience gave Michael a direct understanding of what it means to depend on systems you assumed would work as advertised — and to discover the fine print too late. That experience became the foundation of his practice philosophy and the tagline that drives every client engagement:

Protect What Is Still HealthyTM

In wealth planning, as in healthcare, the best time to intervene is before the crisis — not after. Michael's diagnostic-first methodology is built around this principle: identify structural vulnerabilities while there is still time to address them, rather than managing damage that could have been prevented.

Michael is the author of the Efficient WealthTM book series, including Punch in the Gut: How Uncle Sam and Aunt IRMAA Are Quietly Draining the Retirement You Already Earned. He is a returning presence at industry conferences on AI-forward advisory practice, and a trusted specialist resource for CPAs, RIAs, and financial professionals seeking a partner for their most complex business-owner clients.

He lives in Colorado with his wife, where mornings are protected for the things that matter most.

Get the book. Run the diagnostic. Protect what's still healthy.

Available on Kindle now. Paperback shipping soon. Free companion diagnostic at PunchPlan takes five minutes.