The Real Cost of Healthcare in Retirement—and How to Prepare for It
Healthcare is often one of the biggest and most persistent expenses in retirement. Even if you enter retirement healthy, costs can add up fast from insurance premiums, out-of-pocket medical bills, prescriptions and potential long-term care needs. Many retirees underestimate these expenses, especially before they are eligible for Medicare. This can put a strain on retirement savings if there is no plan in place.
A thoughtful approach to healthcare planning can make a big difference in keeping you financially stable and at peace. By knowing where costs might arise and how to pay for them, you can plan for the future with confidence.
In this article, we’ll look at all the healthcare costs a retiree can expect before, and after, Medicare. Keep reading to learn how to plan adequately for your retirement health expenses.
Why Healthcare Is Often a Top Retirement Expense
Healthcare is often a top retirement expense. According to Fidelity’s projections, an individual retiring at 65 in 2025 may need an estimated $172,500, up 5% from 2023, to cover medical expenses in retirement. This includes premiums, deductibles and out-of-pocket costs but does not include long-term care, which is often an additional and big expense.
These costs can be higher for those retiring before Medicare eligibility. Without planning, early retirees could face higher premiums for private insurance or marketplace plans, especially if they have preexisting conditions or need more comprehensive coverage.
Remember medical inflation outpaces general inflation so healthcare costs may continue to rise faster than most other expenses.
What Retirees Will Pay Before Medicare
One of the biggest gaps in retirement healthcare planning is the period before Medicare kicks in at age 65. Retirees who leave the workforce earlier need to get their other coverage during these years.
Options may include continuing employer-sponsored coverage through COBRA, buying an individual plan on the health insurance marketplace or exploring retirement health insurance options from a former employer. For couples that don’t retire at the same time, another potential solution is coverage under the working spouse’s employer-sponsored health plan. This can often provide more affordable and comprehensive benefits compared to individual plans. Each of these options has different costs and coverage details, so careful evaluation is key.
Early retirees should factor these expenses into their pre-Medicare planning well in advance. This means knowing how premiums will fit into their overall retirement budget and how to balance them with other living expenses.
Some retirees bridge the gap with part-time work and employer benefits while others may use savings or income-producing investments to help cover these interim costs. The key is to plan ahead so healthcare doesn’t become a financial burden during these years.
Long-Term Care: Insurance or Self-Fund?
Long-term care is often seen as the wild card of retirement healthcare. It’s help with daily activities, home health aides, assisted living or nursing home care. These costs aren’t covered by standard Medicare plans, except in limited circumstances, so retirees must either buy separate coverage or self-fund.
Long-term care insurance can help offset some of these costs but comes with premiums that may increase over time. Policies vary in what they cover so be sure to review the details before committing.
If you prefer to self-fund it’s essential to set aside assets specifically for future care needs. This may mean building a dedicated savings or investment account so funds are available when needed. A financial advisor can help determine which approach is right for your health outlook, financial resources and family support network.
The choice is personal but having a plan is better than leaving it to chance.
How to Use HSAs, Annuities and Income Buckets to Help Bridge the Gap
For retirees looking to cover healthcare costs without depleting savings several financial tools can help. Here are just a few examples.
A Health Savings Account (HSA) is one of the most tax-efficient ways to prepare for medical expenses. Contributions to an HSA are tax-deductible and withdrawals for qualified medical expenses are tax-free. You can’t contribute to an HSA once you’re on Medicare but the funds already in the account are available for healthcare expenses in retirement. Using an HSA strategically can create a dedicated pool of funds for medical costs.
Annuities can also be a useful tool providing a steady stream of income that can be allocated towards healthcare. Not all retirees will need or want an annuity but it can be an effective way to create predictable income to help offset ongoing costs like insurance premiums.
Another approach is to structure retirement assets into income buckets. This means dividing investments into different time segments with one bucket for short-to mid term needs like healthcare. By having a specific allocation for medical expenses, retirees can reduce the risk of having to sell long-term investments at an inopportune time to cover unexpected costs.
These strategies require coordination but can provide a safety net. A knowledgeable advisor at Pioneer Wealth Management can help determine which options are right for your retirement plan.
Final Checklist: Questions to Ask Your Advisor
Retirement healthcare costs require open discussion and planning. Ask your advisor:
- How do I estimate my annual healthcare costs in retirement?
- How do I plan for the years before Medicare?
- What options are available to bridge the gap until I turn 65?
- Should I get long-term care insurance or self-fund?
- How might an HSA, annuities or investments help with healthcare expenses?
- What’s the most tax-efficient way to pay for medical costs in retirement?
- How do we adjust my income plan if healthcare costs go up unexpectedly?
Once you discuss these questions, you’ll be able to create the healthcare strategy that aligns with your overall retirement strategy.
Conclusion
Healthcare costs can be a big deal in retirement and planning for them is key. From the years before Medicare to potential long-term care needs, retirees have a lot of potential expenses to plan for.
By understanding the challenges and considering tools like HSAs, insurance, annuities and structured income strategies, retirees can create a safety net to help protect their lifestyle. Work with a trusted advisor at Pioneer Wealth Management to get clarity and confidence on these decisions. Talk to us today to begin creating a solid healthcare strategy for retirement.
Investment Advisory Services offered through CreativeOne Wealth, LLC, a registered investment adviser. CreativeOne Wealth and Pioneer Wealth Management are not affiliated companies. Licensed Insurance Professional. We are not affiliated with or endorsed by any government agency, and do not provide tax or legal advice.Investing involves risk, including possible loss of principal. Insurance guarantees are backed by the financial strength of the issuing company. This material is for informational purposes only.
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