How Much Is Healthcare In Retirement? - Arrest Your Debt (2024)

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An often overlooked expense when saving for retirement is the cost of healthcare. In deciding when to retire, many people average out their yearly salaries and decide how much they will need to sustain their current lifestyle throughout retirement. Unfortunately, health care is usually much more expensive after you leave an employer-sponsored plan.


According to a recent article by CNBC, a married couple can expect to spend around $285,000 in retirement on healthcare-related costs.¹ This is a significant amount considering the average retirement savings for Americans age 55-64 is only $374,000.²

At What Age Do You Plan To Retire?

How Much Is Healthcare In Retirement? - Arrest Your Debt (1)
Fidelity Investments came up with this average after deciding upon a retirement age of 65. Many of us in the personal finance community are aiming to retire at an age much younger than that. With that perspective, most of us will spend even more on healthcare in the future.

The suggested retirement age of 65 assumes you will be able to move right into a Medicare plan. However, you may be surprised to learn that Medicare doesn’t cover much of what your employer-sponsored health plan may have covered.

Medicare Does Not Cover Everything

For instance, a basic Medicare plan does not cover³:

  • Hearing Aids
  • Routine/Preventative Foot Care
  • Most Dental Care
  • Eye Exams
  • Dentures
  • Long-Term Care

Do you see how many items most of us will need but are not covered? This is where the costs start to rack up. The silver lining to this dismal news is the average monthly premiums are relatively inexpensive for the things Medicare actually does cover. The average monthly premium in 2019 is $135.50.

Will COBRA Be Enough?

How Much Is Healthcare In Retirement? - Arrest Your Debt (2)

For those of us who would like to retire before the age of 65, COBRA may be an option. However, COBRA only allows you to stay on your employers sponsored healthcare plan for a year and a half. In addition to the time constraint, you are required to pay the entire premium which can be expensive. If I were to pay the full premium on my healthcare plan, I would be paying about six (6) times the monthly amount I currently pay.

COBRA may offer better coverage for you when you leave retirement, but the monthly premiums alone may be out of reach for most people.

The Affordable Care Act

I logged onto the Healthcare Exchange and ran a retirement scenario at age 55. If I made the average American income of $56,000 a year after retirement, I would have a minimum monthly payment of $132.79 a month with a deductible of$15,800.

How Much Is Healthcare In Retirement? - Arrest Your Debt (4)

The Second Scenario, A $10,000 Raise

Let’s assume you saved more than most people and in retirement, you are able to draw an extra $10,000 from your investments. A quick check of the Healthcare Exchange for insurance coverage at 55 years old and married making $66,000 a year yielded the following results:

How Much Is Healthcare In Retirement? - Arrest Your Debt (5)

You read that right. If you make $66,000 a year at age 55, you can expect to pay a minimum of $1,160.38 a month with a $15,800 deductible. With either plan, do you have an extra $15,000 laying around in the event you need medical care?

Failing To Plan Means You’re Planning To Fail

The above scenarios are not meant to take the wind out of your sails. If you plan on working until you are 65, you may have an easier time in retirement covering your health care costs than if you retire early. However, even with a retirement directly into Medicare, you may still spend $285,000 over your lifetime in healthcare related costs.

In order to live a happy and healthy retirement, we need to start saving and investing as soon as we can. One great strategy is to invest in a Health Savings Account (HSA). I wrote an article about the tax benefits of Health Savings Accounts in my related post: Health Savings Account – The Truth About HSAs.

Health Savings Accounts have the ability to grow interest-free in your working years and allow for pre-tax dollars to be invested. Who would have though Health Savings Accounts were better than ROTH IRAS!

Plan For Retirement Today – Even If You Don’t Want To

The fact that you are reading this article shows you are at least “thinking” about retirement. I encourage you to continue learning and transition from thinking to actually planning for retirement.

If you are living paycheck to paycheck now, retirement may seem impossible. In your current situation, retirement mayactually be impossible. Your paycheck to paycheck lifestyle doesn’t need to be the status quo. We all need a plan to be successful in life and your current plan may need some tweaking.

If you have yet to start a budget, please head over to my related article: It’s Time To Budget Like A Boss!In that article, I have free budget resources for you to get you on track and headed in the right direction. If you start to take control of your money at this point in your life, you will be better off tomorrow than you were today. Tell your money where to go and make it behave.

Debt Does Not Define You

How Much Is Healthcare In Retirement? - Arrest Your Debt (6)

If you have mounting debt and you seem stuck, I assure you there is a way out of this mess. I hope with everything in me that you can see there is a light above you if you stop digging this hole you are in. Climbing out of debt can be difficult but it certainly is possible. It requires you to put the shovel down and reach out for help.

I wrote an article on how to take control of your money and start paying down debt. You can find it here.

Use Your Time Wisely

Time has an amazing way of taking forever while flying by at the same time. Think back to high school. For me, it feels like not too long ago I was playing sports and cheering our fight song. As I sit here today, it’s hard to believe I graduated 18 years ago. (No old comments!)

That is the thing with time, if you start something today and keep with it, you will reach your goals much faster than you actually thought possible. You will look back on today and think it was just yesterday you made the decision to get out of debt and plan for retirement. In reality, it may be years down the road and you will stand there, debt free, looking back on your hopeless past.

Give yourself credit – you are here learning. Make the most of your time and do something great!

If you haven’t already, please subscribe to my blog below. Also, please share this article across social media, I’m trying to get the word out about my mission to financially educate as many people as I can. Thank you for being here and let me know if you have any questions!
-Ryan

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How Much Is Healthcare In Retirement? - Arrest Your Debt (2024)

FAQs

How Much Is Healthcare In Retirement? - Arrest Your Debt? ›

According to the Fidelity Retiree Health Care Cost Estimate, a single person age 65 in 2023 may need approximately $157,500 saved (after tax) to cover health care expenses in retirement. An average retired couple age 65 in 2023 may need approximately $315,000 saved.

How much will medical expenses cost in retirement? ›

Planning for health care costs in retirement

It is estimated that the average couple will need $315,000 to cover medical expenses in retirement, excluding long-term care.

Are healthcare costs in retirement overwhelming? ›

A 55-year old couple today can expect to pay more than $1 million for healthcare costs during their retirement. “Such a large amount may put you at risk of outliving your retirement savings,” says Storey.

How do Americans pay for healthcare after retirement? ›

There are a few ways to pay for medical expenses in retirement other than out of your pocket. This includes government programs such as Medicare, contributions you make to a Health Savings Account (HSA) before you turn 65, savings accounts, such as Roth or traditional IRAs, and long-term care and disability insurance.

What are the average medical expenses of a 65 year old? ›

Research has shown many Americans consistently underestimate just how much they may spend on health care in retirement; in fact, a 2022 survey found they expect a couple to spend just $41,000 on health care once they retire, far below Fidelity's estimate of $157,500 for the average 65-year-old retiring this year.

What is the biggest expense in retirement? ›

Housing. Starting off with one the biggest expenses in retirement. Housing expenses add up, as this considers not just things like mortgage or rent but also paying property taxes, homeowner's or renter's insurance premiums, and any maintenance or repair costs for the property.

How much does a retiree pay for Medicare? ›

If you don't get premium-free Part A, you pay up to $505 each month. If you don't buy Part A when you're first eligible for Medicare (usually when you turn 65), you might pay a penalty. Most people pay the standard Part B monthly premium amount ($174.70 in 2024).

What is the average out of pocket medical expense? ›

Given that the average household income in the U.S. is $87,864, as of 2023, that means the average American family spends at least $4,393 in these expenses each year.

How much should I budget for health insurance if I retire early? ›

That's why having health coverage is so critical. But how much does health insurance cost for early retirees? According to a 2020 study, an individual plan can cost up to $5,500 each year – and closer to $14,000 for a family plan.

How much does health spending eat away at retirement income? ›

The average retiree spends about one-fifth of his total income on medical costs, leaving only 82.2 percent available for non-medical spending.

What is the best healthcare for retirees in the US? ›

Best overall: Medicare

Medicare is the best health insurance option for seniors and retirees. Medicare is the cheapest health insurance with the best benefits for people age 65 and older or who have a qualifying disability. You can choose between two different options: Original Medicare and Medicare Advantage.

How to retire at 62 and get health insurance? ›

Health insurance for early retirees: 8 options to consider when retiring before 65
  1. Insurance from a spouse. ...
  2. Marketplace. ...
  3. Health share plans. ...
  4. Private health insurance. ...
  5. Medicaid. ...
  6. COBRA. ...
  7. Employer-sponsored health insurance benefit. ...
  8. Part-time work or Barista FIRE.

Is healthcare free after 65 in the US? ›

Medicare is a federally funded insurance program for eligible participants 65 or over. Medicare has two parts, Part A (Hospital Insurance) and Part B (Medical Insurance). Medicare does not cover 100% of all costs.

How much does healthcare cost in retirement? ›

According to Fidelity Investments' 2022 Retiree Healthcare Cost Estimate, the average American couple estimates the total cost of healthcare in retirement to be $41,000; however, in actuality, the average 65-year-old couple retiring this year can expect to spend an average of $315,000 on healthcare expenses throughout ...

How much does the average US citizen pay for healthcare? ›

In 2022, U.S. healthcare spending reached $4.5 trillion, which averages to $13,493 per person. By comparison, the average cost of healthcare per person in other wealthy countries is less than half as much.

What is the highest out-of-pocket expenses in healthcare? ›

Out-of-pocket maximum limits

For the 2022 plan year: The out-of-pocket limit for a Marketplace plan can't be more than $8,700 for an individual and $17,400 for a family. For the 2021 plan year: The out-of-pocket limit for a Marketplace plan can't be more than $8,550 for an individual and $17,100 for a family. 2.

How much will my expenses be when I retire? ›

A common rule is to budget for at least 70% of your pre-retirement income during retirement. This assumes some of your expenses will disappear in retirement and 70% will be enough to cover essentials. Remember, that's a general guideline, and your needs may vary.

How do you calculate medical retirement pay? ›

Your retirement benefit is calculated using a formula with three factors: Service credit (Years) multiplied by your benefit factor (percentage per year) multiplied by your final monthly compensation equals your unmodified allowance.

Can you use retirement funds for medical expenses? ›

More In Retirement Plans

For example, some 401(k) plans may allow a hardship distribution to pay for your, your spouse's, your dependents' or your primary plan beneficiary's: medical expenses, funeral expenses, or. tuition and related educational expenses.

Are medical expenses tax deductible in retirement? ›

Health insurance premiums can be tax deductible when you retire, but it depends on several factors such as your age, the type of health insurance plan that you have and whether you are self-employed or not.

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