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Planning for Health: Understanding Healthcare Costs in Retirement with a Financial Advisor

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Whether you’re in the pre-retirement stages or currently retired, there is one crucial detail you don’t want to overlook: healthcare costs. Without proper planning, you could be looking at a retirement fund that will not last. As healthcare costs continually rise, you’ll need to ensure that your retirement savings will cover anything life throws at you.

But you might ask yourself: how do I plan for the unknown healthcare costs? How can I navigate the complexities of healthcare expenses to preserve my assets and achieve financial confidence?

The answer to these questions lies with a financial advisor. At Thrive Wealth Advisors, we want you to retire with confidence and saving for healthcare is essential to achieving this goal. In this article, you’ll discover how we can guide you through your retirement healthcare planning.

The Reality of Healthcare Costs in Retirement

Healthcare costs continue to rise, presenting challenges for pre-retirees and retirees. In 2020, the average person over the age of 65 spent over $22,000 on healthcare costs.(1) Throughout your retirement, you should expect to pay upwards of $310,000 on average for healthcare.(2) This is an incredible number and it’s only expected to rise as the Centers for Medicare and Medicaid Services predicts healthcare spending to rise 5% in 2024.(3)

Furthermore, healthcare costs can vary based on where you live, your health status, and the type of care required. For example, in 2020, residents in New York paid 37% higher costs ($14,007 per year) than those in Utah ($7,522 per year).(4) Prescription drugs, hospital visits, and long-term care will also affect your healthcare spending throughout your retirement.

Key Factors Influencing Retirement Healthcare Expenses

A few key factors influence your retirement healthcare expenses, including Medicare and supplemental policies, long-term care, and prescription medication.

A. Medicare and Supplemental Policies

Medicare is a vital component of retirement healthcare coverage, but it won’t cover everything. You must have supplemental policies such as Medigap or Medicare Advantage plans to mitigate any out-of-pocket healthcare expenses. Below is a brief breakdown of what Medicare covers:

  • Part A (Hospital Insurance) covers hospitalizations and procedures after meeting the deductible, which is $1,632 in 2024.(5)
  • Part B (Medical Insurance) covers other services and expenses not covered by Part A, such as physicians’ services, outpatient hospital procedures, some home health services, and some medical equipment. It requires a monthly premium of $174.70 as of 2024 with a deductible of $240.70.(6)
  • Neither Part A nor B covers prescription medication, so you’ll need Part D. 
  • Medicare Advantage plans provide all Medicare services but also may cover expenses excluded from Parts A and B, including prescription drugs.
  • Medigap is a supplemental policy offered by private insurance companies to cover the expenses not included in Medicare.

B. Long-Term Care Needs

Long-term care is one of the costliest portions of retirement healthcare expenses, and it’s not covered by Medicare. In 2020, the average monthly cost for a room in a nursing home was between $6,800 and $7,700 depending on whether it was semi-private or private.(7) As living costs continually rise due to inflation, so too will long-term care costs.

And, if you think you won’t need long-term care, it’s time to take a hard look at reality. 70% of individuals over the age of 65 will require long-term care in some capacity.(8) So, plan for these costs early to ensure you have enough retirement money saved.

C. Prescription Medications

As you get older, the chances of you needing prescription medication increase. However, Original Medicare (Parts A and B) does not include prescription drug coverage. You’ll need to get Medicare Part D coverage for any prescription medication.

When planning for healthcare expenses, it’s important to consider these key influencing factors. Without accounting for all possibilities, you could find your retirement fund significantly depleted. But this won’t happen to you with the right strategy, which we discuss below.

Strategies to Prepare for Healthcare Costs in Retirement

To remain financially secure during retirement, you need to have the right strategies for the future. Savings and investments as well as additional insurance can help alleviate the financial burden and uncertainties of healthcare in retirement.

A. Savings and Investment Options

Health Savings Accounts (HSA) are particularly powerful tools for healthcare savings. However, once you enroll in Medicare, you can no longer contribute to an HSA. Despite this limitation, you can still use your HSA for expenses even if you have Medicare. So, it’s important to include an HSA in your retirement savings plan well before retiring.

Different from an HSA, an Individual Retirement Account (IRA) and other investment options like a 401k offer other tax-advantaged savings opportunities. Contributions are tax-deductible and grow tax-free. Once you retire, you can start making withdrawals and use these for your healthcare expenses.

B. Insurance Solutions

Like life insurance or disability, long-term care insurance provides a crucial safety net for retirees. Although premiums can be high, there are options for attaching a long-term care insurance rider to a life insurance policy. Consulting with a financial advisor in Alexandria or Cape Charles on different coverage options can help fill any healthcare savings gaps.

How Thrive Wealth Advisors Can Help

Healthcare is a complex part of retirement planning, but it’s essential to be proactive to ensure financial security and confidence. You’ll need to know the nuances of Medicare, explore insurance solutions, and leverage savings and investment options to plan for retirement healthcare costs confidently.

At Thrive Wealth Advisors, we specialize in comprehensive retirement planning, including healthcare considerations. With each phase of retirement planning, we have one simple goal: to ensure your assets align with your lifestyle considerations, including healthcare. Schedule a consultation with Thrive Wealth Advisors to start planning for your retirement healthcare needs.

References:

  1. Centers for Medicare and Medicaid Services, “NHE Fact Sheet”, last modified 12/13/2023.
  2. Center for Retirement Research at Boston College, “How Much Do Retirees Spend on Uncertain Health Costs?”, last modified 8/30/2022.
  3. Centers for Medicare and Medicaid Services, “National Health Expenditure Projections 2022-2031: Forecast Summary”, last modified 09/06/2023.

  4. Centers for Medicare and Medicaid Services, “NHE Fact Sheet”, last modified 12/13/2023.
  5. Centers for Medicare and Medicaid Services, “2024 Medicare Parts A & B Premiums and Deductibles, last modified 10/12/2023.
  6. Centers for Medicare and Medicaid Services, “2024 Medicare Parts A & B Premiums and Deductibles, last modified 10/12/2023.
  7. Administration for Community Living, “Costs of Care”, last modified 2/18/2020.
  8.  Administration for Community Living, “How Much Care Will You Need?”, last modified 2/18/2020.

Important Disclosures

This material was prepared by Midstream Marketing.

Contributions to a traditional IRA may be tax deductible in the contribution year, with current income tax due at withdrawal. Withdrawals prior to age 59 ½ may result in a 10% IRS penalty tax in addition to current income tax.

Riders are additional guarantee options that are available to an annuity or life insurance contract holder. While some riders are part of an existing contract, many others may carry additional fees, charges and restrictions, and the policy holder should review their contract carefully before purchasing. Guarantees are based on the claims paying ability of the issuing insurance company.

Picture of David Brower
David Brower
David is the firm’s Chief Investment Officer with primary responsibilities for creating and managing portfolios matched to the unique needs of the client.
The content is developed from sources believed to be providing accurate information. The information in this material is not intended as tax or legal advice. It may not be used for the purpose of avoiding any federal tax penalties. Please consult legal or tax professionals for specific information regarding your individual situation. This material was developed and produced by FMG Suite to provide information on a topic that may be of interest. FMG, LLC, is not affiliated with the named broker-dealer, state- or SEC-registered investment advisory firm. The opinions expressed and material provided are for general information, and should not be considered a solicitation for the purchase or sale of any security. Copyright 2023 FMG Suite.
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