Healthcare expenses are projected to be the highest spending category in retirement, with a report from the Employee Benefit Research Institute estimating that a 65-year-old couple may need $383,000 in savings to cover their medical costs. It is essential to have a solid plan in place due to the increasing healthcare costs and longer life expectancy.
Here are five important strategies to help you effectively manage healthcare expenses during retirement.
Accurately Estimate Future Healthcare Costs:
It is important to consider healthcare costs in retirement when creating a financial plan. These costs tend to increase faster than general inflation, especially with longer life expectancies. Accurately budgeting for healthcare expenses will ensure you have enough funds and avoid unexpected financial challenges in retirement.
Optimize Your Medicare Strategy:
Understanding the complexities of Medicare is crucial for individuals. Medicare includes Part A for hospital coverage with no additional premium for most individuals, while Part B and Part D require additional medical and prescription drug coverage premiums. Medicare Advantage and Medigap plans help cover costs not included in standard Medicare but differ in how they work and what they cover. Medicare Advantage plans are bundled care plans, sold by private health insurance companies that have contracted with the federal government, which provide the services covered under Original Medicare Parts A and B, often including Part D prescription drug coverage. These bundled plans may offer additional benefits such as dental, vision, and hearing coverage. Supplemental policies, referred to as Medigap policies, are private plans offered by insurance companies to supplement expenses that Medicare Parts A and B do not typically cover. Customized strategies, such as enrolling in a high-quality Medicare Advantage plan or selecting a comprehensive Medigap policy, can maximize coverage.
Health Savings Account (HSA):
An HSA is a tax-advantaged method for individuals with high-deductible health plans to save for healthcare expenses. Contributions are tax-deductible, account growth is tax-free, and withdrawals for medical costs are tax-free. Unlike Flexible Spending Accounts, HSA funds roll over annually, enabling savings accumulation. Consider maximizing your annual contributions and your options for investing the funds within the HSA.
Explore Long-Term Care Insurance (LTC):
Long-term care insurance is an important part of healthcare planning, filling gaps that traditional Medicare doesn’t cover, such as nursing home stays or in-home care. With most retirees needing long-term care, having LTC insurance can ease financial burdens and safeguard assets. Buying a policy early is cost-effective, with lower premiums for younger, healthier individuals. Combining life insurance with LTC coverage, hybrid policies provide added flexibility and value. Consider exploring LTC options to protect yourself and your loved ones from unexpected expenses.
Understand Timing:
When deciding about your retirement age, turning 65 is crucial. Enrolling in Medicare during your initial enrollment period avoids penalties;Â if you delay, your Part B premiums can increase by 10% for each year you miss coverage, and there’s also a penalty for late Part D enrollment. If covered by employer health insurance, you may be able to postpone Medicare enrollment until that coverage ends, but be aware that once you enroll in Medicare, you can no longer contribute to an HSA.
As you plan for retirement, consider your goals for independent living as you age and the level of care required to achieve that. Collaborate with your team of professional advisors to make informed decisions about funding healthcare costs.
Maria Quinn is a Senior Wealth & Trust Advisor providing comprehensive wealth advisory services to clients of Bryn Mawr Trust. She specializes in the administration of complex trusts and estates and is experienced in financial planning, including retirement and education planning. Quinn earned her B.S. in finance, and her MBA from Rider University. She also earned her CTFA designation.
