Healthcare considerations

Managing Healthcare Costs

Even if you’re currently in tip-top physical shape, it helps to get some key healthcare items in order before retiring.
If you plan to retire before becoming qualified for Medicare at age 65, you may want to make sure you are covered by health insurance in between employment and Medicare eligibility. And because Medicare does not cover everything, there are steps you can take now to help prepare for healthcare costs in the future. Long-term care insurance is another option to consider as you plan for the years ahead.

Healthcare Check-up

Most retirees receive their healthcare through Medicare, the government health insurance program that’s available to Americans who qualify beginning at age 65.1 While Medicare is a low-cost insurance option, it is not free and it only covers about half of total healthcare expenses for retirees. So you may want to take some time before you retire to familiarize yourself with how Medicare works. And here are some other ways to help prepare for future healthcare expenses:
Estimate healthcare costs: Consider creating a budget for your actual and projected healthcare costs for the years ahead. You can begin by breaking down annual costs for prescriptions, insurance premiums and deductibles, out-of-pocket expenses, any services not included in traditional Medicare (such as dental, vision and hearing) and any other healthcare costs that come to mind. Research how much of these costs will be covered by Medicare. Depending on your health and family history, you may also want to factor in projected cost of long-term care needs, which can be significant and are not covered by Medicare.
Consider getting extra coverage: If your out-of-pocket costs will still be significant, consider opting for a Medicare Advantage plan, prescription drug plan or Medigap plan offered by private insurers to cover costs not taken care of by Medicare.
Consider contributing to retirement healthcare accounts: If you have access to one while you are still working, think about opening a Health Savings Account (HSA). These accounts are offered alongside high-deductible health plans and can be used like a 401(k) or 403(b) to save tax-deferred dollars specifically healthcare costs. Withdrawals used to pay for qualified medical expenses are tax free. Unused dollars in an HSA can be rolled over from one year to the next, so you can use this this money for qualified medical expenses during retirement.2
Decide when you want to retire: When you choose to retire is an important consideration that will impact your healthcare costs. If you envision retiring before age 65, you will not yet be eligible for Medicare and will need to make accommodations for coverage. Perhaps your employer extends healthcare coverage to retirees, or you may wish to switch to a working spouse’s medical plan or find your own coverage in the healthcare marketplace. If you plan to retire at age 65, be sure you are aware of the eligibility and process requirement for obtaining Medicare. For starters, you must be a U.S. citizen (or married to one) and have paid Social Security taxes for 40 quarters (equal to ten years employment) to be eligible.3
Lead a healthy lifestyle: Keep physically and mentally active in the years ahead through both low-impact activities you enjoy, like golf or gardening, to mentally stimulating hobbies, like bridge and other social activities. Doing so will keep your body and mind sound and allow you to enjoy your time in retirement.
No matter your age, make sure you have the most up-to-date information about your coverage, deductibles and benefits, and shop around for the most affordable coverage.

Learn more about long-term care insurance

Long-term care insurance is different. It is designed to provide coverage if you become chronically ill. Depending on the policies, provisions and the available options you select, a long-term care insurance policy can cover potential costly services such as at-home healthcare, assisted living and even custodial care, including help with eating, bathing and dressing. It also includes medical care for degenerative conditions and cognitive disorders, such as Parkinson’s disease and Alzheimer’s, respectively. These are costs that are not covered by traditional Medicare (although Medicaid will cover some services to low-income individuals who qualify).  You should read the provisions of the policy carefully prior to purchase to learn about any exclusions, limitations and waiting periods before coverage takes effect.
Buying a long-term care insurance policy before retirement may protect you against the increasing costs of these services in the years ahead. According to the American Association for Long-Term Care Insurance (AALTCI), the best time to start planning for long-term care needs is between the ages of 52 and 64, when you are still in relatively good health and less likely to be turned down for coverage. But shop carefully. It’s important to get to know these policies, and compare benefits and providers before deciding whether it's right for you. Average annual premiums for a couple aged 60 from several providers range from approximately $2,170 to $3,850, according to the AALTCI. Premiums will be lower for younger and healthier individuals.5
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1 How will you get health insurance in retirement?  CBS News. 10/15/15 http://www.cbsnews.com/news/how-will-you-get-health-insurance-in-retirement/
2 Health savings accounts: A second retirement plan. June 16, 2016. http://www.cnbc.com/2016/06/15/health-savings-accounts-a-second-retirement-plan.html
3 Social Security Retirement Benefits brochure. January 2017, https://www.ssa.gov/pubs/EN-05-10035.pdf
4 Amount of Savings Needed for Health Expenses for People Eligible for Medicare: Unlike Last Few Years, The News Is Not Good. Employee Benefit Research Institute Notes. October, 2015. https://www.ebri.org/pdf/notespdf/ebri_notes_10_oct15_hlthsvgs_db-dc.pdf
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