{"id":20477,"date":"2025-09-11T02:44:00","date_gmt":"2025-09-11T08:44:00","guid":{"rendered":"https:\/\/www.discover.com\/online-banking\/banking-topics\/?p=20477"},"modified":"2026-02-02T11:51:32","modified_gmt":"2026-02-02T17:51:32","slug":"healthcare-in-retirement","status":"publish","type":"post","link":"https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/healthcare-in-retirement\/","title":{"rendered":"Healthcare in retirement: Costs, concerns, and solutions"},"content":{"rendered":"\n<p>For many people approaching or even thinking about retirement, paying for healthcare is the single most pressing financial concern, according to a <a href=\"https:\/\/news.ehealthinsurance.com\/_ir\/68\/20242\/Retirement_Planning_Healthcare_Costs_eHealth_Retirable.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">joint study from eHealth and Retirabl<\/a><a href=\"https:\/\/news.ehealthinsurance.com\/_ir\/68\/20242\/Retirement_Planning_Healthcare_Costs_eHealth_Retirable.pdf\">e<\/a>. Mysteries abound, including how much it will cost. And for those who plan to retire early, before Medicare eligibility at age 65, the questions only multiply.<\/p>\n\n\n\n<p>To help navigate the uncertainty, we spoke to wealth advisor Dennis Norwood, CFP<sup>\u00ae<\/sup>, as well as David Champion and Chris Mamula, CFP<sup>\u00ae<\/sup>, two early retirees and contributors to a personal finance blog.<\/p>\n\n\n\n<p>\u201cThere\u2019s not a whole lot you can be certain of, but you can shift things in your favor,\u201d Mamula says.<\/p>\n\n\n\n<p>Those favorable shifts aren\u2019t possible without <a href=\"https:\/\/www.discover.com\/online-banking\/banking-topics\/retirement-quiz\/\" target=\"_blank\" rel=\"noreferrer noopener\">careful retirement planning<\/a>. We\u2019ll examine some strategies\u2014but first, let\u2019s look at the data.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-healthcare-costs-and-concerns-by-the-numbers\">Healthcare costs and concerns, by the numbers<\/h2>\n\n\n\n<p>Americans aren\u2019t just living longer than ever\u2014they\u2019re looking forward to it. The majority of Americans want to live to 100, according to <a href=\"https:\/\/www.corebridgefinancial.com\/insights-education\/funding-longer-lives\" target=\"_blank\" rel=\"noreferrer noopener\">research from Corebridge Financial<\/a>. The idea of working longer, however, isn\u2019t met with the same enthusiasm. Expectations for early retirement\u2014between age 50 and 61\u2014increase with each succeeding generation, per the same Corebridge report.<\/p>\n\n\n\n<p>With more and more Americans hoping for potentially four decades in retirement, many of them are stuck wondering <a href=\"https:\/\/www.discover.com\/online-banking\/banking-topics\/why-you-need-to-make-a-retirement-budget\/\" target=\"_blank\" rel=\"noreferrer noopener\">how they\u2019ll be able to afford it<\/a>. Healthcare costs are the top financial concern for people between the ages of 60 and 70, according to <a href=\"https:\/\/news.ehealthinsurance.com\/_ir\/68\/20242\/Retirement_Planning_Healthcare_Costs_eHealth_Retirable.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">the eHealth\/Retirable surve<\/a><a href=\"https:\/\/news.ehealthinsurance.com\/_ir\/68\/20242\/Retirement_Planning_Healthcare_Costs_eHealth_Retirable.pdf\">y<\/a>. But most aren\u2019t prepared: Only 33% of current retirees and 38% of those not yet retired had set aside funds exclusively for healthcare expenses in retirement.<\/p>\n\n\n\n<p>Anxiety around paying for healthcare in retirement isn\u2019t unwarranted. According to the <a href=\"https:\/\/www.bls.gov\/cex\/tables.htm\" target=\"_blank\" rel=\"noreferrer noopener\">Bureau of Labor Statistics<\/a>, the average annual spend on healthcare for a couple 65 and older is more than $15,000.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-ways-to-pay-for-healthcare-expenses-in-retirement\">Ways to pay for healthcare expenses in retirement<\/h2>\n\n\n\n<p>Let\u2019s take a closer look at some of the most common approaches to healthcare coverage in retirement, so you can <a href=\"https:\/\/www.discover.com\/online-banking\/banking-topics\/your-guide-to-budgeting-for-healthcare-costs\/\" target=\"_blank\" rel=\"noreferrer noopener\">budget accordingly<\/a>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-relying-on-medicare\">Relying on Medicare<\/h3>\n\n\n\n<p>Most people become eligible for Medicare when they turn 65. If you aren\u2019t covered by another healthcare option (such as from an employer) and fail to sign up during the six-month initial Medicare enrollment period, <a href=\"https:\/\/www.medicare.gov\/basics\/costs\/medicare-costs\/avoid-penalties\" target=\"_blank\" rel=\"noreferrer noopener\">you may face penalties<\/a> in the form of increased premiums.&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p>Basic coverage, <a href=\"https:\/\/www.medicare.gov\/basics\/get-started-with-medicare\" target=\"_blank\" rel=\"noreferrer noopener\">according to Medicare.gov<\/a>, consists of Part A (hospital insurance) and Part B (medical insurance). Per the <a href=\"https:\/\/www.ssa.gov\/medicare\/plan\/medicare-parts\" target=\"_blank\" rel=\"noreferrer noopener\">Social Security Administration<\/a>, part A is free if you were part of the workforce and paid Medicare taxes for at least 10 years. For Part B, most people will pay a monthly premium that\u2019s calculated based on their income.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"2120\" height=\"870\" src=\"https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-content\/uploads\/2025\/09\/How-much-will-healthcare-in-retirement-cost-you-1_02-INARTICLE-scaled-e1733935447111.jpg\" alt=\"A couple sits on the couch in their living room with a guest, looking over paperwork together.\" class=\"wp-image-22505\" srcset=\"https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-content\/uploads\/2025\/09\/How-much-will-healthcare-in-retirement-cost-you-1_02-INARTICLE-scaled-e1733935447111.jpg 2120w, https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-content\/uploads\/2025\/09\/How-much-will-healthcare-in-retirement-cost-you-1_02-INARTICLE-scaled-e1733935447111-300x123.jpg 300w, https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-content\/uploads\/2025\/09\/How-much-will-healthcare-in-retirement-cost-you-1_02-INARTICLE-scaled-e1733935447111-780x320.jpg 780w, https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-content\/uploads\/2025\/09\/How-much-will-healthcare-in-retirement-cost-you-1_02-INARTICLE-scaled-e1733935447111-768x315.jpg 768w, https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-content\/uploads\/2025\/09\/How-much-will-healthcare-in-retirement-cost-you-1_02-INARTICLE-scaled-e1733935447111-1536x630.jpg 1536w, https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-content\/uploads\/2025\/09\/How-much-will-healthcare-in-retirement-cost-you-1_02-INARTICLE-scaled-e1733935447111-2048x840.jpg 2048w\" sizes=\"auto, (max-width: 2120px) 100vw, 2120px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>Basic Medicare\u2014Parts A and B\u2014typically covers:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Inpatient hospital services<\/li>\n\n\n\n<li>Inpatient mental health care in a psychiatric facility (up to 190 total days during your lifetime)<\/li>\n\n\n\n<li>Short-term skilled nursing care and rehabilitation (such as inpatient physical therapy after a joint replacement)<\/li>\n\n\n\n<li>Hospice care<\/li>\n\n\n\n<li>Home health services<\/li>\n\n\n\n<li>Doctor visits and outpatient care<\/li>\n\n\n\n<li>Durable medical equipment (such as wheelchairs and walkers)<\/li>\n\n\n\n<li>Preventative care and screenings<\/li>\n\n\n\n<li>Ambulance services<\/li>\n<\/ul>\n\n\n\n<p>Medicare Parts A and B don\u2019t cover:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Long-term care<\/li>\n\n\n\n<li>Dental care and dentures<\/li>\n\n\n\n<li>Eye exams<\/li>\n\n\n\n<li>Hearing aids<\/li>\n\n\n\n<li>Chiropractic care (although some manual spinal manipulation treatments <a href=\"https:\/\/www.medicare.gov\/coverage\/chiropractic-services\" target=\"_blank\" rel=\"noreferrer noopener\">may be reimbursed<\/a>)<\/li>\n\n\n\n<li>Routine podiatry<\/li>\n\n\n\n<li>Cosmetic or elective surgery<\/li>\n\n\n\n<li>Massage therapy<\/li>\n<\/ul>\n\n\n\n<p>Medicare eligibility is the big target, Norwood says. But remember: While Part A might be free in the sense that you don\u2019t pay a premium, it often comes with high deductibles. And although annual deductibles with Part B can be relatively manageable, don\u2019t overlook the fact that you\u2019re still typically on the hook for the 20% coinsurance on those medical costs, he says. \u201cIf you have a big medical expense, charges can add up pretty quickly.\u201d<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-purchasing-marketplace-coverage\">Purchasing marketplace coverage<\/h3>\n\n\n\n<p>Before age 65, the best path to securing coverage for healthcare in retirement is most likely through the <a href=\"https:\/\/www.usa.gov\/health-insurance-marketplace\" target=\"_blank\" rel=\"noreferrer noopener\">Health Insurance Marketplace<\/a>, created by the Affordable Care Act (ACA). These insurers can\u2019t refuse coverage due to a preexisting condition, and there are no lifetime or annual limits on essential health coverage. (You can find dental and vision coverage on the marketplace, too.)<\/p>\n\n\n\n<p>\u201cI attribute my decision to retire, especially earlier than planned, entirely to [the ACA],\u201d Champion says. \u201cIt\u2019s come through for me in a big way.\u201d<\/p>\n\n\n\n<p>The Health Insurance Marketplace offers health insurance subsidies, or premium tax credits, based on your income, and the relationship of that income to the federal poverty level (FPL). The key here, he says, is to keep careful tabs on your income in retirement and try to stay as close as you can to the \u201csweet spot.\u201d To get the ultimate discount on your health insurance policy, you\u2019ll want to keep your adjusted gross income (AGI) as low as possible without dipping into Medicaid eligibility. Depending on your state, that will mean keeping your income between 100%-138% on the low end to avoid Medicaid and 400% of the FPL on the high end to avoid losing Premium Tax Credits (though this limit is a more gradual phase-out through 2025).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-signing-up-under-a-partner-s-plan\">Signing up under a partner\u2019s plan<\/h3>\n\n\n\n<p>\u201cThis is a great option if one partner wants to keep working enough to get healthcare benefits for the entire household,\u201d Mamula says. It\u2019s what he and his family did for four years until his wife reduced her qualifying hours. <\/p>\n\n\n\n<p>He believes this may not be a good idea if the working spouse\u2019s employer doesn\u2019t provide coverage for the entire family\u2014that earned income will still count toward your household AGI, assuming you file jointly. This, in turn, could impact the non-working spouse\u2019s ability to get subsidies for healthcare they purchase from the ACA marketplace.<\/p>\n\n\n\n<\/div>\n\n\n<div class=\"mx-auto block-quote block-quote--5back bg-fixed bg-center bg-no-repeat bg-cover z-0\">\n    <div class=\"block-quote__glow\"><\/div>\n    <blockquote class=\"post--constrain-large\">\n        <p>Mapping out your goals and strategies for affording healthcare in retirement is a must, and there\u2019s no such thing as planning too early.<\/p>\n            <\/blockquote>\n<\/div>\n\n\n    <div class=\"post__content\">\n\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-investments-from-an-hsa\">Investments from an HSA<\/h3>\n\n\n\n<p>A Health Savings Account (HSA) can serve as a long-term savings vehicle thanks to its unique triple tax advantage: Contributions reduce your taxable income, money grows tax-free, and withdrawals are also tax-free if they\u2019re put toward a broad list of qualified health expenses.<\/p>\n\n\n\n<p>For 2025, you can contribute up to $4,300 for individual coverage and up to $8,550 for family coverage, according to the IRS. Leftover funds in your HSA can be rolled over from year to year. Note: To contribute to an HSA, you must be enrolled in a high-deductible health plan\u2014at least $1,600 for an individual or $3,300 for a family in 2025.<\/p>\n\n\n\n<p>An HSA can be extra impactful, Mamula says, if you\u2019re able to invest in one aggressively and avoid using it by paying for healthcare out of pocket. Once you turn 65, you can withdraw your HSA money for <em>any <\/em>reason without paying a penalty. So, letting it grow as much as possible before then can be a big win.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-plan-ahead-to-make-the-most-of-your-retirement-savings\">Plan ahead to make the most of your retirement savings<\/h2>\n\n\n\n<p>Outside of healthcare-specific funding options, you can turn to other resources to help allay the costs of healthcare in retirement. First and foremost, Norwood says, you should always take any free money available. One of the easiest ways to do this\u2014assuming you\u2019re still employed\u2014is to take full advantage of any 401(k) matching offered by your employer.<\/p>\n\n\n\n<p>You should also be diversifying when possible. Think of your sources of retirement income as different buckets, Norwood says. There\u2019s your tax-free bucket, including Roth individual retirement accounts. There\u2019s your taxable bucket, including regular brokerage accounts. And then there\u2019s your pre-tax bucket, which includes Traditional IRAs. Ideally, he says, you\u2019ll have something in each bucket, all of which grow over time. You\u2019ll want to consider all three in tandem when managing your retirement withdrawals.<\/p>\n\n\n\n\n\n\n\n<p>\u201cI see a lot of retirees who have all their money in that pre-tax bucket,\u201d he says. \u201cAnd then when they withdraw it, they\u2019re surprised at how much they\u2019re paying in taxes in retirement.\u201d If they had diversified more over time, he says, these retirees could pull from different buckets to better manage their tax situation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-trusting-your-best-laid-plans\">Trusting your best-laid plans<\/h2>\n\n\n\n<p>Mapping out your goals and strategies for affording healthcare in retirement is a must, and there\u2019s no such thing as planning too early. By familiarizing yourself with your coverage and savings options\u2014 today and down the road\u2014you can ensure you\u2019re not scrambling for a solution when the time comes.<br><br>At the same time, recognize that life is still about living, Mamula says.<br><br>\u201cI could guarantee I\u2019d never run out of money if I didn\u2019t retire. But by not retiring, I\u2019d be guaranteed to miss out on some of the most rewarding experiences and valuable relationships of my life. I think there\u2019s a bigger risk of not living life to the fullest by playing it too safe.\u201d<br><\/p>\n\n\n\n<p class=\"disclaimer\">Articles may contain information from third parties. The inclusion of such information does not imply an affiliation with the bank or bank sponsorship, endorsement, or verification regarding the third party or information.<\/p>\n\n\n\n<p class=\"disclaimer\">The information provided herein is for informational purposes only and is not intended to be construed as professional advice. Nothing contained in this article shall give rise to, or be construed to give rise to, any obligation or liability whatsoever on the part of Discover, a division of Capital One, N.A., or its affiliates.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Taking care of your healthcare needs down the road requires planning and foresight today.<\/p>\n","protected":false},"author":15,"featured_media":20489,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[7,89],"tags":[111,113,131,130,110,27],"class_list":["post-20477","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-retirement","category-saving-for-retirement","tag-financial-plan","tag-healthcare-costs","tag-high-interest-rate-accounts","tag-long-term-saving","tag-retirement-planning","tag-saving-for-retirement"],"acf":[],"_links":{"self":[{"href":"https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-json\/wp\/v2\/posts\/20477","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-json\/wp\/v2\/comments?post=20477"}],"version-history":[{"count":10,"href":"https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-json\/wp\/v2\/posts\/20477\/revisions"}],"predecessor-version":[{"id":22507,"href":"https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-json\/wp\/v2\/posts\/20477\/revisions\/22507"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-json\/wp\/v2\/media\/20489"}],"wp:attachment":[{"href":"https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-json\/wp\/v2\/media?parent=20477"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-json\/wp\/v2\/categories?post=20477"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bbstage.mcdpartners.dev\/online-banking\/banking-topics\/wp-json\/wp\/v2\/tags?post=20477"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}