How Health-Care Expenses Could Affect Your Retirement Lifestyle

Given all the discussion and debate over the future of U.S. health care, is it time to recalculate how much money you will need to pay for medical insurance and related costs in retirement? Here are some numbers to consider. See whether they line up with your expectations.

In 2010, the present value of lifetime benefits from Medicare was about $376,000 for a 65-year-old married couple. Because Medicare covers about half of a beneficiary’s medical costs in retirement, on average, does this mean you’ll need $376,000 to pay for your share?1

As large as this estimate might seem, there’s evidence to suggest that many people will need even more savings to cover medical expenses in retirement, especially people who don’t expect to retire for at least another decade.

How Certain Do You Want to Be?

The Employee Benefit Research Institute estimates that a man will need between $144,000 and $290,000 and a woman will need between $210,000 and $406,000 in savings to have a 50% chance of affording health care in retirement, assuming retirement at age 65 in 2019.2

These estimates are for the projected median savings needed to pay premiums for Medigap, Medicare Part B and Part D, and out-of-pocket prescription drug expenses. Since half of the population would be above the median, half could need more than these amounts. Some people may need to save even more if they live longer than the average life expectancy, have above-average prescription drug costs, or want greater certainty that they will be able to pay for health care.

The estimates tend to be higher for women because they have longer life expectancies. In fact, a woman who wants to be 90% certain that she will be able to afford her health-care expenses in retirement would need an estimated $370,000 in savings (again, assuming retirement in 2019 at age 65). If her prescription drug costs are above the median, she could need even more.3

You might be wondering whether the health reform legislation that became law in March 2010 will reduce the amount that tomorrow’s retirees will need to pay for health care. Because the law relies on $415 billion in cuts to Medicare, it’s entirely possible that the percentage of medical expenses covered by Medicare benefits could fall in the future.4

Of course, your situation is likely to be different. What do these estimates mean if you know that you are almost certain to retire at a different age and/or in a different year? In that case, these numbers might make a good starting point for calculating how much money you may need to accumulate.

1–3) Employee Benefit Research Institute, 2010
4) Tax Foundation, 2010

The information in this article is not intended as tax or legal advice, and it may not be relied on for the purpose of avoiding any federal tax penalties. You are encouraged to seek tax or legal advice from an independent professional advisor. The content is derived from sources believed to be accurate. Neither the information presented nor any opinion expressed constitutes a solicitation for the purchase or sale of any security. This material was written and prepared by Emerald. © 2010 Emerald.

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