Getting a Fix on Health Care

If you’ve been lucky enough to receive employer-subsidized
health insurance throughout your career, retirement may be a bit of an
eye-opener. Many retirees expect Medicare to cover all their health care
expenses, but it doesn’t. You’ll pay a premium for comparable coverage, plus
you may have to contribute to deductibles and copays throughout the year.

For the average 65-year-old male retiree, the combination of
Medicare premiums and out-of-pocket costs totals about $4,500 annually.¹
Retirees also can expect extra expenses resulting from dental services (not
covered by original Medicare), outpatient surgery, prescription drugs and home
health care in the latter stages of retirement.²

You must factor these types of expenses into your retirement
plan. If you’d like to explore different avenues for earmarking retirement
funds for health care, please give us a call.

Health care was a big issue in the midterm election and, in
the wake of little government intervention in the interim, it is likely to be a
key topic in the 2020 presidential election. Interestingly, the bar has still
moved in the wake of inaction.

For example, during the 2016 campaign season, candidates
jostled between “fixing” and eliminating the so-called “Obamacare” legislation.
In the 2018 midterms, sentiment shifted when voters realized that, with no
adequate replacement solution proposed, they did not want to lose the
protections of the Affordable Care Act. Now, as another campaign season
approaches, there are calls for serious consideration of a universal government
program, dubbed “Medicare For All.”³

My, how things can change in the course of four years. According
to the Centers for Medicare & Medicaid Services (CMS), national health
spending is projected to grow at an average rate of 5.5% per year through 2027.⁴

The reality of the situation has set in, and not just for
people who buy their health care insurance on the exchanges. Monthly premiums,
annual deductibles and co-insurance have increased for workers who receive
employer-based insurance plans as well. Large U.S. employers expect their costs
to provide worker health care plans will increase by 5% to 6% in 2020.⁵
While larger employers may be able to absorb those costs, small- and medium-sized
businesses are more likely to pass on those increases to their employees.

In 2020, employer plans will feature individual deductibles
of at least $1,400 and family deductibles of at least $2,800, with a maximum out-of-pocket
expense of $6,900 ($13,800 for a family) per year.⁶ For some people,
that’s more than they pay out for a mortgage.

It’s safe to assume that health care plans will be carefully
scrutinized in the coming year.

Content prepared by Kara Stefan
Communications.

^­1 Dana Anspach. The Balance. Aug. 29, 2019. “How to
Plan for Health Care Costs in Retirement.” https://www.thebalance.com/how-to-plan-for-health-care-costs-in-retirement-2388478. Accessed Dec. 5, 2019.

² T. Rowe Price. Oct. 10, 2019. “Planning for Unexpected
Health Care Costs in Retirement.” https://www.troweprice.com/personal-investing/planning-and-research/t-rowe-price-insights/retirement-and-planning/personal-finance/planning-for-unexpected-health-care-costs-in-retirement.html. Accessed Dec. 5, 2019.

³ Knowledge@Wharton. Nov. 12, 2019. “Medicare for All:
Would It Work? And Who Would Pay?” https://knowledge.wharton.upenn.edu/article/emanuel-medicare-for-all/. Accessed Dec. 5, 2019.

⁴ Centers for Medicare & Medicaid Services. Feb. 20,
2019. “CMS Office of the Actuary Releases 2018-2027 Projections of National
Health Expenditures.” https://www.cms.gov/newsroom/press-releases/cms-office-actuary-releases-2018-2027-projections-national-health-expenditures. Accessed Dec. 5, 2019.

⁵ Stephen Miller. Society for Human Resource Management.
June 25, 2019. “Employers’ Health Costs Could Rise 6% in 2020.” https://www.shrm.org/resourcesandtools/hr-topics/benefits/pages/2020-large-employer-health-costs-expected-to-rise.aspx. Accessed Dec. 5, 2019.

⁶ Rob Davidson. Grand Haven Tribune. Dec. 5, 2019. “Hidden
figures: Health care costs keep adding up.” https://www.grandhaventribune.com/opinion/columns/hidden-figures-health-care-costs-keep-adding-up/article_bd67b299-91ea-5419-8f5b-7867007d4bbd.html. Accessed Dec. 5, 2019.

We are an independent firm helping individuals create retirement
strategies using a variety of insurance products to custom suit their needs and
objectives. This material is intended to provide general information to help
you understand basic retirement income strategies and should not be construed
as financial advice.

The information contained in this material is believed to be reliable,
but accuracy and completeness cannot be guaranteed; it is not intended to be
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