Your Retirement Healthcare Tab: $260,000

Fidelity has updated its annual estimation for the cost of healthcare during retirement; not unexpectedly, the cost has risen. By their calculation, a married couple retiring at age 65 will now spend around $260,000 for healthcare related expenses, a 6% increase from last year’s estimate of $245,000.

Furthermore, Fidelity estimates that costs of long-term care insurance can run upwards of an additional $130,000. Remember, long-term care is covered in a very limited capacity by Medicare, and most people must find a way to pay for it themselves if needed, whether out of pocket or through transferring some the risk to long-term care insurance.

No doubt, healthcare spending will continue to be a major challenge facing retirees and one that should be well-planned for.

See full write-up from Fidelity below.


BOSTON — Paying for health care can be one of the largest expenses for people in retirement. A 65-year-old couple retiring in 2016 will need an estimated $260,000 to cover health care costs in retirement, according to Fidelity's Retiree Health Care Cost Estimate. This is a six percent increase over last year's estimate of $245,000 and the highest estimate since calculations began in 2002.
The estimate applies to retirees with traditional Medicare insurance coverage and provides a general idea of the monthly expenses associated with Medicare premiums, Medicare co-payments and deductibles, and prescription drug out-of-pocket expenses.
The six percent increase in this year's estimate is attributed to several factors, including an uptick in the utilization of medical services and rapidly rising drug costs.
"In recent years, the health care industry has experienced a period of historically low spending levels, due to a range of factors including a period of slow economic growth," said Adam Stavisky, senior vice president, Fidelity Benefits Consulting. "Looking forward, we expect health care spending to pick up from where it's been in recent years, though less than what we've seen over the last few decades."
This year, Fidelity also examined the costs associated with long-term care, which could impact seven in 10 Americans who reach age 65 in the next five years.
While Medicare covers many health-related expenses in retirement, long-term care costs are only covered by Medicare in limited circumstances. Fidelity estimates that a 65-year-old couple would need $130,000, in addition to savings for retiree medical expenses, to insure against long-term care expenses. This assumes the couple is in a good health and purchases a policy with $8,000 monthly maximum benefit, with three years of benefits, and an inflation adjuster of 3 percent per year.
Long-term care expenses are based on many factors, and the need for long-term care insurance (and level of coverage) is highly dependent on individual circumstances. To help people better understand long-term care and long-term care coverage options, Fidelity recently published "Long Term Care: Challenges and Changes."
"Long-term care is an increasingly important part of retirement planning, as a significant percentage of retirees will likely need some level of long term-care in retirement. Unfortunately, recent Fidelity research on family finances has shown that less than half of parents surveyed have not had detailed conversations about long-term care with their kids. Planning on how to address these potential costs will help avoid placing the burden of care on family and friends," added Stavisky.
Health Savings Accounts Can Help Address Health Care Costs in Retirement
To help employees manage health care expenses, a growing number of companies are offering high-deductible health plans (HDHP) with a health savings account (HSA). The popularity of HSAs is booming, with the number of HSA accounts in the U.S. rising to 16.7 million in 2015, an increase of 22 percent from the previous year.
One reason for the increase is that HSAs offer a triple-tax advantage to save for qualified medical expenses both in the short and long term. Since many people save more in their HSA than they spend, more are choosing to invest their HSA money to help it grow for use in retirement.