The latest Retirement Health Care Costs numbers from EBRI as reported by US News & Reports has been released. It’s great that attention is being directed to this issue and these costs but these numbers may be misleading;
What you will pay as a cost for Health all depends on healthy you are, where you live, what your income is and at what age you retire.
The headline to the article is “Couples Need $158,000 for Retirement Health Care Costs” but then continues to report that this number will leaves a couple with only “a 50 percent chance of having enough money to pay for all of their medical expenses throughout retirement” and in order to achieve 90% success rate retired couples should aim to save $271,000”.
But what happens if we dig deeper and personalize the case a little bit more?
Using HealthView Services’ RetireMark Software we can input information for a healthy 65 year couple who happens to reside in Ohio (the closest state to the National Average in terms of costs) and earns less than $170,000 in income annually.
Our first bit information that we receive is how long each we live, the male will have a life expectancy to 88 & the female’s is 90. We then learn that they will spend roughly $493,000 on their Health Care Costs
This amount includes paying for premiums for a Medicare Part B and D Plan along with enrolling in a MediGap Plan C policy and also covering any other costs that may arise, like dental, vision, hearing etc….. This number is also expressed in today’s dollars and is earning 0%.
If they expect a 4% rate of return on the investments earmarked for Health Care Costs throughout their retirement then they will need about $280,000 at retirement to cover these expenses
But what happens if that same couple has some unhealthy conditions along with everything else being the same?
Say like, the male has High Cholesterol and the female has Type II Diabetes.
We initially learn from Retiremark that his life expectancy drops to 85 and hers drops as well, to 82. Next, we learn that their total Health Care Costs will fall to to $314,000 (this happens due to their life expectancies being lower) and that they will need about $203,000 at retirement to cover these costs ( as long as the monies earmarked for Health Care earn 4% throughout retirement).
Now, let’s just move this couple to Florida from Ohio while having their income stay below $170K and their health revert back to being healthy.
The outcome?
The amount spent on Health Care will rise to $526,000 and they will need just over $298,000 at retirement. An increase of roughly 6.5% in total increases for what will be spent and what will be need to fund there Health Care
And if we change it up even a little bit more and have the couple earn over $214,000 while being healthy & residing in Ohio, the outcome?
They will spend $700,000 for the EXACT SAME COVERAGE throughout retirement & will need $395,000 at retirement that has to earn 4% for the rest of their lives
To repeat again, it’s great that EBRI & US News & Reports are writing about these unspoken costs retirees face but to paint a broad brush over a topic with many variables may be considered misleading.
What has to be realized is that health care costs will have an extremely wide range for retirees and these costs will be based not on only when someone wants to retire but on what their health conditions are, what their income is and alsowhere they live.
In this day in age where retirement has become so focused on the exacts that are going to be needed, like how much for food, clothing, taxes & estate why are we will still using extremely broad averages to address something so important as our own personal health?

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