Paying for Healthcare in Retirement using Mutual Funds

 

The High Cost of Healthcare

It is no secret that healthcare expenses have grown astronomically over the past two decades, and there is is no end in sight to this trend. This means that the average 55 year old male living to 88 can expect to incur roughly $370,000 in healthcare expenses throughout his retirement. Unfortunately, few people, because they have spent their working lives enrolled in employee-sponsored plans, are prepared to meet the financial obligations of what will likely be the single largest expense in retirement.

In fact, it is estimated that most individuals will end up paying for approxiamtely half of their overall healthcare costs out of their own pockets.

 

What about Insurance?

Most Investors fail to realize that Medicare only covers roughly half of all health-related expenses while private insurance is costly and does not address every need.

 

The First Step to Taking Control

Your personalized HealthView Report is the first step toward meeting this challenge. It provides the personalized healthcare cost information needed for you to manage your financial future. 

 Paying For Healthcare in Retirement Out-of-Pocket

The following table shows how much it will cost an individual to pay for healthcare costs in retirement based on an annual 2% rate of return. The healthcare expenses are expressed in future dollars and based on a 55 year old male, retiring at 65, and living to 88. The male is in good health and has Medicare A, B, D, and Gap coverage. He makes less than $85,000 per year and lives in Ohio (close to national average).

Paying For Healthcare in Retirement Using a Mutual Fund

The below table details historic year-by-year performance of INSERT MUTUAL FUND NAME HERE (ABCDX).The use of a mutual fund can be extremely beneficial when planning for retirement due to the rate of return but also the lack of withdrawal limits. The historic returns below average out to a return of 11.68%, which is more than 9% higher than a CD rate.

 

Investing on Your Own versus Investing in a Mutual Fund

Funding your retirement at 55 years old is substantially less difficult when investing in a proven mutual fund. Opting to invest in INSERT MUTUAL FUND NAME HERE (ABCDX) may save an investor up to $202,750.

 

The Cost of Waiting

Start saving early and the power of compounding makes it simpler to accumulate assets.

The longer you wait to get started, the more you must contribute. The table below reflects the investment required for a mutual fund depending on the age at which you chooses to invest. 


SSHH Don’t Tell Your Financial Advisor

The Washington Post is reporting on the new plans the US House of Representatives has for Medicare and how it will affect the wealthy.

To quote the article “The House GOP plan would increase the high-income premium by 15 percent in 2017 and lower the thresholds at which the higher fees kick in.

Most significantly, it freezes those income thresholds indefinitely, until one-fourth of Medicare recipients are paying “high-income” premiums. It’s unclear how long that would take, but currently only about 2 million out of 47 million Medicare beneficiaries pay higher premiums. Eventually that number could easily surpass 10 million.”

That is right, they want to increase healthcare costs through premiums and sell it as a fee on the “wealthy”.

In order to realize what this means one would have to know how “wealthy” is defined in the eyes of Medicare;

  • Anyone who earns over a certain amount of income each year (for the brackets & guidelines see here)
  • Income can be from any source that is earned in the year that makes it to a tax return, and we mean ANYTHING.

This move will insure that about  25% of all Medicare beneficiaries will see an increase in premiums for Parts B & D.

It’s already expected that the average couple who is aged 55 today, is healthy, under the Medicare minimum and has a life expectancy to age 90 can expect to be paying about $35,000 in premiums for healthcare at age 80.

If they hit the next tier (to see the tiers click here) they will pay $42,000 at age 80 and at the highest tier they can expect the bill to be $75,500 for the exact same coverage.

So go ahead and let your financial planner just ball park this expense, it should work alright especially if “hope” is one of your strategies.

 

For the complete article from the Washington Post please click here

 

The Retirement Healthcare Reality – You Are All Alone

Does this sound familiar?

You are middle-aged and concerned about retirement, which seems closer than ever. You have tried to plan for everything: met with financial advisors, socked away every extra penny, and maintained a healthy lifestyle.  Here’s the million-dollar question: have you done enough?

The answer, unfortunately, may lie within another question: have you even bothered to look at what your healthcare is going to cost?

Most people employed by large organizations throughout their lives never seem to factor healthcare in relation to retirement.  Unfortunately, most advisors—along with (pretty much) the entire financial industry—have also neglected to broach the subject.

Since most “retirement questionnaires” tend to ask for information on expenses and future dreams, healthcare tends to be forgotten. It’s not really hard to see why; in the working world, the cost of plans tends to be directly deducted from paychecks, and few seem to ever realize what they are even paying or how much services actually cost. One of the big benefits for working for a large company is that the employer tends to pick up roughly 2/3rds of the overall premium. This means that the average person is only paying one third of what their true premiums are.  (If you don’t believe it, just ask any self-employed friends, and they will have no shortage of healthcare-expense tales to tell.)

That disinterest will change when all retirees become fully responsible for 100% of their healthcare benefits.

That’s right.  One hundred percent of all premiums, co-pays, deductibles, and other charges are now in the hands of a population that has never had to worry about healthcare, and those who fail to choose wisely or don’t educate themselves will pay dearly (see our article, Original Medicare vs Medicare Advantage Plans).

So now that we have caught your attention, our next installment will specifically focus on just how much money we are talking about.

Nationwide – The First Company to Tackle Healthcare Costs in Retirement

Nationwide last week launched the Personal Health Care Assessment. This new program will help advisors estimate their client’s health care expenses in retirement (see Nationwide Press Release).

This will lead to a more robust an accurate financial plan for retirees while creating more opportunities for advisors to properly select which products will be best suited for their clients.

See how effective an Annuity can be when used as a funding source for healthcare in retirement

Annuities

See how effective Mutual Funds can be when used as a funding source for healthcare in retirement

Mutual Funds

 

Paying for Healthcare in Retirement; Variable Annuities

For those Baby Boomers that are heading into retirement and are concerned about spiraling costs of healthcare may want to look at an Annuity as a funding source for this expense. They offer potential upside growth, granted at a higher cost than Mutual Funds, along with underlying guarantees for those that are risk averse.

 

Another way to look at Annuities according to Carl Robinson, a wholesaler at Curian, is “that they are pension for those that don’t have a pension, where else can an average person guarantee an income in retirement? They compliment Managed Asset Programs extremely well “.

 

From the very basic illustration below one can see in order to cover the total expense of healthcare for a 55 year old, about $370,000, ( see how Fidelity is somewhat close when you want to paint a toothpick with roller-brush here) using an investment that earned 2% they would have to invest roughly $230,000 today.

 If we look at past returns, even though they are no predictor of future results, of basic Variable Annuities we can see that the same 55 year old would have only had to invest $60,000 to cover this expense. Please note that they would also have to use a conservative investment as a saving instrument for the excess in withdrawals.

For the complete illustration please click; Annuity Example HVS

Annuities tend to get knocked around a bit for their fees and lack of liquidity, but when used properly in a financial plan coupled other investment vehicles, like Mutual Funds, they can become great tools to use in retirement.

Market Commentary from Ron Mastrogiovanni

It appears that Europeans have successfully kicked a heavily dented and rusty can down a bumpy road. Markets reacted positively to the news with the Dow ending the week up another 1.37%. The bellwether Dow index is now up over 5% year to date, while the S&P is basically flat.

 

Should news out of Europe continue to be neutral-to-positive, expect equities to continue this upward swing through the remainder of 2011.  European leaders may have introduced the framework of an acceptable plan of action, but the devil is always in the detail. Do not expect an end to the European soap opera and the current level of volatility in equity markets. There will be pullbacks, and they should be viewed as buying opportunities. However, be aware when moving into both the fixed-income and equity markets for the remainder of the year that investors will have a focus on tax-loss selling. Also, do not buy funds in taxable accounts unless you are aware of the 2011 tax ramifications.

 

Market movers this week will include an important earnings report and future guidance from FedEx. Financial results issued by this global transportation company are a leading market indicator because of their U.S. footprint and significant business overseas. As usual, investor focus will primarily be on the firm’s future market expectations. (Also note that analysts expect FedEx to raise prices by approximately 5% in 2012.) Additionally, Zynga and Michael Kors will be one of 12 initial public offerings being introduced to the street this week. If you can pick up either offering, my recommendation is to sell sometime during the first two days of trading on the open market. Finally, the Fed Open Market Committee will be meeting, but analysts do not expect any major changes to current monetary policies.

 

As long as everything remains relatively quiet on the European front, markets are likely to end the year strong, culminating with a Santa Rally during the last five days of the year. An important indicator will be whether the Dow and S&P can get past current highs over the next several days.

 

An interesting opportunity for investors with a higher risk tolerance level will be to increase exposure in small caps on pullbacks. If you buy into small caps, use limit orders to protect yourself from significant downside hits. The Vanguard Small Cap (VB) and Vanguard Small Cap Growth (VBK) are a couple of solid low cost small company options to consider. I also continue to recommend iShares Dow Jones Select Dividends (DVY) and Wisdom Tree Dividend Ex-Financials (DTN) as investments offering higher than average dividends and upside potential.

The Debt Deal is Looming – What about Medicare?

The debt deal, which was signed into law by President Obama on Aug. 2, makes $917 billion in discretionary spending reductions during the next decade. Neither Medicare nor Medicaid would be touched in those reductions.

However, that changes a bit in the second round of funding cuts called for in the law. Between August 2 and Nov. 23, the super committee has been asked to find at least an additional $1.2 trillion in debt reduction over 10 years. The panel can make those recommendations by changing any part of the budget. The committee could recommend cuts in entitlement programs, including Medicare and Medicaid. It could also propose tax increases.

If Congress doesn’t agree on a debt plan, the current law has a trigger mechanism that will automatically guarantee the $1.2 trillion savings beginning in 2013 through cuts in defense and other federal spending. Included in these cuts is a 2 percent reduction in Medicare payments to hospitals and other providers. Medicaid funding would not be touched by that trigger.

What makes this different from all the other committees & boards is the threat of the automatic, across-the-board spending cuts and it looks like it’s going to happen.

All that is needed to look at the talk from Congress just last week, Rand Paul a Senator from Kentucky is quoted as saying “Automatic cuts (sequestration) are sort of like telling your children that, you know, if you don’t clean up your mess, or else, maybe we need the ‘or else’ because Congress isn’t behaving the way they should be behaving. Maybe sequestration is our only way we will get any kind of cuts”

Medicare and Medicaid make up about 23 percent of federal spending and their costs have been growing faster than the overall economy. Spending for both programs is rising as a result of overall cost of health care, but each has its own issues. Medicare costs have climbed partly due to the aging population, which has meant more people are eligible for coverage under the program. Medicaid costs increased with the recent economic downturn, which led to dramatic uptick in enrollment as people lost jobs and private health coverage.

Rich Umbdenstock, the American Hospital Association president and chief executive, echoed that sentiment. In a statement he said cutting hospitals will mean decreased access for seniors. “That’s why the total Medicare program – including caregivers – should be exempt” from cuts that he said could overload emergency rooms, shut trauma units and reduce patient access to the latest treatments.

At the end of the year, Medicare is scheduled to cut pay to physicians by about 30 percent. That is caused by a budget rule adopted years ago. Since 2003 each time the requirement has come due Congress has averted it. Some analysts argue that the debt reduction efforts and the need to fix the doctor reimbursement formula could collide, especially because of the cost of fixing doctor pay. Pushing the issue off for another year would cost about $25 billion, although doctors have been pressing for a two-year fix at a cost of roughly $50 billion. These fixes will add to the nation’s deficit and will complicate the super committee’s work.

Nothing is etched in stone as the deadline nears but with the latest rhetoric from the super committee it doesn’t look good for Medicare.

Closing the Donut Hole – 25% to All

There has been a lot of talk about the closing of the “Donut Hole” in the last year and this mainly due to the new “Patient Protection and Affordable Care Act (PPACA)” which passed in 2010. This one act has effectively closed the drug gap by the year 2020..

This is great news as one of the biggest issues with Medicare Part D is this Donut Hole and on the surface it appears to be solved. But with an action there is always a reaction and let’s look at how all of this plays out.

(For an even bigger issue see our article – “Medicare’s Tier 4“)

What the “Donut Hole” is as defined by www.medicare.gove is “a temporary limit on what the drug plan will cover for drugs. Not everyone will enter the coverage gap. The coverage gap begins after you and your drug plan have spent a certain amount for covered drugs”.

The amount in 2012 that needs to be spent on drugs is $2,930, it includes everything that is spent by the beneficiary and the insurer. Once at this amount the beneficiary is defined as being in the “Donut Hole” and is now responsible for 100% of all drug costs.

There is some relief though, for those that reach the “Donut Hole” they will receive a 50% manufacturer-paid discount on covered brand-name drugs along with a 7% discount on all generic drugs too. They will also receive a $250 rebate just reaching this gap.

While in this gap the beneficiary is own their own until a total of  $4700 is spent. After this amount is spent catastrophic coverage then kicks in and the beneficiary will have a 5% co pay while the insurer picks up the rest of the tab for the remaining part of the year.

Again, this is great news, over the next few years the Donut Hole will go away and beneficiaries will no longer have to worry about this gap in coverage. The new legislation on the books calls for a bigger discounts on drugs for those in this gap until there is no cost to the beneficiary.

Ultimately, the 3.4 million people who reach the Donut Hole each year will no longer have to worry about that large cost by 2020 but here comes some bad news – the other 27.5 million that have some form of Medicare Prescription Drug insurance who never reach the “Donut Hole”,  they will now be stuck paying 25% on all drugs.

Yes, by 2020 the Donut Hole will be closed and it will be replaced with a 25% costs sharing across the board for all brand name & generic drugs – for those that never reached the “Donut Hole” they will now see their overall drug bill increase starting in 2020.

Market Commentary from Ron Mastrogiovanni

The historically high level of volatility over the past several months, with daily swings of 100 points or more becoming commonplace, has ironically provided a small level of predictability in the markets.  Take last week; the markets shot up Monday and Tuesday, setting up for an obvious downturn on Wednesday and subsequent rebound on Thursday and Friday. The Dow ended the week up by over 1.4%, and gold rose another 1.8%, leading to a 25.8% year-to-date return.

 

Some important fundamentals to note: corporate earnings are continuing to show strength, and Europe appears to be stabilizing. Since Italy and Greece are finally addressing their deficit problems, and consumer sentiment in the U.S. is on the rise, low risk investment options, such as bonds, are likely to decline while investors move more assets into equity.

 

The earnings season comes to a close this week with results from Lowes, Home Depot, Staples, Wal-Mart, JC Penny, Target, TJX, Heinz, Dell, NetApp, and Marvell Tech. Additional market movers include Italy, the Congressional Super Committee, upcoming announcements to be made by a number of Fed Directors, CPI, housing starts, and of course jobs.

 

I expect equity markets to be strong for the remainder of 2011 and into the first quarter of 2012 assuming positive Super Committee results and a stable Europe. As mentioned in previous updates, equity markets are historically strong in the fourth quarter, and the U.S. is also entering a Presidential election year. Broad market averages tend to outperform during election years when a sitting president runs for re-election.  This is evidenced by a recent MarketWatch commentary written by Howard Gold, titled 2012 Could Be a Good Year for the Market.”  The article reveals that in the 14 presidential elections since 1928, when an incumbent president is running for re-election, the S&P has generated over a 14% return.

 

Therefore, I recommend to cautiously increase equity exposure on down market days by concentrating on high dividend-paying industry leaders. A number of firms to consider are AT&T (T, 5.8% dividend), Verizon (V, 5.3%), Excel Energy (XEL, 3.9%), ConnocoPhillips (COP, 3.7%), Intel (INTC, 3.4%) and UPS (UPS, 2.9%). Exchange traded funds (ETF’s) to analyze include iShares Dow Jones Select Dividend (DVY) and Vanguard Dividend Appreciation (VIG).

Market Commentary from Ron Mastrogiovanni

As predicted, the October rally took a break last week, with the Dow losing over 2% in volatile sessions. After an outstanding October, a 2% to 3% pullback is considered reasonable and gives the market a necessary breather. Losses were connected to profit taking and the never-ending Greek “tragicomedy.” Despite the focus on Greece, Italy is genuinely a far greater problem evidenced by the enormous scope of its debt issues.

The anticipated good news this week is that investors are likely to be focused on earnings with GM, Toyota, Macy’s, Disney, Cisco and HSBC leading the way. To date this earnings season, firms have projected a remarkable fourth quarter growth rate of approximately 15%. Other important news to watch this week will include jobless claims, oil inventory levels and MF Global bankruptcy proceedings.

Since U.S. based firms are expecting a meaningful fourth quarter growth rate, markets would typically rally for the remainder of the year. Although, there are a couple of significant hurdles investors must take into account including the European soap opera (which has completely dominated any good news out of the U.S.) and potential problems associated with the Congressional Super Committee. Ultimately, a stable Europe and a bipartisan solution to our deficit problem are essential for the October rally to extend through the remainder of 2011.

Additional facts to consider going forward:

  • Broader averages fell by approximately 20% from the end of April to the beginning of October
  • Strong corporate balance sheets and forecasts
  • Practically a zero percent interest rate
  • Low rate of inflation
  • Historical support for a strong fourth quarter

Should we actually encounter some level of stability in Europe and a bipartisan resolution to the U.S. deficit issue, October 3 may mark an important 2011 market bottom. My recommendation is to cautiously take advantage of last week’s 2+% pullback in the broader averages by increasing exposure in dividend paying brand name securities.

During periods of significant volatility, a concentration in high dividend paying brand names, gold, short/intermediate term bonds and cash equivalents contribute to a decrease in overall downside volatility. Therefore, in addition to the broad based equities recommended last week, consider the following Exchange Traded Fund (ETF) positions.

Symbol                 Name                                                                                    Sector

GLD                        SPDR Gold Trust                                                               Precious Metal

IAU                        iShares Gold Trust                                                           Precious Metal

CSJ                         iShares Barclays 1-3 Year                                               Short Term Bond

CIU                         iShares Barclays Intermediate Credit                       Intermediate Term Bond