Weekly Update

There are some things I’ll never understand. Here’s one:

Why would my lovely wife, Marea, purchase two new pairs of sneakers and throw my old ones out without asking me first?

“You need to replace sneakers regularly and alternate them between your daily power walks,” she informed me.

I do? Who knew?

I walk for 3.5 to 4 miles for almost an hour practically every day. Apparently, according to my wife, this qualifies me as a highly tuned athlete who needs cutting edge footwear to maintain peak performance for my upcoming heat in the Senior Slow-Walk Olympics.

I wonder if Bill Russell and Bob Cousy alternated specifically designed point guard and center sneakers between games.

“Oh, and they should be replaced every 300 miles,” she added.

So I have to throw my sneakers away after every 75 walks? How do I keep count? Maybe sneaker companies can embed a hidden odometer in the soles of sneakers. Or, the foot engineers could inject a color fading dye in heels indicating when a new pair is needed. I believe toothbrush manufactures have the color of bristles fade away when it is time to buy a new brush. Why not sneakers?

Reflecting upon last week’s Update, I may have been wrong when I stated that women and women alone drive the global economy. The power of advertising is truly incredible! Not only is it innovative enough to sell designer sneakers for different purposes, it supports an infinitely sustainable business model by making consumers believe that they need multiple pairs of footwear for the same activity.

We consumers love advertising terms such as introducing, new, improved, best, original, customized, exclusive, doctor recommended, proven, free and finally, as Pandora states in its tag line, unforgettable.

And there is no reason for the creative marketing minds to stop there. I was looking through the December issue of SHAPE magazine and learned that New Balance markets training footwear just for the winter; skechers makes GOwalk footwear available so women can “GO like never before;” and best of all, Amy Schlinger, a writer for SHAPE highlighted the need for “Socks That Rock.” That’s right, activity specific socks for hiking, running, crossfit (whatever that means), yoga, and skiing.

How about this one? Gap markets pants that have a “perfect performance fit!” I should get a pair of performance fit pantaloons to wear under my suit at business meetings and, of course, while making my investment decisions. That should exponentially increase the annual performance of Marea’s portfolio.

Switching gears as we enter the New Year, I reviewed investment guidelines first published last year and concluded that it made sense to once again share them with Update readers.

Investment Guidelines:
• Stay diversified and don’t place all of your assets in one stock, bond, or fund.
• Invest globally with a concentration in the USA. (The portfolios publish in the Update do have global exposure through an international fund and large U.S. firms that sell products and services throughout the world.)
• When buying individual securities, concentrate on industry leaders offering dividends, which ultimately provide a cushion during corrections and remember, dividends generate approximately 40% of market performance.
• When increasing equity exposure, execute trades on down market days.
• Hold a cash position between 5% and 20% of a portfolio’s value.
• Fixed-income concentration should be in short to intermediate bond funds.
• Populate portfolio with both equity and bond funds charging low expenses and a better than average three and/or five-year track records.
• Know a security’s investment philosophy, objective, and style prior to purchase.
• A position/portfolio must meet personal suitability standards based on objectives, volatility, and investment time horizon.
• In a taxable account, be aware of the potential tax exposure.
• When considering bond funds, a low expense ratio is extremely important to overall annual performance.
• Index product performance should basically track its long-term category average.
• Monitor investments weekly. (For example, Yahoo finance allows you to compare the performance of your funds to its peer group over multiple periods of time.)
• Analyze a product’s performance over time (year-to-date, one year, three years, five years).
• Monitor sector investments closely.
• Performance must be assessed on a risk/return basis. (For example, Investor “A” generates a 5% return; Investor “B” generates a 10% return; which portfolio was the better performer? It completely depends on the level of risk inherent in each portfolio.)
• Note that raw performance benchmarks including the Dow, S&P 500, NASDAQ, and the Russell 2000 do not incorporate trading costs, fund expenses, and advisory fees.
• Let’s assume equity markets are up 10% and fixed income and cash are both flat at 0%. You have 50% invested in equity, 50% in fixed income and cash, and total expenses of 0.5%; a reasonable return for your portfolio would be approximately 4.5%.
• Be aware that markets tend to overreact to news, good or bad.
• Realize that absolutely no one knows how markets will perform next week, next month, or next year.
• So, my guess is that the market will generate an 8% return in 2013. (By the way, 10% is about the average stock market annual rate of return.)
• Be aware of a portfolio’s potential worst 1, 3, 5, and 10 year case scenario based on historical data.
• Unless you are willing to do your homework weekly, consider hiring a financial advisor.
• Dialing your equity allocation up (increased volatility) or down (less volatility) will ultimately increase the probability of capturing more or less of both the upside and downside of market performance.
• Wear performance fit pants when analyzing your investments.

• Do not
o Purchase any investment product you do not understand.
o Sell a fund because of poor performance over a limited period of time. (If a fund under performs for a couple of months, place the fund on a watch list for at least 30 days prior to making a decision to hold or sell out of the position.)
o Buy bond funds with higher than average expense ratios.
o Select a stock simply because of a potential high-dividend payout. (Make sure the company has the cash flow necessary to pay the dividend.)
o Allocate more than 5% to 7% per individual sector.
o Try to time the market.
o Overreact to the news of the day.
o Chase performance. (Performance is relative based on asset allocation, risk inherent in the portfolio, and expenses including trading costs, a fund’s expense ratio and advisory fees.)

Have a productive Week.
The Update is written by Chris Leone and Ron Mastrogiovanni

Growing Fiscal Cliff Worries Zero in on Medicare

In Washington D.C. growing worries about the fiscal cliff has led to debates on raising Medicare’s eligibility age to reduce the government’s huge deficits.

For years numerous ideas about controlling the exploding cost of entitlement programs, such as Medicare, have passed between party members but growing concerns about Fiscal Cliff have brought them in to perspective. Medicare, a $590 billion annual program is one of the most expensive and popular federal programs, that has long been untouchable and rarely trimmed. A change in age eligibility would not alter traditional benefits, but would not be available to all senior citizens 65 and older. Medicare’s popularity makes proposed changes a much harder sell amongst voters.

The most frequently discussed proposals that would affect Medicare’s 52 million beneficiaries are more means-testing, meaning higher costs for wealthier retirees, and raising the Medicare eligibility age by two years to 67 years old.

Regardless, of increasing age eligibility both the White House’s deficit reduction proposal and the Republican counter offer, submitted on Monday, propose trimming Medicare.

Republicans and Democrats disagree on what, where, and how to cut the program. Many Republicans, notably, House Speaker John Boehner, R-Ohio, openly support hiking the eligibility age to 67. It is estimated that increasing the age would reduce Medicare’s spending up to 5 percent annually, which would save hundreds of billions of dollars over time. These proposed cuts, in addition to others to additional healthcare programs including the Medicaid, could result in $400 billion to $600 billion in savings over a decade as part of a deficit-cutting agreement Congress and the White House must reach to avoid the so-called fiscal cliff.

Not everyone supports the proposed changes, people like Senator Dick Durbin, D-Ill., says that increasing the age would create numerous oversights and could make the program too expensive for some seniors.

A recent study by the AARP identified more negative windfalls if Medicare’s age eligibility is upped to age 67. There is a possibility that this could lead to higher monthly premiums for those on Medicare. Not allowing younger and healthier 65 and 66-year olds would raise the others’ costs, but the increase would only be around 3 percent. This would also lead to more expensive premiums for private coverage as well. This is because older adults would have to remain using private insurance for an additional two years before using Medicare. This older age group, compared to younger adults, is also more costly to insure. In total, this would lead to higher healthcare costs for two out of three adults whose entry into the Medicare program would be delayed. Medicare age eligibility wouldn’t just affect people, but also businesses. This would lead to an increase in employer costs as senior workers would stay on company insurance plans.

The Congressional Budget Office estimates that raising the eligibility age could save $148 billion in Medicare spending over the next decade, but there are drawbacks. It has also been estimated that the number of uninsured citizens would also increase. Highly populated states like Texas that won’t accept Obama’s Medicaid expansion in his health overhaul would create millions of uninsured citizens. Critics claim that these cutbacks would hurt business by placing the burden of these costs onto employers. This would lead to an increase in employer costs as senior workers would stay on company insurance plans.

The threat of this country toppling over the fiscal cliff has enabled Republican’s campaign to cut Medicare to perhaps have its first success. But, it remains to be seen if these changes will take affect and if the positive outcomes will outweigh the negative ones.

-Suzanne Bernard

Obama and Federal Government Combat Coming Doctor Shortage

By 2025 the United States is going to have a doctor shortage, specifically primary care physicians, a development that could have serious consequences for the growing number of retiring baby boomers

The projected doctor deficit will continue to grow as roughly 79 million baby boomers request more medical care, except if the U.S. begins turning out more doctors. A number of recent studies claim this shortage could make it more difficult to get expedient and quality healthcare.

One of these studies was conducted by the Association of American Medical Colleges, which estimated that by 2015 the U.S. will have 62,900 fewer doctors than needed. In a decade this number will double, as the expansion of insurance coverage and the aging of retirees increases the demand for healthcare. Even excluding the Affordable Healthcare Act, the scarcity of physicians in 2025 would still exceed citizens’ requirements for doctors who are active in patient care. This report expects a shortfall of over 130,600 patient-care doctors, of 50 percent are primary-care physicians.

The doctor shortage is not a new development and has been the subject of heated debate inside Congressional meetings, especially when attempting to discount Obamacare. Opponents of the new health care law believe that this new study demonstrates that the well insured, shouldn’t have to share an increasing scarcity of doctors with the millions of uninsured.

Those who are against the Affordable Healthcare Act point to the fact that Health experts admit that there is little that the government or the medical profession will be able to do to combat the shortage by 2014. It seems that this issue will compound itself when one considers that it takes a decade to educate a physician. The drought of doctors entering into the field is even more startling when one examines that suggested government incentives and provisions will increase the number of primary care doctors by only 3,000 in the next decade, unless serious changes are made. But, that estimate will still fall drastically short of the 45,000 doctors needed in communities around the U.S.

The Obama administration has taken note of and is concerned over the future lack of physicians. They have started to delve into ways of expanding the doctor pool to meet the needs of the expanding senior and uninsured population. To lessen the far reaching impact of this shortage Obama and his cabinet are exploring several alternatives. One of the first provisions will occur 2013 and 2014 when the health care law increases Medicaid’s primary care payment in order to counteract the argument that primary care physicians are underpaid. To combat this the the Medicare Payment Advisory Commission, an independent federal panel, has suggested increasing the payment for primary care services to 10 percent in the payment for many primary care services, including office visits. Another inducement will give money to educate primary care doctors entering the field and provide incentive like rewards when they work underserved communities and build-up community health resources.  

States are also attempting to confront the doctor deficit by considering several key proposals that would lessen the blow in the coming years. Several of these proposals focus on education and the way that patients receive care. They have explored incentive based programs that are designed to up the enrollment in medical schools and residency training programs. Instead of relying on just doctors many believe relying on nurse practitioners and physician assistants could fill the gap. Lastly, they are looking to enlarge the National Health Service Corp to send doctors and nurses into underserved rural areas and poor neighborhoods.

It appears that the coming doctor shortage is inevitable. But, the provided incentives from Obama’s administration and federal proposals seek to overturn the coming tide. Primary care physicians are and will be in shorter supply until medical schools start churning out more physicians who are willing to forego into specialty fields.

-Suzanne Bernard

States ranking when it comes to healthcare costs in retirement

Believe or not, where retirees choose to live can greatly impact how much they will pay for healthcare over the long term, especially when it comes to premiums.

Using HVS Financial’s RetireMark Software tools (click here for free trial) we analyzed the data of a 65-year-old couple who are;

  • Healthy
  • Retired as of today
  • Have longevity projections of 85
  • Will earn under $170,000 in income as defined by Medicare throughout retirement.
  • Want to cover premiums for Medicare Part B, Part D, and a MediGap (Plan C) supplemental policy

The cheapest place to live, which came as a shock, is Hawaii ($271,284) and the most expensive (not so much of a shock) is New Jersey ($362,844).

A whopping 33.7% difference exists between the two states.

The determining cost factor among states is simply supply vs. demand. Part B will be a constant for every individual in the U.S. who has paid into the system and whose earnings fall below the Medicare minimum, but Part D and the MediGap Policies are sold by private insurance companies that control prices (with Medicare setting some standards).

So Hawaii, which has a smaller retired population and slightly healthier residents than the rest of the country, will enjoy the lowest healthcare premiums. Conversely New Jersey, with a much larger population (that ostensibly needs extensive healthcare) than Hawaii, is much more expensive because the premiums set by the private insurance companies are higher.

Here is a complete breakdown of how each state stacked up including D.C. and the National Average

Rank State  Costs
1 Hawaii  $ 271,284
2 Vermont  $ 287,754
3 South Dakota  $ 299,714
4 Maine  $ 301,094
5 New Mexico  $ 303,314
6 Montana  $ 304,574
7 North Dakota  $ 307,084
8 Idaho  $ 309,284
9 New Hampshire  $ 313,344
10 Iowa  $ 314,194
11 Washington  $ 315,524
12 Oregon  $ 317,634
13 Minnesota  $ 318,114
14 Wisconsin  $ 319,204
15 Arkansas  $ 319,434
16 Wyoming  $ 320,064
17 Virginia  $ 320,574
18 Nebraska  $ 321,944
19 Rhode Island  $ 322,834
20 South Carolina  $ 323,724
21 Missouri  $ 324,034
22 West Virginia  $ 324,234
23 North Carolina  $ 324,414
24 Georgia  $ 326,664
25 Tennessee  $ 327,684
26 Kentucky  $ 329,534
27 Kansas  $ 331,354
28 Delaware  $ 332,734
29 Washington D.C.  $ 332,914
30 Utah  $ 333,014
31 Indiana  $ 333,464
32 Pennsylvania  $ 334,364
33 Ohio  $ 334,664
34 Colorado  $ 335,294
35 National Average  $ 335,434
36 Connecticut  $ 336,594
37 Alabama  $ 336,844
38 Oklahoma  $ 337,004
39 Mississippi  $ 338,264
40 Arizona  $ 338,364
41 New York  $ 338,624
42 Texas  $ 338,744
43 Illinois  $ 339,814
44 Massachusetts  $ 340,264
45 Louisiana  $ 342,164
46 California  $ 345,224
47 Alaska  $ 348,044
48 Nevada  $ 353,514
49 Michigan  $ 354,474
50 Maryland  $ 355,904
51 Florida  $ 362,544
52 New Jersey  $ 362,844

HVS Financial Launches the Most Comprehensive, Accurate Long-Term Care Calculator To Help Boomers Plan for LTC Costs in Retirement

HVS Financial Launches the Most Comprehensive, Accurate Long-Term Care Calculator To Help Boomers Plan for LTC Costs in Retirement

 

Danvers, Massachusetts (May 17, 2012) ~ It is an indisputable fact that healthcare expenses rise exponentially in the final two years of life, and the main source of these costs are assisted living facilities and nursing homes.  According to the Department of Health and Human Services, 70% of individuals over 65 will need some level of long-term care (but not everyone will qualify), and the average expenditures can range from $20,000 to $150,000 per year in out-of-pocket expenses.  Another significant problem is that these figures are based on today’s dollars, offering little in the way of long-term projections to help people plan for the future.

 

In an effort to provide financial institutions and advisors with more realistic calculations for long term care planning, HVS Financial recently added the industry’s most comprehensive and accurate long-term care cost projector to its RetireMark suite of retirement planning software tools.  The LTC cost projector offers an extensive range of calculations and reporting features including:

 

  • a forecast of when a person is most likely to need long term care
  • a projection of future costs based on expected length of nursing home or assisted living stay, residency, and health issues.

 

According to HVS Financial’s President and CEO Ron Mastrogiovanni, “Although Baby Boomers are beginning to educate themselves about the threat of rising healthcare costs in retirement, the proverbial elephant in the room is long term care,” he explained. “These costs could exceed three quarters of a million dollars for some people.  However, very few are actively planning for this event.  Our mission is to offer the most accurate, effective software planning tools that provide advisors with concrete data to help clients prepare for the tremendous impact of future LTC costs.”

 

While planning for the final two years of life may seem excessive to some, HVS Financial believes that there is growing concern that a lifetime of saving and hard work may go to LTC facilities, rather than children or other family members.  “We believe that with a little foresight and stable investments, nobody has to lose his/her lifetime savings—assets that could be passed down to devoted family members—to a hospital, nursing home, or LTC facility,” he concluded.

 

About HVS Financial (www.hvsfinancial.com)

HVS Financial is a software firm specializing in healthcare cost planning and health risk assessment tools and solutions. It is one of the only firms in the country that builds solutions that address healthcare and long-term care costs individuals will face during retirement.

Affordable Care Act – The Real Issue to Companies Dumping Health Benefits

“A new report prepared by Republicans on the House Ways and Means Committee suggests that companies would save billions of dollars by ending health insurance coverage for employees under Presidents Barack Obama’s health care reform law.

Based on an analysis of health care data received from 71 of the America’s Fortune 100 companies, the report found that if the companies terminate insurance coverage in favor of paying the $2,000 per employee penalty, they would incur a financial benefit.

According to the report, companies surveyed would save on average $400 million — or a total of $28.6 billion in 2014 — simply by putting their employees on the government exchanges.” – Fox News

Is this the biggest issue with this new Act?

Unfortunately, the answer in the end will most likely be no.

On the surface, this report by the GOP has shed the light on the fact that employers, under the Affordable Care Act, can now drop health benefits “per employee” and only face a fine of $2,000 (which is paid directly to the federal government). This, at the time of writing this bill, may have seemed like steep penalty, but what is coming to light is that employers on average tend to pick up roughly 50% to 75% of the total premiums for an employee’s health coverage which happens to be on average $15,000per year.

So now an employer has a choice;

A)    Either continue health coverage for an employee to the tune of $7,500 to $11,225 annually

Or

B)     Pay a $2,000 fine that goes directly to the federal government for not covering said employee.

 

The bigger issue may not be the savings for companies or even the penalty they must pay to the government, but the other interpretation to the rules that go along with this – notice the “per employee” line.

Under the Affordable Care Act firms can now choose who they want to cover and who they choose not to cover when it come to health benefits.

In a nut shell, corporations can pick “key” people in the company and cover their health premiums while opting to not pick others.

This is unprecendentaed in the Modern Era.

Corporations have always had the option to not cover health benefits for their employees, but the choice to not make health coverage available  affected every single person employed there. This one provision will now give a corporation the ability to say “we are only going to cover just the Directors of the company and nobody else”.

And the only penalty to do this will be a $2,000 fine for each uncovered employee.

So now, an employee, who by no fault of their own, could one day be told by the firm they have worked at for years that the company has just decided to no longer cover his/her health benefits and that she/he will now have to purchase an individual health plan from a private health insurance company.

Sounds great, doesn’t it?

Oh yeah and the hits keep on coming, because, under this same Act, that same employee who just got hit with the news of no longer being part of a “group plan” must now have , by regulations of this Act, adequate health coverage as soon as possible or face a fine that will paid directly to the federal government.

Ultimately, this new Act has;

  • Paved the way for companies to save billions in health costs at the expense of their own employees
  • Create a new revenue stream for the federal government (all those $2,000 fines)
  • Open the door for health insurance companies to sell more health coverage to more people at individual rates instead of  group rates – thus making more money for them.

To give a broader scope on what to expect when it comes to these health costs – in order for a female to just cover herself today for health insurance she can expect to incur a cost of roughly $5,300 per year.

Same woman who happens to be 63 today but who happens to smoke, have high blood pressure & high cholesterol can expect to pay roughly $11,000 for health insurance.

And in 28 short years when this 35 year old healthy woman will be 63 she can expect to have a bill for over $35,000 just to cover her health costs.

Do you think if this Act is still on the books when this women reaches 63 in 28 years the same company will pick up most of her health costs too or just take the fine?

Type II Diabetes and Food Pyramid

Something that is sort of funny, the US Government came out with a “Food Pyramid” in 1992 and it highly recommended eating plenty of Breads & Grains along with encouraging plenty of Fruits & Vegetables (though the “Pyramid” has changed, it hasn’t changed that much).

Basically, the Government was and is encouraging citizens to eat about 11 to 20 servings of carbohydrates while only digesting 2 to 3 servings of protein while eschewing oils as much as possible.

 

This is where the funny part comes in, we have learned through science that carbohydrates, and we mean all carbohydrates, create glucose in the body when consumed.

How does this happen and why is this important?

Well we asked Mark Sisson of Marksdailyapple.com about Insulin & Carbohydrates and here is what he had to say;

“Every type of carbohydrate you eat is eventually converted to a simple form of sugar known as glucose, all the bread, pasta, cereal, potatoes, rice (stop me when you’ve had enough), fruit, dessert, candy, and sodas you eat and drink eventually wind up as glucose. While glucose is a fuel, it is actually quite toxic in excess amounts unless it is being burned inside your cells, so the body has evolved an elegant way of getting it out of the bloodstream quickly and storing it in those cells.

It does this by having the liver and the muscles store some of the excess glucose as glycogen. That’s the muscle fuel that aerobic exercise requires. Specialized beta cells in your pancreas sense the abundance of glucose in the bloodstream after a meal and secrete insulin, a peptide hormone whose job it is to allow glucose (and fats and amino acids) to gain access to the interior of muscle and liver cells.

But here’s the catch: once those cells are full, as they are almost all the time with inactive people, the rest of the glucose is converted to fat. Saturated fat.

Insulin was one of the first hormones to evolve in living things. Virtually all animals secrete insulin as a means of storing excess nutrients. It makes perfect sense that in a world where food was often scarce or non-existent for long periods of time, our bodies would become so incredibly efficient. How ironic, though, that it’s not fat that gets stored as fat – it’s sugar. And that’s where insulin insensitivity and this whole type 2 diabetes issue gets confusing for most people, including your very own government.”

So a diet high in carbohydrates plus a sedentary lifestyle will most likely lead to high glucose or insulin production in an individual, which can directly lead to Type II Diabetes.

Also, from Science Blogs, it has been reported that glucose may even be feeding all different types of cancers, to quote from the article “To put it briefly, many cancers (approximately 60-90%) favor glycolysis, even in the presence of adequate oxygen for oxidative phosphorylation, leading to a voracious appetite for glucose.”

 

As we can see from the chart, 1993 was a turning point for the explosion of Type II Diabetes, about the same time that the US Government put out the original “Food Pyramid”. Since then the number of people in the country with Type II Diabetes has just about tripled and there seems to be no end in sight.

And what did we get from the American Diabetes Association?

Their “Food Pyramid” without a whole lot of changes, actually it was identical to the US Government’s at first

Again we have plenty of Carbohydrates with very little protein which equates to a whole lot of glucose and what does that mean to you?

The higher risk of having Type II Diabetes especially if you happen to have a sedentary life style and that will lead to a whole lot of other financial issues in retirement.

Since then the ADA has distanced themselves from their “Food Pyramid” and has adopted the “Plate Method” where an individual will split their plate into 3 sections with two being equal & the third being the largest. The largest section is for “non starchy vegetables” then the other two are for starchy foods like pasta & bread and the last is for protein.

Once again, with their change, they are recommending a plate tilting towards more glucose & insulin with little protein and where will this all lead?

Just by looking to HealthView Services’ RetireMark software we can calculate what the out of pocket healthcare costs will be for a male & a female both ages of 55 who will retire at age 65, plan on living until age 100 while having Type II Diabetes.

For the male, he can expect to incur close to $1.6 million in health care costs in those 35 years

For the female, she can expect to incur close to $1.35 million in health care costs in the same time frame.

The wakeup call; Using the RetireMark software a user will see that Type II Diabetes is the most expensive disease state when a user out lives their actuarial life expectancy.

So as our population ages and the Baby Boomer generation increases their life expectancy (see a report from the CDC), the costs to treat Type II Diabetes will become their most expensive burden in retirement and this can all be stopped by just understanding carbohydrates, glucose, lack of activity and diet.

For more information please see;

www.Marksdailyapple.com

www.diabetes.org

HealthView Services Shows How Your State May Impact Your Retirement Planning

The economic downturn of the past five years, the precarious states of Medicare and Social Security, and the impact of new healthcare legislation have left 78 million Baby Boomers feeling vulnerable and unprepared for the future.

They’re not the only ones.

Financial advisors must also adapt to this landscape by re-prioritizing client needs. Traditional plans are being supplanted by the need to address the single most important factor in achieving stability during retirement: healthcare costs. In a recent study conducted by Credit Suisse, seniors over the age of 60 spend 33% of expenditures on healthcare while housing and food account for 23% of consumption.

Let’s examine this chart compiled by HealthView Services, the only software platform that generates a comprehensive health expense report for retirement planning.   HealthView’s newest features calculate out-of-pocket expenses by state and include the legislative changes that will require additional contributions to Medicare based on income, as seen below:

Estimated Healthcare Expenses: Healthy Couple Age 65-90

Modified Adjusted Growth Income (MAGI) Level

Residence:

Vermont

(2nd Least Expensive)

Residence:

Ohio

(National Average)

Residence:

Florida

(Most Expensive)

Under $170,000

$560,410

$649,520

$689,210

$214,000-320,000

$853,547

$942,934

$974,253

$320,000-$428,000

$1,030,995

$1,120,549

$1,146,710

$428,000 +

$1,280134

$1,297,854

$1,318,887

In five years, a 60-year-old couple living in one of the least expensive states at the lowest MAGI level will have to spend over $500,000 dollars to stay healthy.  If the couple moves to Florida, premiums rise 23%.  At the highest MAGI level, a healthy Florida couple will need an estimated $1.3 million in retirement to pay for healthcare!

As a result, advisors collaborating with clients on a portfolio that focuses on saving for healthcare costs needs to become a priority.  To that end, here is an emerging philosophy: those entering retirement can buy a less expensive car, downsize their home, or take fewer vacations, but they cannot eliminate medications or cut back on health services.

Notice how an advisor can help a client who expects to earn less than $170,000 a year during retirement by recommending changes in retirement date, residency, and type of health coverage.

Current Age

Retirement Age

Coverage

Total Cost in Retirement

Savings Required

7% Pre-retirement, 5% in Retirement

Additional

Pre-retirement Savings

60

65

All expenses

$560,410

$198,819

$0

60

65

Doctors/Drugs

$305,560

$108,041

$0

60

68

Doctors/Drugs

$291,030

$92,794

$0

60

68

Doctors/Drugs

$291,030

$60,847

$5,000

By utilizing HealthView’s data, the advisor can offer options such as targeting part of a portfolio with regular contributions to afford quality physicians and medications.

Since healthcare in retirement is now means-tested, advisors will play an important role in managing high net-worth client income levels because their possible expenses could rise dramatically, depending upon their MAGI level.  The crippling cost of healthcare in retirement is likely to exceed that of housing, which makes it vital for advisors to create client stability by integrating healthcare costs into retirement plans.

Media Contact:  Susan B. Chanley, 781-587-0115, sbumsteadchanley@comcast.net

The Short Take on the Debt Ceiling & Medicare

With the Debt Ceiling issue made into law last week there has been a lot of talk about what may happen with Medicare and Medicaid. These programs make up roughly 23% of the federal spending per year and the overall costs have been increasing at an extraordinary pace with no reversal of this trend on the horizon.

 

These increasing costs, unfortunately, have placed a very big bulls-eye on the backs of these two programs but, as of right now with the new law and the first rounds of cuts coming in the form of $917 billion that is to be reduced over the next 10 years they will not be affected.

 

This is great news for now but by November 23, 2011 it can all be changed.

 

Yes, in less than 3.5 months the super committee that has been assembled to make suggestions on what should happen next with the Budget has been asked to find at least an additional $1.2 trillion in reductions over 10 years. This super committee can look at anything in the Budget and propose cuts to anything it deems necessary, like Medicare & Medicaid – it can also advise that taxes need to be raised too.

 

And for even some more bad news, if Congress can’t agree on a new Debt Deal by November 23, 2011 this new  law has triggers that will automatically cut $1.2 trillion across the board starting in 2013. These cuts will include a 2% reduction in Medicare payments to hospitals & other types of services.

 

Will this super committee get the job done or will politics get in the way?

 

The answer to this question may just be the devil in the details. The big difference between this super committee and the ones in the past is that even if this committee does nothing, if Congress allows bickering to get in the way and if November 23rd comes & goes with nothing passed the Budget will be cut automatically and done completely out of the control of Congress.

 

So, as of right now there is good news for Medicare & Medicaid, but, and there is always a but, it doesn’t look great in the very near future for both programs.

 

Even a 2% rate reduction to payments to hospitals will affect most Seniors. According to Rich Umbdenstock, the president and chief executive of the American Hospital Association “cutting hospitals will mean decreased access for seniors, that’s why the total Medicare program – including caregivers – should be exempt from cuts that could overload emergency rooms, shut trauma units and reduce patient access to the latest treatments”.

 

May Congress heed his advice and put this to rest once and for all

 

 

 

 

 

Expect Health Care To Be 33% of Your Income in Retirement

Day in & Day out we are bombarded by forms of media that are always advertising about the correct way to retire. The typical advice touches on planning for taxes, food, vacations, travel, upgrading or downsizing your house, helping your kids out, and other things of that nature.

 

But what is missing?

 

Health Care.

 

Recently there was an article from Life Inc. about a study Credit Suisse performed on expenditures by age group and the chart below sums up the study best:

 

In light purple it can be seen that US Citizens who happen to be 60 + years old spend 33% of their income on health goods and services.

 

That is one-third of their income!

 

There are no other expenses listed in this report that even come close to Health Care and the next highest expense after Health Care is Leisure at 22% which can be easily adjusted from year to year.

 

This report highlights the fact that Health Care is the #1 expense for those in retirement over every possible day to day expense by at least 11%.

 

There are others who may say that taxes are a larger percentage, but how many people pay 33% of their total assets to the government on an annual basis?

 

Not many. How many people will spend roughly 33% on their own health?

 

Just about everybody.

 

Let’s dive into this 33% further by looking at an example provided by HealthView Services and its own RetireMark Calculator:

 

If we take a 55 year old male who:

  • plans on retiring at age 65
  • plans to live to age 90
  • is healthy throughout retirement
  • wants to be fully insured = Medicare Part A, B, D and a MediGap Plan
  • earns $85,000 or less per year throughout retirement
  • lives in Ohio

 

He can expect to pay roughly $476,500 throughout the course of retirement for health care.

 

Please note that where you reside & how much you earn are just as important as your overall health conditions when it comes to future costs.

 

Now, if we use simple math to see what is going to be needed throughout retirement to cover Health Care we can take the $476,500 and divide by 33% which is the figure from Credit Suisse we can conclude that this person will need roughly $1.44 million over the 25-year retirement period which will average out to needing an income of $57,757.57 per year.

 

That $476,500 averages out to roughly $1,600 per month or $19,060 per year for Medicare and Health Care alone while leaving $38,697 of income remaining for all other expenses annually.

 

From our example male who happens to be 55 today we now know what he will need for housing costs, food, taxes, and other expenses throughout retirement.

 

Please keep in mind that earning or making more income throughout retirement can be a double edged sword. There are income limits that Medicare has imposed on the premiums and if you earn to much income you can expect to see your costs increase anywhere from 25% to 300%

 

To put it simply, the more money you make, the more you may have to pay for Health Care. (See MAGI brackets)

 

Planning for Health Care while in retirement is one of the surest ways to know if you’ll have enough money saved to live the kind of retirement you always wanted and as a reminder, your health in the end will be the most important thing that you will have.

 

But please keep in mind that with the rising inflation rates and changes that do come with Medicare this is never an exact science. These are the reasons why people are encouraged to see their Financial Advisor at least on an annual basis