Another look at the $240,000 health care cost in retirement number

There has been a lot of talk about Fidelity’s $240,000 healthcare-expense-in-retirement estimation.  I tried to examine it from an unbiased perspective and came to two distinct possibilities:

 

1)      Fidelity has solved the healthcare crisis, or

2)      We need to step back and rethink the number.

 

Let’s look at an example of a 30-year-old working today.  Let’s call him Phil.  Phil Delity.

 

Phil is working for a large company that has provided him with a fair benefits package.  He can expect to pay roughly $215 per month for his premiums, or about 25% of the total, with the employer picking up the remaining 75%.

 

Projecting for the year, Phil will pay a total of $2,580, while his employer will cover the remaining $7,594, so his yearly premium will cost roughly around $10,200.  This seems to be a fairly accurate assessment according to a 2011report from the Houston Business Journal, which used AON Hewitt data to peg total healthcare costs per employee at $10,770 annually, while Milliman pegs a family’s healthcare costs to exceed over $20,000 in 2012.

 

So if Phil stays with the company until he is 50 and incurs approximately $10,000 in healthcare cares costs per year, his total coverage costs should slightly exceed $200,000. (This does NOT take inflation into account.)

 

Still with me?

 

Now Fidelity has led the financial industry to believe that when Phil reaches 65, enrolls in Medicare with his spouse (Phil got married along the way), the two of them should only expect to pay $240,000 for their healthcare for the rest of their lives.

 

Now the question becomes: How does one healthy individual over a 20-year period pay roughly $200,000 for healthcare, but TWO elderly people who live to 80 —with additional variables such as increased medical testing, prescription drug dependency, and long-term care—expect to pay only $40,000 more in costs?  This figure also fails to take into account that Medicare is now means tested, which translates to the “more you earn, the more you pay.”

 

Either Fidelity wants everyone to believe that no one will live that long (so why bother even planning anyway) or they have figured out a way to lower health costs for everyone as they age.

 

I hope that I am not the only one baffled by this.

 

Now if we turn to Healthview Services, an industry leader healthcare cost planning, we will see, by using their revolutionary RetireMark Software, that a couple who is 65 today and only plans to live until age 80 can expect to incur $274,000 in retirement. This number changes drastically if the couple’s income ever exceeds $170,000, they move to a more expensive state, or they live to their actual life expectancy. (88 years for the male and 90 for the female, which will result in approximately $620,000 for their healthcare costs.)

 

Something just doesn’t add up, and unfortunately this misinformation will lead to erroneous planning in which the only real losers will be the clients.

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.

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

Boomers turning home equity into 401ks – The impact on Medicare premiums could prove costly

With the onset of Baby Boomers starting to retire we are beginning to hear  the question from more than a few of them, “why am I paying more for Medicare premiums than others?”

Here is the  article on the subject  from HometownAnnapolis.com.

The answer to this question is Income.

If you make too much of it in retirement you will unfortunately, pay more for your healthcare. Thanks to the Medicare Modernization Act of 2007 & the Affordable Care Act (healthcare reform) it paved the way with new legislation that allows Medicare to charge higher premiums for those that earn “too much” income in retirement.

These two acts also allowed Medicare to define income differently than the IRS. Now, Medicare through Social Security will  add your adjusted gross income together with your tax-exempt interest income to get an amount called the modified adjusted gross income (MAGI).

In layman terms, everything that hits your tax return is now considered income – yes, that is right,  EVERYTHING.

Social Security, wages from work, returns on investments, dividends (even if it’s from a Muni Bond) capital gain payouts, the sale of vacation home, too much return on the sale of a primary residency… EVERYTHING!

With such a broad sweeping issue looming hopefully, enough financial professionals will take notice of this growing concern, adjust their planning accordingly and the problem will be rectified easily but from the latest article from MarketWatch there is room for a lot of worry.

The article titled “Boomers turn home equity into 401k funds” highlights how little is known on Medicare & income.

People who decide to do what is recommended in this article, rip out all their equity from thier home & invest the cash into a 401k vehicle, must realize that when they start to liquidate these monies they will be classified as INCOME.

Is this a problem?

Only if you like paying anywhere from 50% to about 200% more on Medicare premiums so you can “invest” at a tax free rate now of roughly 20%.

As stated previously, Medicare counts everything that hits a tax a return before deductions as INCOME and the penalties are high, which is what Baby Boomers are quickly learning (See article here).

How high can the penalties be?

For a 65 year old who earns under $85,000 throughout retirement and lives to age 85 – they can expect to pay roughly $58,000 in premiums.

If they earn just $1 more over the course of retirement they will pay $80,000

If they earn over $214,000 then they can expect to pay roughly $182,000 FOR THE SAME COVERAGE.

Again, if the financial industry wakes up to this issue it won’t be an issue but from the looks of it a lot of people are going to be in big trouble.

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.

What do 97% of all retirees have in common?

Nationwide recently released its Survey on Healthcare Costs, and the most startling statistic—actually the very first statistic cited—was that of the retirees polled who were age 65 and older, 97% stated that they were enrolled in Medicare.

 

How many human-related activities can be measured at 97%?  Do 97% of Americans finish high school?  Have a bank account?  Get regular haircuts?

 

NINETY SEVEN PERCENT. 

 

Despite the fact that more than nine-tenths of Americans will eventually subscribe to Medicare, most financial plans never address what it actually costs. 

 

Ultimately it ends up being an afterthought—a line item in the expense column during the planning process.  This may be why the vast majority of Americans are under the false assumption that Medicare is actually free (or at least extremely affordable).  It is also why the financial services industry must address this variable as 78 million Boomers march to retirement.

 

97% of retirees deserve to know what their future holds:

 

Part A – No premium for those who qualify, but there are some hidden costs like deductibles and co-pays for services (For more on Part A, click here.)

Part B – a $99.90 monthly premium for those earning under the average amount plus other deductibles, co-pays, and excess charges (For more on Part B, click here.)

 

Part D (Drug Coverage) – Premiums (also based on income), deductibles, co-pays & other charges based on the terms & conditions of the insurance company selling the plan. (For more on Part D, click here.)

 

MediGap – This form of coverage takes care of the co-pays, deductibles, & excess charges of Parts A and B, but here are fairly high premiums. (For more on MediGap plans, click here)

 

Other Out of Pocket Expenses – Medicare does NOT cover dental, vision, hearing, podiatry, or routine exams/physicals. Medicare will only cover procedures after a beneficiary has been admitted as an inpatient to a hospital.

 

Medicare Advantage Plans – are administered by private insurance companies and must follow the rules & regulations of Medicare. They offer the same coverage as original Medicare (with the exception of a MediGap policy), but also provide opportunities to purchase coverage for non-Medicare services like dental, vision, hearing, podiatry, and routine physical exams.

 

These seemingly small monthly premiums may not seem like much, but factor in all of the additional out-of-pocket expenses—the co-pays, uncovered medications, eye exams—over the long-term, and the cost of simply staying alive can utterly consume the savings of unprepared retirees. 

 

A healthy 60-year-old couple earning less than $170,000 per year can expect to incur over $685,000, just in Medicare costs, through age 90.  If that same couple happens to make $1 more than the allotted $170,000, they can expect to pay over $825,000 over those same 25 years.

 

With projections of this magnitude likely to affect almost our entire population, one question begs to be answered:

 

How can industry professionals, whose sole purpose is to help people plan for retirement, ignore the greatest expense of 97% of their clients?

5 Myths of Medicare

Myths of Medicare

1)      Myth; Medicare is free 

There is a misconception that Medicare is “free” once a person reaches the magical, worry-free age of 65. While Medicare is subsidized through payroll taxes (the rate is a total of 2.9%of total gross income paid by both employer & employee) there are still plenty of costs connected to the plan.  Unfortunately, not only do subscribers continue to pay as if they are working, they actually can expect to pay even more.

FactMedicare has several components; all have which have significant costs attached.  Even Part A, which is labeled as “free,” can have hidden fees, including deductibles, co-pays for service, and possible excess charges.

According to HVS Financial’s unique RetireMark Software—the only tool on the market that allows financial advisors to calculate their client’s health costs on an actuarial basis—an “average” 65-year-old couple retiring at age 65 & living to 90 should expect to incur about $650,000 in Medicare premiums alone.

A 55-year-old couple should expect to incur over $930,000 in costs for their healthcare premiums

 

2)      Myth; Medicare covers all of healthcare needs in retirement.

Fact – With original Medicare, little things like routine physicals in which diagnostic tests are run are NOT covered.

Fact – Medicare will only cover procedures that occur when the beneficiary is admitted as an inpatient to a hospital.  Because of this rule, services like routine dental, vision, hearing, exams, & podiatry are not covered at all; thus, a 65-year old couple can expect to incur over $310,000 in related costs over a 25-year retirement.

 

3)      Myth; Everybody pays the same.

Since the passing of the Affordable Care Act & the Modernization of Medicare Act, Parts B & D are now means-tested. 

Fact – For subscribers, this translates into the more you earn, the more you pay. 

The Medicare definition of income is the total of your adjusted gross income and tax-exempt interest income you may have.  These are the amounts on lines 37 and 8b of IRS from 1040. Some examples of income are wages, salaries, tips, taxable interest, certain dividends, business income, capital gains, and unemployment compensation, as well as annuities, Social Security payments and some pensions.”

Fact – Not only is what you pay affected by income, but also state of residency.  Where you live may increase your out-of-pocket expenses by as much as 30%! (Keep in mind that Medicare Part D & MediGap plans are sold by private insurance companies that can charge what they want; supply and demand are factors.)

To give you an example from HVS RetireMark software, a 65-year-old couple earning less than the Medicare average, residing in California, will incur $529,000 in costs to cover Medicare Parts B, D, and a MediGap policy.

If they move to Florida, the cost will be $551,000.

If they move to Hawaii, the cost will be $415,000.

 

4)      Myth; There is a choice when it comes to Medicare.

The only choice comes if you purchase a Medicare Advantage Plan. These are constructed and sold by private insurance companies and they must meet the guidelines of Medicare. (They are also subsidized by Medicare, too.)

Fact – with the passing of the Affordable Care Act (ObamaCare) it has been ruled that a person receiving Social Security Benefits MUST also enroll into Medicare when they become eligible.

 

5)      Myth; Currently there is no way to calculate what these healthcare costs will be.

FactHVS Financial has designed a unique yet practical software platform that assists financial professionals in projecting their clients’ health care costs in retirement.

HVS RetireMark software was designed by financial professionals who have lived through these expenses firsthand. The company has partnered with the country’s leading actuarial firm and a board of medical physicians to provide much-needed healthcare-cost information to the financial services industry.      

Health Care Costs in Retirement

Healthcare costs by definition is the expenses related to the delivery of services that include medical procedures, therapies, and medications.

It is a simple definition that covers one of the more complex issues Baby Boomers will face as they head into retirement, and one that has become even more complex due to recent legislation like the Affordable Care Act and the Medicare Modernization Act.

At the birth of Medicare in 1965, Lyndon Johnson’s Great Society Act was a way to simplify health coverage for retirees 65 and over. It provided hospital insurance under the Social Security Act, with a supplementary medical benefits program and an extension of medical assistance for the aged.

Unfortunately today, a modest plan intended to cover about 12 million beneficiaries has now amassed 47 million subscribers, with another 78 million on the way in the next twenty years. 

Aside from massive migration to the program, this once-simple and much-lauded subsidy now consists of an incalculable amount of complexities, including ever-evolving rules and regulations, coverage gaps, loopholes, benefit changes and out-of-pocket costs than ever before. 

In an attempt to present the program in a manageable form for consumers, here are today’s Medicare costs in the most simplistic of terms:

Part A – No premium for those who qualify, but there are some hidden costs like deductibles and co-pays for services (for more on Part A click here).

Part B – a $99.90 monthly premium for those earning under the average amount plus other deductibles, co-pays, and excess charges (for more on Part B click here).

Part D (Drug Coverage) – Premiums (also based on income), deductibles, co-pays & other charges based on the terms & conditions of the Insurance Company selling the plan (for more on Part D click here).

MediGap – This form of coverage takes care of the co-pays, deductibles, & excess charges of Parts A and B, but here are fairly high premiums. (for more on MediGap Plans click here).

Other Out of Pocket Expenses – Medicare does NOT cover dental, vision, hearing, podiatry, or routine exams/physicals. Medicare will only cover procedures after a beneficiary has been admitted as an inpatient to a hospital.

So what do these costs total?

 

Simple.

 

It all depends on the person, where they live, how much they earn, how long they live, their gender, and the age they start receiving benefits.

Confused?

Here is the range of what 65-year-old couple residing in Ohio can expect to pay in out-of-pocket expenses.  Changes in variables can have a tremendous impact on overall cost. 

Current Age

Age of Retirement

Life Expectancy

Health Status

ST

Medicare Parts A,B, D + MediGap

Supplemental Coverage

Income

Total

Both 65

Both 65

88/90

Good

OH

Yes

No

Under $170,000

$473,970

Both 65

Both 65

88/90

Good

OH

Yes

No

Over $170,000

$513,554

Both 55

Both 65

88/90

Good

OH

Yes

No

Under $170,000

$913,170

Both 65

Both 65

88/90

Good

FL

Yes

No

Under $170,000

$550,854

Both 65

Both 65

77/88

Diabetes -M

CV Disease-F

OH

Yes

No

Under $170,000

$306,214

Both 55

Both 65

77/88

Diabetes -M

CV Disease-F

OH

Yes

No

Under $170.000

$511,730

Both 55

Both 65

77/88

Diabetes -M

CV Disease-F

OH

Yes

Dental, Vision, Hearing

Under $170.000

$562,830

Both 55

Both 65

77/88

Diabetes -M

CV Disease-F

OH

Yes

Dental, Vision, Hearing +  1 Year in Nursing Home

Under $170.000

$788.047

 

As the chart indicates, each variable can have a tremendous impact on what retirees can be expected to pay.  This information is vital to any financial planner who is truly looking out for the long-term interest of his/her clients

To find out more on determining health care costs in retirement please click here for a free trial of HVS Financial’s RetireMark Health software  Invitation Code – APRSH73RW


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

Health Care Costs in Retirement – Why The “Cheese” Will Be Moved for the Financial Industry


If you do not change, you will become extinct


Words to live by from a book “Who Moved My Cheese” written by Spencer Johnson, MD, and if we draw a correlation to financial services industry, it is possible that a lot of financial professionals may be going the way of dinosaurs and VCRs .


In doubt?      Let’s take a look.


The job of a typical advisor is to examine a client’s finances and construct a sensible financial plan that will weather market turbulence and provide long-term stability.  A good advisor will meet regularly to re-balance portfolios based on market volatility and soothe client fears in times of calamity.  Hopefully, this approach will yield a steady flow of accumulation and distribution throughout retirement.


But what we are starting to see, especially in the current world economy, is that the traditional methods of doing business and “building plans” is going to lead to many people in the financial industry to extinction.


Why?


Because the typical clients between 46 and 64 earning somewhere in the low-to-high six figures are not simply planning for their own futures.  In fact, the Baby Boomers should consider re-naming themselves the                     Sandwich Generation.


This group not only has to prepare for retirement in an historically tenuous economy, but also simultaneously endure the burdens of assisting parents who are living longer while providing financial support for children who are having difficulty navigating through today’s unsteady job market.  This at a time when guaranteed pensions are almost obsolete and the cost of living—especially in terms of healthcare—is skyrocketing.


Let’s examine Mike, a typical client.  Mike is married, highly educated with a great job as Chief of Technology at a successful software company and an income sufficient to allow his wife to focus on taking care of the family. He also has 2 children who will soon be entering college.


Mike’s situation resembles the foundation of what was, at one time, a very attainable American Dream.


Everything seems fine for Mike, so much so that financial advisors would line up to take him on as their newest client—and why wouldn’t they?  From an advisor’s point of view, Mike needs extra savings in vehicles like mutual funds to keep ahead of inflation, 529 Plans for college (assuming he has not done so already), life insurance for both spouses, a properly balanced 401K, etc.  Mike’s needs can create a bevy of accounts—and commissions—for an advisor.


But the world…it is a changin’…

We forgot to add that both of Mike’s parents are in their late seventies and are slowly becoming unable to take care of themselves.  In fact, Mike’s mother was recently diagnosed with Alzheimer’s and was sent home with little hope for a cure—but a bill for $2,125.  Mike’s father has rheumatoid arthritis and the only medication that allows him to be functional, Enbrel, was recently taken off the Medicare D coverage list and now costs over $600 per month.  They subsist on the father’s small pension, Social Security, and some savings.


We also forgot to add that both of Mike’s children would like to attend private universities, and with Mike’s income, it is unlikely that either will receive much financial aid.  Of course, with the grim economy and the prospect for a turnaround seemingly light-years away, it is a pretty fair bet that one or both kids will be back home after graduation.


Feeling the squeeze?


So how can an advisor adapt to these changing times?  First, it will be important to realize that having multiple accounts scattered across the stratosphere is both confusing and time-consuming..  The concept of the traditional client having a checking/savings account at one bank, a mortgage at another, equity investments with multiple brokerage firms, and life insurance somewhere else while taking care of the parents’ accounts as well is too much to bear.  The successful and adaptable advisor will learn how to aggregate accounts by offering one-stop shopping that offers tracking of bill-paying and investments, as well as a long-term financial plan that covers the number one concern of Baby Boomers:  healthcare expenses.


Now what company can provide products for all of these needs? Right now – Fidelity.


Fidelity is, at this time, the only firm trying to tackle this issue at the client level by offering checking and saving accounts, funds, investments, insurance, and the one trump card that no one else the financial industry currently offers–healthcare expense planning—all under one roof. (Nationwide Press Release has actually just begun to address healthcare at the advisor level.)


Fidelity’s approach is going to revolutionize the financial planning industry, and those who don’t follow suit will be left behind.  Don’t believe that a paradigm shift of this magnitude can happen?


All we need to do is look at the Baby Boomers themselves.  This generation has changed the way games are played in all facets of American culture.


And now where is this generation headed?  To retirement, which will once again alter how the financial world does business… because there are 78 million Boomers out there, just like Mike.