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Costs Soar for Health Care in Retirement, per Fidelity Report
The Retiree Health Care Cost Estimate reveals that with health expenses for retirees up 5% since 2023, selecting better Medicare options could help many Americans.
In its 23rd annual Retiree Health Care Cost Estimate, Fidelity Investments revealed that a 65-year-old retiring this year can expect to spend an average of $165,000 in health care and medical expenses throughout retirement.
This estimate is up nearly 5% from 2023 and has more than doubled from the company’s first estimate in 2002. It also assumes that an individual is enrolled in traditional Medicare—both Part A and Part B—which covers most hospital care and doctor visits, and Part D–which covers prescription drugs.
However, Medicare premiums, over-the-counter medications, dental and vision care and all other costs that Medicare does not typically cover are left to retirees to manage on their own, Fidelity noted.
Retirees can add Medigap Plan G as a supplement to Medicare, which is extra insurance that helps pay for out-of-pocket costs, as well as Part D for prescription medication coverage.
In Milliman’s recent Retiree Health Cost Index, it projected that a 65-year-old man retiring in 2024 with Medicare plus Medigap and Part D would spend approximately $281,000 on health care expenses throughout retirement, and a woman with the same coverage would spend $320,000.
Fidelity did not specify gender cost differences in its estimate.
Despite this upward trend in health care costs, Fidelity found that there continues to be a disconnect for many Americans between actual projected costs and how much they believe they will spend on health expenses in retirement. For example, recent Fidelity research revealed that the average American estimated spending about $75,000 on health expenses in retirement—less than half of Fidelity’s calculation.
With more Americans living longer and health care inflation continuing to outpace regular inflation, Fidelity argued for the importance of workers planning for rising health care costs, such as by establishing a health savings account.
New data from the Bank of America Institute’s Participant Pulse survey found that the average balance in an HSA was $4,930 in the second quarter of this year, up from $4,380 at the end of 2023. In addition, 37% of account holders contributed more than they withdrew so far this year.
The Bank of America Institute also found that 73% of HSA contributions were spent on health care expenses, and 27% were saved. In the second quarter, on average, employees who are part of Generation X contributed the most to their HSA ($1,117), while Millennial employees saved the largest share of their HSA contributions (36%).
When it comes to actually selecting Medicare coverage, however, many Americans approaching retirement age struggle with which plan in which to enroll.
According to Fidelity, 55% of workers in a recent study conducted by Big Village said it will be difficult to enroll in Medicare coverage, and half expect to feel overwhelmed or confused when selecting their plan. Additionally, while nearly two-thirds of older Americans said they plan to review their Medicare options annually, Americans ages 75 and older are the least likely to review their coverage each year, despite shifting health conditions.