Oct 14, 2025
It’s no coincidence that so many people wait until 65 to retire. That’s when Medicare kicks in. Having health coverage at that point can help keep your retirement savings intact — because paying for medical care on your own can drain your funds fast.
There are a number of common healthcare expenses Medicare won’t cover. It’s important to know what they are so you can take steps to prepare; namely, by boosting contributions to your health savings account (HSA) or other savings so you have the funds to pay for them.
1. Routine dental care
Many older Americans are surprised to learn that Medicare won’t pay for routine dental care.
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How much these services cost can vary a lot depending on your oral health, where you live and the provider you go to.
The average cost of a dental cleaning without insurance is $75 to $200. If you have a cavity and need a filling, you can expect to pay between $50 and $150 to restore one or two teeth with dental amalgam. It’s between $90 and $250 to restore one to two teeth using composite resin or glass ionomer material.
Of course, if you require a more involved procedure, the costs will be even higher. The average cost of a root canal is $1,165. The cost of dentures runs anywhere from $350 to $12,450, depending on the type needed.
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2. Vision exams and care
Medicare doesn’t cover vision care, and that can get pricey. A routine eye exam costs about $136 on average without insurance, according to Vision Center. (1) But you can save by going to a retail chain — Walmart Vision Centers start at $75, and Sam’s Club exams start as low as $45.
If you need a new pair of glasses, that could cost you a bundle, too. Readers.com puts the average cost of prescription eyeglasses without insurance at around $350. (2) Costs can vary significantly depending on the frames you choose and the type of lenses you need.
3. Long-term care
Eventually, you may need some form of long-term care — whether that’s a home health aide to help with daily tasks, an assisted living community, or even a nursing home. Medicare won’t cover these costs because they aren’t considered medical services.
If you have to pay for long-term care needs on your own, these are the yearly costs you may be looking at, according to CareScout: (3)
- $77,796 for a home health aide
- $70,800 for an assisted living community
- $111,324 for a shared nursing home room
- $127,750 for a private nursing home room
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Your HSA can come to the rescue
Since Medicare won’t pay for all of your future healthcare needs, it’s a good idea to contribute to an HSA during your working years and reserve that money for retirement. HSA funds never expire, and any money you contribute and don’t use right away can be invested for tax-free growth.
Fidelity puts the average cost of healthcare in retirement for a 65-year-old ending their career today at $172,500. (4) This figure accounts for Medicare premiums and out-of-pocket costs as well as expenses Medicare doesn't cover. However, it does not factor in dental services and long-term care.
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It could be a good idea to max out your HSA contributions if you can afford to. In 2025, that means contributing up to $4,300 for individual coverage or $8,550 for family coverage. If you’re 55 or older, you can add $1,000 to whichever limit applies to you. Note that HSA limits change from year to year.
This assumes, of course, that your health insurance plan is compatible with an HSA. To qualify this year, you need a minimum $1,650 deductible for individual coverage or $3,300 for family coverage. You also need an out-of-pocket maximum no bigger than $8,300 with individual coverage or $16,600 for family coverage. Like HSA limits, the rules for deductibles and out-of-pocket maximums change annually.
If you’re not eligible for an HSA now but switch health plans in 2026, you may be eligible in the new year. Otherwise, you can increase your IRA or 401(k) plan contributions to account for not just general retirement expenses, but healthcare needs as well.
If you’re still years from retirement, figuring out what your future healthcare costs will look like can be tough. Your current spending isn’t a great guide — your employer may be covering a big chunk of your bills now, and your health needs could be very different once you’re older.
That's why maxing out an HSA is a good idea if you can afford to do so. There's really no risk, because once you turn 65, you can take non-medical HSA withdrawals with no penalty.
Before you turn 65, taking money out of your HSA for anything other than medical expenses comes with a nasty 20% penalty. But after 65, things get a lot more flexible. Non-medical withdrawals are taxed just like a traditional IRA or 401(k), but there’s no extra penalty. If you can max out your HSA each year and save it for retirement, it can become a powerful tool to help pay for all kinds of expenses down the road.
Article sources
We rely only on vetted sources and credible third-party reporting. For details, see our editorial ethics and guidelines.
Vision Center (1); Readers.com (2); CareScout (3); Fidelity (4)
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Maurie Backman has been writing professionally for well over a decade. Since becoming a full-time writer, she's produced thousands of articles on topics ranging from Social Security to investing to real estate.
