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Focus on annual costs

Instead of looking at the big scary number, consider your annual costs for health insurance, prescriptions and other regularly occurring expenses.

For example, the standard 2022 premium for Medicare Part B — which covers physician services, outpatient hospital services, some home health services and medical equipment — is $170.10, with an annual deductible of $233.

The Part A deductible for the first 60 days of in-hospital care is $1,556. And there’s no premium for Part D drug coverage until your income is more than $91,000 ($182,000 for a couple), when the monthly payment is $12.40.

All together, that totals less than $4,000 a year, which seems much more manageable.

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Separate long-term and catastrophic care costs

As most people will find their health care costs increase as they age, some may want to consider an annuity to cover major expenses later in retirement, including annuities with long-term care benefits.

Other options include a reverse mortgage on your home, or life insurance policy to pay off medical bills, cover the care of a surviving spouse or as an asset to borrow against.

Disability or long-term care insurance is expensive, but can be a better option than paying more than $100,000 a year for a care facility. According to the American Association for Long-Term Care Insurance, in 2022 a 55-year-old couple would pay $5,025 per year for $165,000 in immediate benefits and $400,500 at age 85, with benefits increasing 3% per year.

Consider a Health Savings Account (HSA)

HSAs offer a tax deduction on contributions and withdrawals for qualifying healthcare expenses are tax-free.

If you’re working and your employer offers a qualifying high-deductible health plan, you can save $3,650 for a single person or $7,300 for a family, plus another $1,000 per person if you’re over 50.

To qualify, your plan must require a minimum deductible of $1,400 for a single person ($2,800 for a family) and maximum out-of-pocket amounts of $7,050 for singles ($2,800 for families).

If you’ve got income, you also can continue to contribute to a traditional Individual Retirement Account or Roth IRA.

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Stay healthy and busy

Paying attention to exercise, nutrition and getting regular check-ups for preventative care can keep typical age-related health issues manageable, instead of allowing them to become expensive full-blown health crises later.

Working longer is also a great strategy to reduce your health care costs. Staying on the job means retaining your employer’s health benefits, which allows your retirement savings to continue growing instead of paying medical premiums.

One approach is offering to transition from full-time to part-time work with your employer for the early years of your retirement. Plus, working longer means you can delay claiming Social Security, which can raise your monthly benefit amount for when you do claim your benefits later.


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Brian J. O’Connor Freelance Contributor

Brian J. O’Connor is an award-winning personal finance journalist featured in The New York Times, The Wall Street Journal, MarketWatch and other outlets. He was the financial editor and columnist for The Detroit News and founding managing editor of Bankrate and a Knight-Bagehot Fellow at Columbia University.


The content provided on Moneywise is information to help users become financially literate. It is neither tax nor legal advice, is not intended to be relied upon as a forecast, research or investment advice, and is not a recommendation, offer or solicitation to buy or sell any securities or to adopt any investment strategy. Tax, investment and all other decisions should be made, as appropriate, only with guidance from a qualified professional. We make no representation or warranty of any kind, either express or implied, with respect to the data provided, the timeliness thereof, the results to be obtained by the use thereof or any other matter.