Step 4: Putting Together a Health Plan

Planning for healthcare in retirement is a tricky business. Some hardcore smokers live past 100, while some hardcore exercise and fitness gurus drop dead in their sixties. You just don’t know – which is why you need a plan.

Medicare

Once you turn 65, Medicare is available to most Americans. The problem is deciding what type of Medicare plan to purchase. Here is an overview:

Medicare Part A – This plan covers hospital stays, skilled nursing, hospice and some home health services. It is free for eligible beneficiaries but caps some benefit coverage and requires a deductible for each inpatient hospital stay. When a hospital stay is longer than 60 days, you’re required to pay a per-day rate – and that can add up.

Medicare Part B – This plan does charge a premium, and you have to buy it in concert with Part A. Part B covers doctor visits, preventive care, screenings, treatments, and medical equipment. It does not cover dental, vision, or hearing care and only pays for procedures deemed medically necessary. This plan also features a much lower deductible than Part A, but beneficiaries are responsible for 20 percent of covered services after the deductible.

Collectively, Parts A and B are what’s known as Original Medicare.

Medicare Part C – This plan is more commonly known as Medicare Advantage (MA). It is a paid alternative that combines coverage from Part A and B, plus offers add-on options for drug coverage, dental, vision, long-term care, etc. Plans vary significantly by insurer and may include any combination of deductibles, copayments, and coinsurance.

Medicare Part D – This plan offers coverage for prescription drugs. It charges a premium determined by your income, and deductibles, copayments, and coinsurance vary by plan. You have the option to purchase a standalone Part D plan when you enroll in Original Medicare.

Medigap – Also known as a Medicare Supplement Plan, this policy is a good idea whether you go for Original Medicare or an MA plan. That’s because it offers coverage for a lot of the gaps in those plans that generate high out-of-pocket expenses, including deductibles and coinsurance.

Long-Term Care

Among Americans who live past age 64, more than two out of three (70 percent) will at some point need long-term care. Whether you hire paid caregivers or move into a long-term care (LTC) residence, the cost of services currently averages between $60,000 and $100,000 a year in the United States. One of the biggest determinants of cost depends on whether you can get by with limited hours of help a day or need full 24-hour care. Note that for those with mobility issues (i.e., they cannot get to and from the toilet by themselves), 24-hour care is more likely.

Long-term care insurance (LTCi) can help you pay for this type of care so that you don’t deplete your savings quickly. This is especially important for couples, in which one spouse may need to enter an LTC residence while the other lives at home, with all the expenses that it entails.

The best time to buy LTC insurance is while you’re still healthy, as it is medically underwritten. The “sweet spot” is around age 55, but anytime in your mid-50s to early 60s is ideal. In most cases, policies are more expensive for women than men because women tend to live longer.

Caveats to Consider

• Policies typically pay out a limited daily amount, which may not cover the full cost.
• Policies typically pay out only for a limited period (e.g., 3 to 7 years)
• A policy may have a lifetime amount cap

All this is to say that you may purchase a generous LTCi policy, but if you outlive its limits, you will need to use your own money to pay for caregiving and/or rely on Medicaid when you run out of funds.

Hybrid Insurance

The biggest risk to purchasing an LTC policy is that you may never need it. Some policies offer a form of premium return, but like most insurance policies, LTCi generally uses it or loses it. To avoid this scenario, another option is to purchase a life + LTC insurance plan – also known as a hybrid policy. It provides a certain amount of life insurance upon death. However, if you need long-term care before you pass away, the policy will allow you to tap that death benefit amount to pay for it. This allows you to use the coverage either for LTC or as a life insurance payout for your beneficiaries.

Plan For These Expenses Now

While everyone is usually thinking about how to pay for household expenses, travel excursions, or a second home in retirement – they often don’t think about a health plan. As you can see, Medicare doesn’t cover everything and those expenses can add up, especially for people who live a long time.

But if you start planning long before retirement, you can contribute to an earmarked account that builds over time and uses that money to pay for medical expenses. The Health Savings Account (HSA) requires enrollment in a high-deductible health plan, whether offered by an employer or purchased on your own. Contributions made to an HSA are tax-free (which reduces taxable income), and the funds can be invested for tax-free growth in a variety of investment options. Withdrawals are also tax-free as long as they are used to pay for eligible healthcare products and services.

Note that HSA proceeds are your money, no matter what. It differs from employer-sponsored accounts such as an HRA (health reimbursement account) or an FSA (flexible savings account) because you have only a limited time to use those funds – then they revert back to the employer. In other words, you can’t access that money once you retire.

Step 3: Develop a Financial Plan

We all have a different vision for our golden years – and we are also on individual financial tracks to meet our financial goals for retirement. But if you’re not where you think you should be by age 50, consider ways to step up your efforts. Some ideas frequently recommended by financial planners include the following:

Reduce Your Expenses

You could give up some streaming services and your Friday night out with friends, but those are not likely to be impactful moves. Besides, let’s face it, those will be important entertainment and social outlets once you are in retirement, so you might not want to give them up now. A better move would be to reduce big-ticket expenses. These include your home (mortgage payments, insurance, taxes, maintenance), your car/s (payments, insurance, taxes, maintenance), tuition payments, and expensive vacations.

If it helps, break down these expenses into purposes to put them in perspective. A home provides shelter. A car gets you from point A to point B. Tuition is to educate your children and set them on a course for a meaningful life. Vacations enhance your daily life, expose you to new places, and help you bond with loved ones. Now ask yourself this: Can you achieve those four functions with a less expensive home, car, college, or vacation destination? It would be tough to say no.

Once you’ve identified these savings opportunities for a more financially secure retirement, it’s up to you to decide what to do about them. And remember, if you are considering relocation at any point – even in retirement – it is better to move sooner than later. This gives you more time to assimilate to new surroundings and make good connections (family, friends, doctors, social activities) to accompany you throughout retirement.

Invest Smartly

It’s a good idea to work with an experienced retirement financial planner who will take the time to understand your needs and objectives and make appropriate recommendations. Tip: To be assured of objective advice, consider hiring an advisor who charges by the hour rather than one who earns income via sales commissions.

Bear in mind that investing smartly can include a lot of different strategies. It could mean diversifying a current stock-dominant portfolio to include more bonds and cash – but adding a few well-researched, aggressive stocks for high-growth potential. It could mean moving a portfolio laden with high expenses to less expensive options, such as exchange-traded funds. At some point, your advisor will likely recommend transitioning your portfolio to more conservative holdings for the duration of your retirement.

And of course, use this time before retirement to max out your retirement plan contributions: In 2024, up to $23,000 + $7,500 catch-up (age 50 and older) for employer plans; up to $7,000 for a traditional and/or Roth IRA (combined total) + $1,000 catch-up.

Consolidate Your Accounts

Plan to have your accounts consolidated by the time you retire. It will be a lot easier for you (and eventually, your power of attorney and estate executor) to manage your finances if they are all in one or two places, such as a bank and/or an investment portfolio custodian.

Auto Pilot

Note that many retirement planners recommend you put your financial life on autopilot at some point in your 70s based on neurological studies that show decreased cognitive functioning as we age. But honestly, there is no reason why you shouldn’t start earlier.

Thanks to today’s technology, our financial lives are made easier no matter what age we are. We can program our bills to be paid automatically each month. We can balance our checkbook and check our credit card, savings, and investment balances online. We can have money sent to us (free of charge) via direct deposit, Venmo, and Zelle. We can schedule automatic investments, conduct buy and sell trades online, and have distributions transferred directly into our accounts.

All the methods of putting finances on autopilot that will benefit you in retirement will also benefit you right now. So, if you’re not using them yet, learn them and stay up-to-date with new technology so it won’t be intimidating as you get older. And as always, find a retirement planner who you trust to guide you in this process.

Step 2: Clarify Goals

You’re never too young to start a bucket list. That’s because some things (such as bungee jumping) you probably want to knock out in your twenties. Women may want to have children before their forties – that sort of thing. A bucket list is comprised of all the things you want to do before you “kick the bucket.” It should be a running list that you add to and check off throughout your lifetime.

If you haven’t started a bucket list yet, a good time to do this is during your pre-retirement planning. It might be better to complete some items, such as expensive travel or home renovations, while you’re still working. That way, you can pay for them with your current income rather than take on debt or withdraw excess funds during retirement.

Another reason to develop your bucket list with your pre-retirement plan is to give life after work a greater purpose. Many people don’t think past the joy of simply not having to get up every morning and go to work. For some, the appeal of retirement is to no longer have to deal with exhausting corporate politics. However, if these are the only reasons you’re looking forward to retirement, they will not likely be as fulfilling a couple of years into it.

In fact, many retirees find they miss both the structure of the workday as well as the responsibilities and intellectual stimulation of a job. If you don’t establish additional and specific goals for your retirement years, you may end up bored, watching television most of the day, short on social stimulation, and wondering where the years went.

Some common goals set by retirees include:

• Volunteering
• Home renovation/redecoration
• Gardening
• Reading/book club
• Babysitting/spending time with grandchildren
• Traveling
• Writing a book/memoir
• Learning another language
• Painting/arts & crafts
• Learning to play an instrument
• Carpentry
• Regular socializing with friends/game night
• Culture (theatre, symphony)
• Regular exercise routine
• Mentoring
• Taking classes

Aim For Local

Not everyone wants to see springtime in Paris, so recognize that your bucket list is unique to you. If you’re running low on bucket list items, think locally and personally. For example, there might be places nearby you haven’t visited in years (or ever), such as a museum, art gallery, zoo, symphony, or opera. Even if you do attend regularly, consider taking your grandchildren with you during retirement to expose them to your passions and develop memories they will hold onto for life.

As you develop your bucket list, think about how activities could achieve additional goals, such as fitness and socialization. Some of the risks of growing older are increased health problems and potential isolation – particularly if you lose a partner or outlive your friends. Constantly expand your social network to include younger folks, particularly neighbors. Helping them out with occasional babysitting or taking care of pets while they are out of town help “pay it forward” for those elder years when you could use a bit of help yourself.

Achieving a successful retirement is all about good planning and preparation. You want to have money to enjoy your life, good health to keep staying active, and friends and loved ones to spend time with. These are the core elements that contribute to a long life, so start planning today by developing goals and seeing them through.

Step 1: Develop a Budget

Once you are truly good and retired – no phase-out, no gig jobs, no income-earning hobbies – most people end up living on a “fixed income.” While that income may fluctuate somewhat based on cost-of-living increases and investment gains, those increases may be few and far between. What you really need to work on before you retire is a “fixed budget.”

A fixed budget is a line-item record of your living expenses, from housing and insurance to food and utilities to transportation and healthcare. Bear in mind that those are not exactly “fixed expenses” either. Seasonal changes and inflation can swell prices on household goods and insurance rates, while higher interest rates impact auto purchases and credit card debt. These are all factors a pre-retiree needs to consider when developing a post-retirement budget.

Retirement Income

However, the first step in developing a budget isn’t to add up your expenses, it’s to figure out how much money your retirement income sources will provide. Many folks pull from three basic sources of retirement income: Social Security, a pension, and personal savings – comprised of savings accounts, employer-sponsored retirement plans, and an investment portfolio. Bear in mind that with a few exceptions (e.g., savings accounts, Roth IRA), you’ll need to factor in paying taxes on distributions from these accounts during retirement. Add up how much post-tax income you will likely receive each month/year in retirement.

Retirement Budget

Depending on your retirement goals, you may need less or even more income than you earned while still working. One way to break down anticipated retirement expenses is to categorize them as essential (e.g., food, housing, transportation) and discretionary expenses (e.g., travel, entertainment). Calculate a monthly total with considerations for other outlying expenses, like paying for auto or home insurance and property taxes once a year to take advantage of discount savings.

Also factor in periodic expenses for home and auto maintenance. In addition to your monthly budget, consider how much you should retain in a liquid savings account for emergencies, such as the deductible for a major auto repair to replace the roof on your home or the occasional big-ticket appliance.

Reconcile Income with Expenses

Next, compare the total of your income sources with your total budgetary needs. Bear in mind that if your income comes up short, you have a few options. You can create a plan to reduce your essential expenses, perhaps by selling your home and moving into a smaller, cheaper-to-maintain home. You may want to take another look at your discretionary expenses and decide to cut out country club fees or travel abroad. It is possible to enjoy retirement while playing golf or tennis at public facilities and vacationing at the extraordinary locations that America has to offer.

One retirement strategy is to ensure that all of your essential living expenses in retirement will be covered by guaranteed income sources, such as Social Security, an employer pension, and an annuity. For discretionary expenses, plan to pay for them via an allocation of your retirement assets to other investments that are not guaranteed, but offer growth potential. In fact, you may be more inclined to invest these other retirement assets more aggressively when confident that your essentials are covered through guaranteed income sources.

Income Strategies

One of the more common ways retirees draw income is to simply spend down their assets. This basically means withdrawing however much you need each month above and beyond what you receive in Social Security and pension benefits. Bear in mind that if the amount you withdraw each year is too high, you risk running out of money in the later stages of retirement.

Some investors cap how much they withdraw each year at about 3 percent to 5 percent and adjust their budget to meet this limit. In doing so, they can ensure the rest of their investment portfolio has the opportunity to continue growing. To keep up with annual increases in the cost of living, you may want to allocate an equity component in your portfolio to allow for income growth opportunities throughout retirement. However, be aware that stocks can have down years, so that 3 percent to 5 percent distribution might deliver less income when the market is volatile.

You also may consider ways to increase your retirement income. Developing a retirement plan a decade or so before you actually retire will give you time to max out your annual retirement account contributions and perhaps even create some form of passive income to help supplement retirement expenses. Many pre-retirees plan ahead by creating passive income sources, such as rental property or royalty payments on writing, music, or a patent on intellectual property.

The Social Security Caveat

Currently, the trust fund that supplements Social Security benefits is projected to fund 100 percent of total scheduled benefits until 2033. Thereafter, the fund will be able to supplement only 79 percent of scheduled benefits. The upcoming election is important for a lot of reasons, but what is currently under the radar is the need to reform how benefits are funded. The options include reducing benefits, increasing the retirement age, allowing people to invest their account funds privately, and increasing or removing the Social Security tax cap on individual wages ($168,600 in 2024).

Because the direction of Social Security reform is unknown, pre-retirees need to work harder to create their own income sources. While the federal government has the authority to make changes to shore up Social Security solvency, individuals, by contrast, have less flexibility to plug holes in their retirement income plans.