03/04/2026
Health care is one of the most talked-about expenses in retirement.
Fidelity Investments released their annual health care cost estimate last summer and projects that the average 65 year old retiree will have ~$173,000 in health care expenses during their retirement.
Of course, these expenses don't need to be paid for with a lump-sum at retirement. Rather, they quickly add up over time from things like Medicare premiums, prescription drugs, and other out-of-pocket medical care.
If you're nearing retirement, you'll want to include these expenses within your annual retirement spending plan to make sure your income sources and investments can comfortably support them year after year.
Keep in mind, there are other factors that can increase your medical costs over time:
• Retiring before Medicare at age 65
• Higher income that triggers Medicare IRMAA surcharges
• Chronic health conditions or higher prescription costs
• The potential need for long-term care later in life
Long-term care is a big unknown for most. Medicare generally doesn’t cover extended care needs, and services like in-home care, assisted living, or nursing facilities can be very expensive.
That’s why it’s super important to think about how these things fit into your overall retirement plan, not just your medical premiums. These are all things that can be planned for both before & during retirement.