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How to figure out health care expenses in retirement?

That's good. And if you have no income then the other 2/3's of your retirement savings will be taxed at a low rate when withdrawing funds

Our financial planner told us he wants the Roth $ because it better allows him to optimize withdrawals each year to minimize the tax implications. So it would be some taxable and some non-taxable withdrawals each year in whatever combo would pay the least income tax.
 
I tried to read everything. Somethings to clarify.

You can receive Part A “for free”without signing up for Part B as long as you’ve worked 40 quarters and are over 65. My husband did this as he was older than me and my job insured us both until he was 75.

Medigaps is the correct term (not supplements) as they are designed to fill the 20% Medicare copay gap. Medigaps don’t offer bells and whistles such as dental, vision, etc. and normally don’t include drugs. Drugs have a separate plan under Part D. They may include overseas travel coverage, no doctor referrals and no network restrictions.

Medicare Advantage plans (Part C) are now used by 54% of eligible seniors. They come with bells and whistles and usually include drugs. They have a network of doctors and often require prior approvals and referrals.

Personally I am near end of my first year with an advantage plan and it has been great. I even broke my wrist while on vacation and out of network. The plan covered everything.
 
Ok I just extrapolated it all out. If I retire 1 day after I turn 62 years old, just about 1/3 of our retirement savings will be in accounts that are not taxed upon withdrawal: Roth IRAs or HSAs. That's a higher % than I thought.

Be aware you cannot contribute to a Health Savings Account (HSA) once you are enrolled in Medicare, but you can continue to use existing HSA funds to pay for qualified medical expenses, including Medicare premiums and out-of-pocket costs. To avoid IRS 6% penalties, stop your HSA contributions as soon as you enroll in any part of Medicare, such as Part A, Part B, Part C, or Part D.
 
Be aware you cannot contribute to a Health Savings Account (HSA) once you are enrolled in Medicare, but you can continue to use existing HSA funds to pay for qualified medical expenses, including Medicare premiums and out-of-pocket costs. To avoid IRS 6% penalties, stop your HSA contributions as soon as you enroll in any part of Medicare, such as Part A, Part B, Part C, or Part D.
For the general audience:
Medicare Part A is backdated up to 6 months from the month you SUBMIT the enrollment for Medicare and/or Social Security benefits, but Part A won’t start any earlier than your 65th birthday month (or one month sooner if you have a 1st of the month birthday).​

If you work past your 65th birthday, they will backdate your start date of Medicare Part A up to 6 months prior to:
  • Applying for Social Security
OR
  • Applying for Medicare
 
Our financial planner told us he wants the Roth $ because it better allows him to optimize withdrawals each year to minimize the tax implications. So it would be some taxable and some non-taxable withdrawals each year in whatever combo would pay the least income tax.
Good strategy.
 
I tried to read everything. Somethings to clarify.

You can receive Part A “for free”without signing up for Part B as long as you’ve worked 40 quarters and are over 65. My husband did this as he was older than me and my job insured us both until he was 75.

Medigaps is the correct term (not supplements) as they are designed to fill the 20% Medicare copay gap.
Medigaps don’t offer bells and whistles such as dental, vision, etc. and normally don’t include drugs. Drugs have a separate plan under Part D. They may include overseas travel coverage, no doctor referrals and no network restrictions.

Medicare Advantage plans (Part C) are now used by 54% of eligible seniors. They come with bells and whistles and usually include drugs. They have a network of doctors and often require prior approvals and referrals.

Personally I am near end of my first year with an advantage plan and it has been great. I even broke my wrist while on vacation and out of network. The plan covered everything.
Medigap and Medicare Supplement are two names for the same type of private insurance policy that helps pay for out-of-pocket costs not covered by Original Medicare, such as copayments, coinsurance, and deductibles.
 
Medigap and Medicare Supplement are two names for the same type of private insurance policy that helps pay for out-of-pocket costs not covered by Original Medicare, such as copayments, coinsurance, and deductibles.
They are also known as:
  • Medicare Part F (only available if you became eligible before January 1, 2020)
  • Medicare Part G (pays all except initial deductible)
  • Medicare Part N (pays all except initial deductible, excess charges and some co payments)
 
Maybe it depends on where you find the plans listed. Under AARP United Healthcare they are just called Plan G, Plan N, Plan F.
 
Maybe it depends on where you find the plans listed. Under AARP United Healthcare they are just called Plan G, Plan N, Plan F.
You are correct, my mistake, not Part but Plan
 
Be aware you cannot contribute to a Health Savings Account (HSA) once you are enrolled in Medicare, but you can continue to use existing HSA funds to pay for qualified medical expenses, including Medicare premiums and out-of-pocket costs. To avoid IRS 6% penalties, stop your HSA contributions as soon as you enroll in any part of Medicare, such as Part A, Part B, Part C, or Part D.

Once I retire (which will be before I am eligible for Medicare) I will be unlikely to contribute to an HSA since I won't have any income except for SS. So my sense is that the days of contributing to an HSA will be over 3 years before I enroll in Medicare and this will be a non-issue for me.
 
Yes I know. I just used those as an example.
Yes, I was trying to actual reply to Dr Q in regards to that and mistakenly replied to you.
 
If you buy a Medigap as soon as you’re eligible, be careful if you decide to switch to a Medicare Advantage plan.

If you later decide to get back on a Medigap, they may require medical underwriting. Switching MA plans is easier.
 
If you buy a Medigap as soon as you’re eligible, be careful if you decide to switch to a Medicare Advantage plan.

If you later decide to get back on a Medigap, they may require medical underwriting. Switching MA plans is easier.
Read recently (I'll try to find the article) that more and more seniors are switching from Medicare Advantage to Medicare Supplements. Or aren't even going with MA in the first place.
 
If you buy a Medigap as soon as you’re eligible, be careful if you decide to switch to a Medicare Advantage plan.

If you later decide to get back on a Medigap, they may require medical underwriting. Switching MA plans is easier.
This is where working with an insurance broker can be a tremendous help. When Cliff was diagnosed with bladder cancer we switched from an advantage plan to a PPO for him. When we moved, the teaching hospital where he was to become a participant in a medical trial wouldn’t/couldn’t work with the PPO. Hospital gave me the names of two brokers, first one who returned my call knew that Blue Shield had a moratorium on their supplement program and were accepting new clients without underwriting. She signed Cliff up there, and then a few months later switched him to an Anthem supplement that cost about $100 less per month. (Don’t know if it is a California law that allows you to switch supplements once you have a plan, or nationwide).
 
(Don’t know if it is a California law that allows you to switch supplements once you have a plan, or nationwide).
California and several other states have the "Birthday rule" for Medicare supplements (Medigap) where you can switch between Medicare supplements without underwriting around your Birthday each year. Here are the states an AI summary returns: California, Idaho, Illinois (with age restrictions), Kentucky, Louisiana, Maryland, Nevada, Oklahoma, Oregon, Utah, and Virginia.
 
Being retired military I’ve never had to worry about it, thankfully. What Medicare doesn’t cover, Tricare for Life does.
 
Being retired military I’ve never had to worry about it, thankfully. What Medicare doesn’t cover, Tricare for Life does.


Right, but those on Medicare with a good supplement/advantage plan also don't worry (too much)
But those under 65 looking at health insurance options probably do worry about it
 
Right, but those on Medicare with a good supplement/advantage plan also don't worry (too much)
But those under 65 looking at health insurance options probably do worry about it
That was a major factor in my continuing to seek employment when I was RIF'd at age 62. I had enough stashed away for retirement (according to our FA), but covering healthcare was my main concern. I had planned on working contracts until I hit 65, but it turned into a permanent gig.
 
Right, but those on Medicare with a good supplement/advantage plan also don't worry (too much)
But those under 65 looking at health insurance options probably do worry about it
It’s a shame we can never get our politicians to get together and work on something so near and dear to many voters!
 
That was a major factor in my continuing to seek employment when I was RIF'd at age 62. I had enough stashed away for retirement (according to our FA), but covering healthcare was my main concern. I had planned on working contracts until I hit 65, but it turned into a permanent gig.
@DrQ , this is the biggest reason I am still working both my accountant and the fee based FA my company provides me for Free, have stated it behoves me to work to 65 since my company has such a generous and rich benefit medical insurance package. My company also just started late last year a Mega Backdoor Roth thru our 401K, so I really would like to have at least 3 years of contributing the max to that each year.
 
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Well, I just looked up my Medicare Part D coverage estimate for Wellcare Value Script (PDP) in 2026 and the estimated yearly cost has decreased from $2K to $915.

This was by far and away better than any other plan with my medications.
 
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