The Stealth Retirement Killer

Barron's Retirement

By Elizabeth O'Brien | Sunday, January 18

Healthcare costs can be a retirement killer, and that's particularly true if you stop working before age 65. Medicare isn't free and has some coverage gaps, but it still provides comprehensive coverage for a fairly reasonable price. Retire before that, and you might pay through the nose for COBRA from your prior job, or for a plan on the Affordable Care Act marketplace.

ACA coverage has gotten a lot pricier this year, following the expiration of the enhanced premium subsidies that were put into place during the pandemic. In addition to making health insurance cheaper for nearly everyone, these extra subsidies removed the "cliff" that existed before, where people making more than 400% of the federal poverty level ($62,600 for a single person in 2026) weren't eligible for any government help paying their premiums.

Consumers hardest hit by the subsidy falloff are older adults who make more than the cutoff. It's possible Congress will reach an agreement to restore the enhanced subsidies, at least for a period of time. Even so, it's important to plan for healthcare costs before retiring.

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