"I've seen people pay as much as $5,000
to $15,000 a month for their medical care in retirement," says Katherine
Dean, national director of wealth planning for Wells Fargo Private Bank.
According to the EBRI - Employee Benefit
Research Institute say a 65 year old couple would need $163,000 to pay for out
of pocket expenses for health care and this may not be enough with inflation
and definitely not long term care.
Start with two simple steps, Dean says.
"There needs to be a better acknowledgement that paying for health care in
retirement is a pretty major issue and something they need to incorporate as
part of their (financial) plan. The next step is to do an estimate as to what
these costs will be and incorporate it into the plan."
Kimberly Foss, founder of Empyrion Wealth
Management in Roseville, Calif., and author of the book Wealthy by Design.
"If you are 55 or 58
and you have significant health issues, you need to figure out what those costs
are now and apply them to retirement."
Medicare won't start till a person is 65 years
and even then 40% will be out of pocket expenses. She says 4 - 5% return has to
be saved for retirement and with health issues at least 5.5 -6%.
"Be proactive, and be prepared,"
Foss says. "Health care should be specified out and should be earmarked in
the portfolio because of the exorbitant amount it costs today."
People need think of long term care, "Do
you want to purchase long-term care insurance, or do you want to self
insure?" asks Dean. "That can be $50,000 to $100, 00 a year, with
most people needing that service for two to five years."
Foss says she doesn't necessarily recommend
long-term-care insurance for her clients in their 50s, but if they have it they
should keep it. One of her clients was just hit with a 70% increase in
premiums. But she does recommend that people think about and plan for long-term
"One of the essentials that many
consumers should be aware of is health savings accounts," says Natasha
Rankin, executive director of Employers Council on Flexible Compensation.
Fragasso says his firm makes sure all his clients have
adequate health insurance and guides them to providers if they don't. "We
also test their assets to see if one person has to be placed in custodial care,
and the other at home, whether their assets will support that. They still might
wish to buy that long-term care as estate preservation."
"What they can do beyond financial
planning is better healthy behavior," says Jean Setzfand, AARP vice
president. "There are so many things you can do in preventative care that
can reduce your lifetime costs." Also, she says, AARP is working on an
online calculator that will help people with those estimates. That should be
available later this year.
Hannah Punitha (IRDA Licence Number: 2710062)
Rodney Brooks, April 2013