A Couple Retiring This Year Will Need $280K for Health Care

This is up 2% from last year—and 75% from 2002, when Fidelity began estimating health care costs in retirement. 

A 65-year-old couple retiring this year will need $280,000 to cover health care and medical expenses throughout their retirement, according to Fidelity Investments. This is a 2% increase from 2017—and a 75% increase from Fidelity’s first estimate in 2002.

Fidelity says the cost breaks out to $133,000 for men and $147,000 for women, primarily because of their expected longer lifespans.

“Despite this year’s estimate remaining relatively flat, covering health care costs remains one of the most significant, yet unpredictable, aspects of retirement planning,” says Shams Talib, executive vice president and head of Fidelity Benefits Consulting. “It’s important for individuals to educate themselves and take steps while working to ensure they are prepared to address these costs. Otherwise, people risk having to dip into more of their savings than originally anticipated, potentially impacting their overall retirement lifestyle.”

Fidelity says the 2% increase is the smallest annual increase since 2014. Fidelity says that its estimate is based on a couple retiring at age 65. However, for those who retire earlier, the costs will be higher, Fidelity says.

A recent Fidelity poll of 1,000 people between the ages of 50 and 64 who had retired within the last three years found that 56% retired earlier than they had hoped. Thirty percent said they had retired earlier either due to their own health issues or those of their spouse or partner. Nearly all said they had some form of health insurance to cover expenses until they were eligible for Medicare, but 36% were paying $500 or more a month for this insurance.

When these early retirees were asked how they were paying for out-of-pocket premiums, co-pays and deductibles, 49% said they were using their personal savings. Twenty-four percent were relying on Social Security income, 15% retirement savings, and 14% health savings accounts (HSAs).

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Forty-six percent thought they would need less than $100,000 to cover health care expenses in retirement, and 33% said they had no idea how much this could cost.

Workers Want More Help with Retirement Planning

One-third of North American workers surveyed said their employer does not offer retirement education or coaching.

An Accenture survey of workers and retirees in the U.S. and Canada found that 82% would like more help with retirement planning, and 84% would like assistance with retirement coaching. Among Millennials, the figures are 88% and 86%, respectively.

Forty-nine percent of workers said their employer offers retirement education or coaching, 32% said they do not, and 20% said they were unsure. Seventy-seven percent of workers and retirees would like to be more knowledgeable about retirement options.

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The survey also found that confidence in retirement savings declines with age, with 77% of Millennials confident or extremely confident that they will have enough savings to retire at age 75. Only 65% of Gen Xers and 57% of Boomers said the same.

While 54% of workers and retirees would like to attend a webinar on retirement education, only 14% have done so. Fifty percent would like to use a mobile app to learn about retirement, but only 17% have done so, and 46% would like a digital retirement coach, but only 11% have used one.

Deciding factor when weighing job offers

The availability of a retirement plan is a deciding factor for people when weighing a job offer, the survey also found. Seventy-eight percent of people said that being offered a defined contribution (DC) or defined benefit (DB) plan is a critical factor when deciding whether to accept or turn down a job offer. Furthermore, 73% said they stayed with an employer due to these benefits.

Retirement plans are relevant even for younger workers; 82% of Millennials and 81% of Gen Xers said the availability of a retirement plan is a critical factor when deciding whether or not to take a job. By comparison, this is true for just 74% of Baby Boomers.

Seventy-seven percent of public sector employees said being offered a retirement plan convinced them to stay with an employer, whereas only 62% of workers in the private sector said the same. For workers in the public sector, 80% said a workplace retirement plan was a critical factor in making a decision whether to accept a job or not. This is true for only 74% of people in the private sector.

“The pension benefit may now be nearly as important to employees as their health care,” says Owen Davies, head of Accenture’s global pension practice. “While health benefits have been the benefit most valued by job seekers and employees in recent years, pensions appear to be closing the gap.”

Recommendations

Accenture recommends that employers consider the importance of retirement plans and education, particularly for job seekers and current employees.

Because 20% of survey respondents didn’t know whether their employer offered retirement planning or coaching, Accenture recommends that employers highlight these benefits.

And while the use of digital channels is still low, Accenture expects that it will rise and that employers should make information available on the web, on mobile applications and through robo advisers.

“We see growing opportunities for employers to address unmet demands for digital channels and strong appetites among employees for more information and support regarding pensions and retirement planning,” Davies says. “How pension benefits are shaped and how they are communicated to employees is very important to an organization’s effectiveness, stability and outlook.”

Accenture’s findings are based on a survey of 2,750 U.S. and Canadian workers and retirees fielded last November.

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