‘I Can’t Retire – I Need Health Insurance’

Posted by Ronald J. Fichera Aug 19, 2022

Health insurance is seen as a huge hurdle for early retirees, but the answer to finding affordable coverage could be simpler than you think.

It is one of the most discussed reasons people refuse to retire before age 65. There are plenty of reasons someone may not retire, including a lack of income, the fear of running out of money, the loss of identity, boredom, no longer having a sense of purpose. Surprisingly one of the biggest ones we encounter is health insurance. As we age, the presence of health insurance becomes just as much a necessity as income. Some view it as a higher priority, allowing insurance to dictate if/when they can retire.

You can start collecting Social Security as young as age 62 or as late as age 70. However, you can't go on Medicare until age 65. The gap between age 62 and 65 forces a lot of pre-retirees to postpone retirement until they can go on Medicare to make sure they have adequate health insurance. But this may not have to be the case.

Enter Obamacare

On March 23, 2010, the Affordable Care Act (ACA) was enacted ensuring that all Americans were given the right to health insurance. This new law came with much criticism and confusion. At the time, a lot of the criticism of the ACA concerned the possibility of higher premiums, low levels of coverage, increase in taxes and limited enrollment.

Twelve years later, we have a much better understanding of the ACA and how it can benefit all of us, including those under the age of 65.When we mention the ACA as an option to those who want to retire by age 65, the first reaction typically is not a positive one. People  assume that the insurance coverage is terrible and expensive. That is untrue. The ACA has matured quite nicely since its inception and gives you control over how much coverage you want and need.

The website for my home state's program, https://www.dhs.pa.gov/Services/Assistance/Pages/ACA.aspx, provides Pennsylvania residents a comprehensive and easy to understand list of coverage options. The providers are listed so that you can make sure your doctor is in the networks. The plans are administered through companies you know, such as Horizon Blue Cross Blue Shield and AmeriHealth. The best part is you don't need a Ph.D. to comprehend the offerings. Shocking, I know.

Residents in other states can learn about their options at healthcare.gov or find information about their particular state's program by visiting www.healthcare.gov/marketplace-in-your-state/.

The Cost May Surprise You – in a Good Way

The cost of health insurance through the ACA, however, does cause real confusion. This is another big deterrent for retiring before 65 with no health care through your employer or your spouse's employer. The monthly cost to you, the enrollee, is based on your household income for the year you need coverage. Here is the good news: When you retire you may have little to no earned income.

The enrollment process is simple. If you are planning to retire, that is considered a “life event,” qualifying you to apply and enroll at the time of retirement.

Maybe Retirement Is in Your Reach Afterall

This is not an endorsement for the ACA but a way to provide options and clarity on a topic that can be uncomfortably confusing. It is bothersome to see people grind out their last few years of work to hit that magic number of 65. Had they known they had this option, maybe they would have enjoyed a few more years in retirement.

If you are considering retirement before age 65 but think you can't due to health insurance, we encourage you to investigate this option. The websites mentioned above are easy to navigate and understand. We have seen this method used as an effective tool to retire earlier than previously anticipated.We are not health insurance experts but have seen the health insurance marketplace mature nicely, and you could potentially benefit from it if you hope to retire early.

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Portions of this article were provided by T. Eric Reich, and the editors of Kiplinger Magazine, and brought to you by the Ronald J. Fichera Law  Firm, where our mission is to provide trusted, professional legal services and strategic advice to assist our clients in their personal and business matters. Our firm is committed to delivering efficient and cost-effective legal services focusing on communication, responsiveness, and attention to detail. For more information about our services, contact us today!

This is not tax advice and should not be construed as such.  Please seek professional tax services for more information and advice that will apply to your specific tax situation.