As we all are painfully aware, the costs and complexity of healthcare are skyrocketing, and nothing seems to be slowing things down. Granted, it seems like the present administration is making overtures to give the appropriate attention to the problem, but… as we all know, paths to places we don’t want to go are paved with good intentions. At this point I would not hold my breath for the next great proposal on healthcare costs, there are far too many other fires for this administration to fight in the meantime.
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Recent information from Fidelity suggests that a 65-year-old couple who retired in 2008 can expect lifetime healthcare costs to top $225,000 over their remaining lifetimes. And that doesn’t include long-term care (nursing home or assisted-living) costs.
Four Things to Consider About Healthcare in Retirement
- It’s not solely Medicare. If you haven’t checked into it yet, and you thought Medicare would be your only insurance in retirement, you’re in for a surprise: with the co-payments, “holes” in coverage, and coinsurance payments, it’s almost a requirement that you have a supplemental healthcare policy to help out – and it ain’t cheap. Industry averages for a couple, aged 65, in good health start around $7,000 per year, and go up from there.
- Retiring early increases the costs. If you’re planning to retire early (and therefore lose employer-provided health coverage) you’ve got to replace it somehow. These policies are even more expensive than the Medicare supplement policies discussed above – and much more variable due to the complexities of coverage. This portion of your early retirement deserves (requires!) quite a bit of planning ahead, as healthcare costs could be a significant portion of your monthly expenses in retirement.
- It doesn’t help to wait. Are you just starting out to consider your options and are close to retirement? If so, you’re quite a bit behind the curve – there are several things that could be done in the five to ten years prior to retirement that might help you with the costs. For example, if you’re a little overweight, or a smoker, rectifying these things five or ten years before retirement can have a significant impact on your costs.
- Knowledge is helpful. Health insurers use a special report, called a Medical Information Bureau (MIB) report to help determine your eligibility for coverage. Think of it like a credit report on your health. You can order your own MIB report, in order to look things over to see if there are any red flags (much the same as reviewing your credit report). If you have a denial of coverage on your report or any issues that could adversely impact your ability to get coverage, it’s best to know that up front and work with an agent or broker who specializes in your issues.
Although these things may seem like a lot of work, they’re excellent considerations to take into account as you plan for your healthcare in retirement. And – most financial planners these days, myself included, can help you work through the decision-making process. It’s not simple, and mistakes can be quite costly.

So – you’ve begun your Series of Substantially Equal Periodic Payments (SOSEPP) from your IRA to satisfy your §72(t) requirement. Allofasudden, something happens that causes you to make a change to your payment – either purposely or by accident. What happens?
To start off, let’s talk about the basics of IRAs. The following information holds true for both traditional IRA (TIRA) and Roth IRA (RIRA) plans.
What this means is that if you are over age 70½ and thus subject to Required Minimum Distributions (RMDs) from your IRA or other retirement plan, you are not required to take the distribution for tax year 2009. Just to briefly run through the requirements – when you have an IRA or other retirement plan (but not a Roth IRA), once you reach age 70½ you are generally required to begin taking RMDs from your account each year. The minimum amount required to be distributed is based upon your attained age as of January 1 of that year, as well as the balance of your account(s) as of December 31 of the prior year. For the purposes of determining the amount, all IRA accounts are treated as one large IRA, while any other retirement accounts (401(k), 403(b), 457, etc.) are treated separately.
Now, the bad news is that you can’t make this move for 2008 – you must make your sale of the holding and realize the loss before the end of the tax year. The good news is that you can sell any loss positions (and let’s face it, who doesn’t have a loss position?) that you currently hold and then take this reduction in income for your 2009 taxes, which you’ll file a year from now. It’ll be a nice surprise for you (if you’ve forgotten about it) when you get ready to file in 2010.
Although not definitive, below are summaries of three Private Letter Rulings (PLRs) that seem to suggest first of all that making the distribution is not subject to the 10% penalty when a QDRO or divorce decree is involved, pursuant to the regulation in Code section 72(t)(4)(A)(ii).
A QDRO is often put into place as part of a divorce settlement, especially when one spouse has a considerably larger retirement plan balance than the other. What happens in this case is that the court determines what amount (usually a percentage, although it could be a specific dollar amount) of retirement plan’s balance is to be presented to the non-owning spouse. Once that amount is determined and finalized by the court, a QDRO is drafted and provided to the non-owning spouse, which allows the non-owning spouse to direct the retirement plan custodian to distribute the funds in the amount specified.
An interesting point in all of those conversations is that, in spite of what you may think, Jim Cramer, or Suze Orman, or Bob Brinker, or even (heaven forbid) Dave Ramsey, are entertainers first and foremost. Jon Stewart was on the nose when he said that both he and Cramer are snake-oil salesmen. It is their job to attract listeners so that advertisers can push their products. In between these product pushing moments, these folks do their best to provide provocative responses to the issues (in this case financial issues) that are on our minds. But it must be entertaining, or we (the consuming public) won’t watch or listen.
Let’s say for example that you had a choice to begin your Social Security payout at your early retirement age of 62, at a reduced amount of $750 per month. Had you waited until “normal” retirement age (66), your benefit would have been 33% greater, or $1,000 per month. (For the purposes of simplicity of illustration, the annual cost-of-living increases have not been included in this example.)
My first book, A Social Security Owner's Manual, has just been published. You can
And if you've come here to learn about queuing waterfowl, I apologize for the confusion. You may want to discuss your question with Lester, my loyal watchduck and self-proclaimed "advisor's advisor".