Rising Health Care Costs for Retirees
Fidelity Investments has released its 25th annual report on health care costs for retirees, and it’s a bit concerning—costs are climbing significantly from the previous year. As health care prices continue to rise, this year’s findings reflect how urgent the situation is becoming.
The report indicates that someone who is 65 years old and retiring in 2026 could expect to spend around $185,500 on health and medical expenses by the time they retire. This represents a 7.5% increase from last year, driven by escalating medical costs, a higher demand for medical services, and the ongoing expenses associated with chronic illnesses.
Shams Talib, director of Fidelity Workplace Consulting, emphasizes that retirement planning goes beyond just hitting savings targets. It’s more complex now. “Americans might stop working entirely, ease into retirement gradually, or even find new avenues to stay active,” he notes, but one thing remains clear: health care costs are consistently one of the biggest financial burdens retirees face. Talib adds that having benchmarks can help individuals plan more effectively and gain confidence in their financial choices.
Understanding Medicare’s Limitations
Fidelity has been tracking these costs since 2002, offering long-term planning aids for retirees who might be surprised at how much standard Medicare coverage doesn’t cover. It’s important to note that this estimate is based on enrollment in Original Medicare (Parts A and B) along with Medicare Part D, covering premiums, deductibles, and medical and drug costs out of pocket, but it doesn’t factor in long-term care expenses.
According to the analysis, nearly 45% of that estimated total will go towards monthly Medicare Part B and Part D premiums. Additionally, about 48% is allocated for other health expenses governed by Medicare’s cost-sharing rules—things like copayments and deductibles for visits to the hospital and outpatient services. This figure also covers services that Medicare doesn’t include, such as vision and hearing tests.
The remaining 7% represents out-of-pocket costs for things like copays for medications that aren’t fully covered by Medicare, including generics and specialty drugs.
Further Insights on Retirement Health Coverage
Steve Betts, president of Fidelity Health, points out that while Medicare plays a crucial role in retirement health coverage, it doesn’t take care of all the costs. He suggests that being mindful about out-of-pocket expenses and strategizing how to navigate them is beneficial both before and after retirement.
This report serves as a reminder to those headed into retirement: planning for health-related expenses is crucial. It might seem daunting, but understanding the landscape can really help in making informed decisions down the line.


