Key Facts About Health Care Affordability for People With Medicare
KFF’s new analysis finds that many Medicare beneficiaries—especially those with lower incomes and multiple chronic conditions—are worried about affording premiums, out-of-pocket costs, and prescription drugs, and a substantial share report delaying or skipping care due to cost.
Source: Kff ·
Half of people already on Medicare expect their health care costs to become *less* affordable soon—which means the affordability squeeze isn't a retirement problem, it's a pre-retirement planning problem. If you're 10–15 years from retirement, this signals that Medicare alone won't cover what you'll actually spend on premiums, deductibles, copays, and gaps like dental and vision. Those costs will claim a meaningful portion of monthly income if you don't plan around them now. Worth running the numbers on whether a Health Savings Account (if eligible), long-term care insurance, or a dedicated health care reserve in your retirement plan could cushion that gap before you turn 65.
- •About half of Medicare beneficiaries ages 65+ expect their health care costs to become less affordable in the next few years, highlighting growing cost pressure in retirement[4].
- •Significant shares report problems paying medical bills, skipping or delaying care, or not filling prescriptions because of cost, with the highest burden among those with low incomes and multiple chronic conditions[4].
- •Even with Medicare, premiums, deductibles, copays, and uncovered services like dental, vision, and long-term care remain major gaps retirees must plan for[4].
For adults 50+, this underscores the need to budget for rising health costs in retirement, consider Medigap or Medicare Advantage options carefully, and plan ahead for expenses Medicare does not fully cover.