Average monthly cost of health insurance for retired couple

It's a big misconception that living costs drop drastically in retirement. The reality is that some of your expenses might get lower, but some might also rise.

Healthcare is likely to fall into the latter category. That's because medical issues tend to arise as we age, and also, because Medicare, which seniors commonly rely on starting at age 65, has its limitations.

In fact, Fidelity recently ran some numbers, and it found that the average 65-year-old male-female couple retiring now should expect to spend a whopping $315,000 on medical costs. That figure assumes enrollment in Medicare Parts A, B, and D.

When we break that figure down further, we see that the average 65-year-old male should expect to spend $150,000 on healthcare costs throughout retirement, while the average 65-year-old woman should anticipate spending $165,000. Since women tend to live longer than men, that higher number makes sense.

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It's also worth noting that last year's Fidelity estimate had the average opposite-gendered 65-year-old couple spending $300,000 on healthcare in retirement. That means that figure jumped $15,000 in a single year. It also underscores the importance of saving for future healthcare costs to avoid a financial crunch later in life.

The best way to save for healthcare in retirement

When it comes to covering healthcare costs later in life, you have options. You could pad your IRA or 401(k) plan so you're better equipped to pay your future medical bills, or you could dedicate funds to healthcare in a health savings account, or HSA.

The latter route is worth exploring if you're enrolled in a high-deductible health insurance plan and are therefore eligible to fund an HSA. That's because HSAs offer more tax benefits than IRAs and 401(k)s.

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HSAs are triple tax-advantaged:

  • The money you contribute goes in tax-free
  • Investment gains in your account are tax-free
  • Withdrawals from your account are tax-free, provided they're used to cover qualified healthcare expenses

Meanwhile, HSA limits change from year to year, but this year, you can contribute up to $3,650 if you have self-only coverage, or up to $7,300 if you have family level coverage. If you're 55 or older, you can make catch-up contributions in your HSA, adding $1,000 to whichever limit applies to you.

Next year, those limits are increasing. For self-only coverage, you'll get to contribute $3,850 to your HSA. For family level coverage, you'll get to contribute $7,750. And that $1,000 catch-up will still be in play.

Another thing you should know about HSAs is that come age 65, they effectively convert to a traditional retirement plan. Normally, the penalty for taking a non-medical HSA withdrawal is steep -- 20%. But once you turn 65, you can take non-medical withdrawals without being penalized. In that scenario, you'll simply pay taxes on your withdrawals, the same way you would with a traditional IRA or 401(k).

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Spare yourself unwanted stress

Healthcare costs are a burden for many seniors -- but that doesn't have to be the case for you. If you set yourself up with a nice chunk of money to cover your future medical bills, you'll have one less thing to concern yourself with at a time in life when you're trying to enjoy your newfound freedom.

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The Motley Fool is a USA TODAY content partner offering financial news, analysis and commentary designed to help people take control of their financial lives. Its content is produced independently of USA TODAY.

Whether you’re in charge of a household or single and in charge of only yourself, most of us have a budget. Each month we hold ourselves accountable to pay for rent, utilities, groceries, car expenses, credit card bills, and more. While some of these obligations are easy to estimate, the cost of medical care can be a little trickier. 

Below are several factors that influence healthcare premiums and will help you determine how much health insurance may cost per month.

How Much Is Health Insurance per Month for One Person?

Monthly premiums for Affordable Care Act (ACA) Marketplace plans vary by state and can be reduced by subsidies. The average national monthly health insurance cost for one person on an Affordable Care Act (ACA) plan without subsidies in 2022 is $438.1 

Wondering how insurance premiums are decided? The Affordable Care Act ensures that insurance companies cannot discriminate based on gender, current health status, or medical history. Here are factors that determine health insurance premiums. 

Average monthly cost of health insurance for retired couple

Age

While some states, specifically New York and Vermont, do not use age when determining health insurance premiums, this is a major contributing factor for most states

The age of 21 is used as the base age, with premium costs being adjusted upwards for those in their thirties, forties, fifties, and sixties. Around age 53, the premium rate becomes more than double the base rate.

Tobacco

Tobacco use will affect how much health insurance costs you per month. In fact, health insurance companies can charge smokers up to 50% more than non-tobacco users. While some states have elected not to allow insurance carriers to charge smokers the maximum allowed, tobacco use does still affect pricing. 

Location 

Location affects the price of the premiums, too, mostly due to the amount of (or lack of) competition in a particular area or region. While competition can be intense in populated areas, rural parts of the country may only have one or two insurance companies, making pricing higher for these residents.

Plan Category

Finally, your choice of plan will also influence the average health insurance cost per month. Plans are broken down by metal tiers: Bronze, Silver, Gold, Platinum and Catastrophic. Each carries different premiums based on what percentage of overall healthcare costs they cover. Premiums are also affected by the plan’s deductibles, copays, coinsurance, and number of family members on the plan.

The national average health insurance premium for a benchmark plan in 2022 is $438, according to the Kaiser Family Foundation.1 A benchmark plan is the average premium for each state’s second lowest cost silver plan.

The following data reflects the national average, and each state’s average, but does not include any reduction in cost from subsidies. Rates will vary by area.1

Average Monthly Health Insurance Premiums for Benchmark Plans by State Without a Subsidy

Location
2021
2022
Percent Change

United States

$452

$438
 -3%

Alabama

$590 

$597
1%

Alaska

$675

$712
 5%

Arizona

$436 

$390
 -12%

Arkansas

$394 

$387
 -2%

California

$426 

$417
 -2%

Colorado

$351 

$358
 2%

Connecticut

$580 

$581
 0%

Delaware

$540 

$548
 1%

District of Columbia

$415 

$387
 -7%

Florida

$457 

$456
 0%

Georgia

$456 

$394
-16%

Hawaii

$478 

$484
 1%

Idaho

$495 

$461
-7%

Illinois

$423 

$18
-1%

Indiana

$421 

$398
 -6%

Iowa

$523 

$502
-4%

Kansas

$491 

$450
 -9%

Kentucky

$476 

$387
 -23%

Louisiana

$545 

$541
 -1%

Maine

$440 

$427
 -3%

Maryland

$347 

$328
-6%

Massachusetts

$363 

$389
 7%

Michigan

$347 

$340
 -2%

Minnesota

$307 

$327
 6%

Mississippi

$459 

$448
-2%

Missouri

$479 

$442
 -8%

Montana

$471 

$483
2%

Nebraska

$699 

$595
-17%

Nevada

$393 

$383
 -3%

New Hampshire

$357 

$309
-16%

New Jersey

$405 

$424
 4%

New Mexico

$339 

$389
 13%

New York

$597 

$592
 -1%

North Carolina

$516 

$504
 -2%

North Dakota

$493 

$497
1%

Ohio

$375 

$375
 0%

Oklahoma

$554 

$498
 -11%

Oregon

$437 

$444
 2%

Pennsylvania

$455 

$390
-17%

Rhode Island

$349 

$361
 3%

South Carolina

$476 

$444
 -7%

South Dakota

$618 

$601
 -3%

Tennessee

$466 

$445
 -5%

Texas

$436 

$424
 -3%

Utah

$472 

$456
 -4%

Vermont

$669 

$749
 11%

Virginia

$479 

$450
 -6%

Washington

$388 

$396
 2%

West Virginia

$654 

$752
 13%

Wisconsin

$457 

$429
 -7%

Wyoming

$791 

$762
-4%
Source: Kaiser Family Foundation Marketplace Average Benchmark Premiums. 

How Much Does Health Insurance Cost per Month in Each State With a Subsidy?

The estimated national average cost in 2022 for a silver plan after a premium subsidy* is applied is $66.72. This chart, unlike the previous one, takes into account subsidies. Here, you can find the average monthly premium with subsidies, for a benchmark silver plan in a select city within your state. 

Monthly Health Insurance Rates by State With a Premium Subsidy2

(40-year-old making $30,0000 per year)

StateMajor CountyAfter Subsidy in 2021After Subsidy in 2022
Alabama
Jefferson $43
$77
Alaska
Anchorage
$38
$0
Arizona
Maricopa $75 $82
Arkansas
Pulaski $78 $71
California
Los Angeles
$83 $68
Colorado
Denver
$81 $78
Connecticut
Hartford
$22 $37
Delaware
New Castle $68
$72
District of Columbia
District of Columbia $54 $78
Florida
Miami-Dade
$81 $82
Georgia
Fulton $78 $82
Hawaii
Honolulu
$48 $37
Idaho
Ada $84 $78
Illinois
Cook $77 $83
Indiana
Marion $67 $71
Iowa
Johnson $48 $75
Kansas
Sedgwick $77 $74
Kentucky
Jefferson $78 $78
Louisiana
Orleans
$85 $83
Maine
Cumberland $84 $74
Maryland
Baltimore
$80 $74
Massachusetts
Suffolk $75 $64
Michigan
Wayne $82 $83
Minnesota
Hennepin $71 $78
Mississippi
Hinds $85 $83
Missouri
St Louis
$84 $83
Montana
Yellowstone $20 $5
Nebraska
Douglas $80 $83
Nevada
Clark $73 $82
New Hampshire
Hillsborough $77 $79
New Jersey
Essex $68 $59
New Mexico
Bernalillo $83 $66
New York
New York
$79 $37
North Carolina
Mecklenberg $83 $83
North Dakota
Cass $67 $74
Ohio
Cuyahoga $82 $77
Oklahoma
Oklahoma $72 $75
Oregon
Multnomah $82 $81
Pennsylvania
Philadelphia
$84 $82
Rhode Island
Providence
$64 $63
South Carolina
Richland $81 $73
South Dakota
Minnehaha $80 $77
Tennessee
Davidson $84 $83
Texas
Harris $75 $78
Utah
Salt Lake
$82 $63
Vermont
Chittenden $82 $63
Virginia
Henrico $81 $83
Washington
King $70 $57
West Virginia
Cabell $72 $83
Wisconsin
Milwaukee
$79 $83
Wyoming
Laramie $82 $80
Source: Kaiser Family Foundation. Subsidy amounts are based on a 40-year-old making $30,0000 per year.

How Much Is Family Health Insurance per Month?

The average monthly premium for employer-sponsored family health coverage in 2021 was $1,851.75, according to the Kaiser Family Foundation.3 Like individual insurance, your family cost will depend on ages, location, plan category, tobacco use, and number of plan members. 

What Is the Least Expensive Health Insurance?

As you can see from the factors listed above, there’s a lot that goes into determining the price of insurance. There isn’t a single healthcare plan that’s right for everyone. But finding the right plan for your needs can be easy with HealthMarkets. You can shop online, compare healthcare plans, and apply in minutes. You can also call (888) 986-2752 to speak with a licensed insurance agent.


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* Subsidy amounts are based on a 40-year-old nonsmoker making $30,000 per year.

References:
1. “Marketplace Average Benchmark Premiums.” KFF. 2022. Retrieved from https://www.kff.org/health-reform/state-indicator/marketplace-average-benchmark-premiums/?currentTimeframe=0&selectedDistributions=2022&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D | 2. “How ACA Marketplace Premiums Are Changing by County in 2022.” KFF. December 2021. Retrieved from https://www.kff.org/private-insurance/issue-brief/how-aca-marketplace-premiums-are-changing-by-county-in-2022/ | 3. “2021 Employer Health Benefits Survey.” KFF. November 2021. Retrieved from https://www.kff.org/health-costs/report/2021-employer-health-benefits-survey/ 

How much does the average retiree spend on healthcare?

According to a report by HealthView Services Financial, a healthy 65-year-old couple retiring in 2021 can expect to spend more than $662,000 for retirement health care costs.

How much do I need to budget for health insurance in retirement?

How much is needed for health care costs in retirement? According to the Fidelity Retiree Health Care Cost Estimate, an average retired couple age 65 in 2022 may need approximately $315,000 saved (after tax) to cover health care expenses in retirement.

How much does the average retiree pay for Medicare?

The Center for Medicare and Medicaid Services estimates that the average monthly premium will be $19 in 2022, down from $21.22 in 2021.

Which is the best health insurance policy for senior citizens?

Best Health Insurance Plans for Senior Citizens.