Health Care Prior to Medicare?

/ Health Care Prior to Medicare?
  • Thread Starter
#41  
I took SS at 62 only because I felt that I was being taken advantage of and I had a house that I wanted time to paint, etc. to get on the market.
The situation at work is one of the main reasons to retire a early. It just gets worse and worse with no improvement. While looking at earnings adjusted for inflation, it is obvious that my highest earning years were years ago due to discrimination, inflation, and executive "decisions." Improvement will not happen. I have long thought things would improve, but it is obvious things won't really get better, and that only a selected few reap the rewards. The theft of employee and family wealth is unreal but that will be a tale for another day....

I had long planned to retire early, the money is there, more would be better, to some extent, but the real unknown is this bloody health care.

I got on with my counties school district driving a school bus. I stayed on after I got on Medicare at age 65. After I got on Medicare, under the district's plans, I got $175/month for medical issues not covered under my Medicare plan. Original Medicare and the "F" plan supplement; vison, dental, prescriptions extra so that $175 covered that.

Eventually, I resigned and went back twice to help them out when they were short on drivers.

Being just over an hour away from UK in Lexington, KY was helpful in that they have a lower cost dental clinic. The students whom are in their last year(s) work under licensed dentist's and do a good job.

One of my post retirement plans was to work a part time job. I have thought about bus driving but I don't want to get up that early! :) Oddly, I have been thinking about working at a local grocery store. They are hiring older workers. Rather ironic since working in a grocery store was one of my first jobs. :)
 
/ Health Care Prior to Medicare? #44  
Threads of this subject re-enforce my decision to retire from the military was the correct decision. Military health care/TRICARE is good health insurance at no cost.
Except to taxpayers 😂
 
/ Health Care Prior to Medicare? #45  
The situation at work is one of the main reasons to retire a early. It just gets worse and worse with no improvement. While looking at earnings adjusted for inflation, it is obvious that my highest earning years were years ago due to discrimination, inflation, and executive "decisions." Improvement will not happen. I have long thought things would improve, but it is obvious things won't really get better, and that only a selected few reap the rewards. The theft of employee and family wealth is unreal but that will be a tale for another day....

I had long planned to retire early, the money is there, more would be better, to some extent, but the real unknown is this bloody health care.



One of my post retirement plans was to work a part time job. I have thought about bus driving but I don't want to get up that early! :) Oddly, I have been thinking about working at a local grocery store. They are hiring older workers. Rather ironic since working in a grocery store was one of my first jobs. :)

Sounds like your TCM may be getting pegged... Take Crap Meter.

I am in my higher years of earnings. just want to enjoy doing some "stuff" before I get so I can't.

As for the money, I have asked myself numerous times, how much is enough... HealthCare isn't something I can actually put a number on. Most cost of living items I can. I'm looking at it from a what is the worst case scenario I would have to shell out in a year before Medicare kicks in at the end of 2026.
 
/ Health Care Prior to Medicare?
  • Thread Starter
#46  
Sounds like your TCM may be getting pegged... Take Crap Meter.
The TCM blew up a long time ago. 😁

I am in my higher years of earnings. just want to enjoy doing some "stuff" before I get so I can't.

As for the money, I have asked myself numerous times, how much is enough... HealthCare isn't something I can actually put a number on. Most cost of living items I can. I'm looking at it from a what is the worst case scenario I would have to shell out in a year before Medicare kicks in at the end of 2026.
This is The Truth. (y)

How much is enough is sorta a tough question. At some point, one knows they have enough money, but prior to that point, there is uncertainty about how much is enough. I have modeled our finances so many ways it makes my head spin. I think we have enough, but of course I wish I KNEW we had enough, but I think we are good. Except for the health care issue.

Years ago, I saw a video on YouTube that was from Australia that was done by a doctor who treated elderly people. He had four graphs on how people "lived", declined and then died in old age. The first graph is what everyone wants but very few get which is one is living, everything is fine, then one just suddenly dies. This happened to a coworker many years ago. Ironically, he went out for a jog, had a heart attack and was supposedly dead before he hit the ground.

The other three graphs were variations of one's health declining until one died, which is what one does not want to happen but what happens to most people. It certainly is what I have seen in my family.

Money wise, as one gets older, one generally spends less money. The one big variable is that pesky health and nursing care.

The worst case scenario prior to Medicare is what the wife and I were discussing last night. I think we will have to pay what we have to pay, even though I think our health is good, it is still a roll of the dice and the penalty for a bad roll can be very high.
 
/ Health Care Prior to Medicare? #47  
You've probably heard the terms, Go _Go years (first 5-7 of retirement) Slow_Go years (next 5-7), No_Go years.

Planning on your spending is critical to what phase you are in and how long it lasts.

Wife and I like to travel some, me more than she. Wanting to take a few good trips somewhere before the slow/no_go years kick in. I "think" we're ready...

She hasn't worked in over 10 yrs but will be able to file for SSI in May. So she is used to not having a boss. She swears I am her boss, HA... I tell her the farm is OUR boss... That's another chapter we have to deal with probably in our slowgo/nogo years.
 
/ Health Care Prior to Medicare?
  • Thread Starter
#48  
You've probably heard the terms, Go _Go years (first 5-7 of retirement) Slow_Go years (next 5-7), No_Go years.

Planning on your spending is critical to what phase you are in and how long it lasts.

Wife and I like to travel some, me more than she. Wanting to take a few good trips somewhere before the slow/no_go years kick in. I "think" we're ready...

She hasn't worked in over 10 yrs but will be able to file for SSI in May. So she is used to not having a boss. She swears I am her boss, HA... I tell her the farm is OUR boss... That's another chapter we have to deal with probably in our slowgo/nogo years.
Yeah, that is a good way to put it, GoGo years, SlowGo years and then there are the NoGo years.

I have seen family work hard to get to the GoGo years, but then health issues came out of the blue and they had very few GoGo years, the SlowGo years were very few and the NoGo years arrived way to soon and last too long.

We have done traveling and want to do more. One of our ideas is to sell everything and move somewhere, or buy a boat and see as much of the world as we can before the NoGo years appear. The problem with selling and moving is we can't find a place to go. Looking at our requirement list for a place to live, we mostly have it all where we are now, and we have not found any place that would work in the US, but we are still looking. Money wise, if we sold the real estate health care would not be a problem. But we really like our house and land.

The advantage of the boat is cheaper health care insurance, and if one goes to the right place, quality health care.
 
/ Health Care Prior to Medicare? #49  
My experience was that I couldn't find enough information about my insurance options on my own. I tried about four or five agents before I finally found one that could provide enough information for me to make any decisions. Some of them could quote premiums, but that was about all. They didn't seem to actually have much expertise in insurance. It was a frustrating process.

Searching for healthcare insurance options is a total PITA, but you're the only one who can seek out the advice you need and determine if it will work for you.
 
/ Health Care Prior to Medicare? #50  
You've probably heard the terms, Go _Go years (first 5-7 of retirement) Slow_Go years (next 5-7), No_Go years.

Planning on your spending is critical to what phase you are in and how long it lasts.

Wife and I like to travel some, me more than she. Wanting to take a few good trips somewhere before the slow/no_go years kick in. I "think" we're ready...

She hasn't worked in over 10 yrs but will be able to file for SSI in May. So she is used to not having a boss. She swears I am her boss, HA... I tell her the farm is OUR boss... That's another chapter we have to deal with probably in our slowgo/nogo years.
Sorry to nit pick... Please stop saying SSI when you mean Social Security payments. SSI is a welfare program; think "living in the projects"... if you have worked a lot of your life you're not going to be SSI material. On the other hand SSI recipients automatically get medicaid which costs them zip. Those fine young men you encounter in the SS office are attempting to get an SSI check. They rarely do.
 
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/ Health Care Prior to Medicare? #51  
and don't be surprised if some future changes bring back denial of coverage due to preexisting conditions (prohibited with the ACA, but some people hate that), so assuming you can always get insurance later isn't necessary a truth because that "later" insurance may not cover the big ticket issues plaguing you then.
I already see a few companies Denying for pre-existing conditions, then the agent refers you to another plan. It's in the wording of what the "Heathcare" company defines itself as.
 
/ Health Care Prior to Medicare? #52  
My experience was that I couldn't find enough information about my insurance options on my own. I tried about four or five agents before I finally found one that could provide enough information for me to make any decisions. Some of them could quote premiums, but that was about all. They didn't seem to actually have much expertise in insurance. It was a frustrating process.

Searching for healthcare insurance options is a total PITA, but you're the only one who can seek out the advice you need and determine if it will work for you.
You got that exactly right! Going through it myself.
 
/ Health Care Prior to Medicare? #53  
How much is enough is sorta a tough question. At some point, one knows they have enough money, but prior to that point, there is uncertainty about how much is enough. I have modeled our finances so many ways it makes my head spin. I think we have enough, but of course I wish I KNEW we had enough, but I think we are good. Except for the health care issue.
I am right there with you!
I actually think we have a couple options and either one is going to work for us and be about what I had budgeted for or just under. Only issue right now is, we had to sign up by 2/20 to be covered by 3/1 when my coverage from my past employer expires, so we'll be uncovered for a month.
 
/ Health Care Prior to Medicare? #54  
I still don't think a tractor forum is the best place to research such a weighty topic, but you are correct that there are a lot of common sense folks here who have already been down this road.
With that, I will toss out some ideas that will look random, but they all play together (and not necessarily well):

If you are not happy at work, then by all means make a change. Retire or go do something else. Life is way too short to not be happy.....assuming you have the means to do something about it.

Health insurance options will vary somewhat depending on your state of residence, but in general they are:
1 - Employer sponsored
2 - COBRA
3 - Private plan
4 - Affordable Care Act (aka; Obama Care)
5 - Medicaid
6 - Pre-65 Medicare (you have to be seriously sick for this)
7 - Health share ministry
8 - Self insure (i.e.; no insurance)

Options 1 and 2 are the same, just a difference on who pays.
Likewise, 3 and 4 are also the same, just a difference in how much you will "probably" pay.
I suspect that 5 and 6 don't apply to you.
Option 7 really isn't "insurance". Some folks like it, but research it well.
And 8 can be a BIG gamble that "could" have life long consequences.

Medical costs (including insurance premiums and deductibles) seem to be increasing by about 5% ABOVE inflation every year.

Note that once you are on Medicare, health care still isn't "free". Different ways to go (Advantage vs. Medigap), but here in Oregon (and friends in other states report similar), I budget $1000/month for my wife and I (we are both on Medicare) for "all" health care expenses (including dental and vision)....increasing by 5% above inflation every year. Yea, yea, I know lots of folks will come on and say how much less they pay (or think they pay)...good for them. I am just saying that Medicare isn't free. Sharing this so you can be sure to budget for your health care expenses into the future (assuming your crystal ball isn't as foggy as mine).

You may (or may not) have lower overall expenses as you get older. Sure, you may travel less travel. But how about now having to pay someone to paint the house instead of doing it yourself. Also, you may find taxes increase as you get older.

A typical retiree pays less in taxes during the first few years of retirement (especially if they haven't started Social Security) than they do later on in retirement (due to RMD's from IRA accounts). This possibly makes this early retirement time frame a good opportunity to do Roth conversions assuming, of course, that you have any Traditional IRA accounts.
But any conversions (or sale of a business, home/stock sales, etc.), could reduce your ACA subsidy (should you go that route). And/or it could trigger IRMAA surcharges on your Medicare premiums (there is a two year look back so income at age 63 will will not only effect your ACA subsidy the following year but your Medicare premiums at age 65 as well).

Long Term Care isn't cheap, but you may be able to cover it by the sale of your home (assuming you own your home free and clear) since you won't need a home when in LTC. Of course, this doesn't work if you want care at home and/or your spouse isn't needing long term care at the same time. You could do a reverse mortgage (personally I'm not a fan of them).

Life isn't guaranteed nor easy to plan out in advance. Just do the best you can and enjoy the ride (I do need to take my own advice a bit more).

Hope this helps and welcome to your next phase in life.
 
/ Health Care Prior to Medicare?
  • Thread Starter
#55  
I still don't think a tractor forum is the best place to research such a weighty topic, but you are correct that there are a lot of common sense folks here who have already been down this road.
Given the breadth of experience on TBN, it actually is a good place to research health care and retirement. There have been people on TBN who have/had deep, deep experience in Social Security and retirement health care. I learned quite a bit ove the years reading what they had to say. One is not likely to dig into the details on some issues, such as how SS calculates your monthly payment from what you have paid into the system, inflation, etc. Though there is/was a TBNer that I think could explain it if he is still around.

I have already learned quite a bit. The biggest thing I learned is that confirmation that I know about all of the health care options prior to retirement and I an not missing any.

One will have to dive into the details on those options to see which is best for them but needs to know the options. I listed some and your list is good because it listed some options I did not since I knew I would not use them.

There is one other option, which is to move to another country. I did not list that one because I think it is not what many people would do but I have discussed it.

The other reason I started this discussion is not just for me, I knew other people would read it and maybe it will help other people. From the comments, I think it already has helped and will continue to do so. :)

With that, I will toss out some ideas that will look random, but they all play together (and not necessarily well):

If you are not happy at work, then by all means make a change. Retire or go do something else. Life is way too short to not be happy.....assuming you have the means to do something about it.
This is true but hard to do. Age discrimination is alive and well in my industry so once one hits a certain age it does get harder to move. Thankfully, our retirement plans have been working but it is the pesky health care that is the major unresolved variable for retirement.

Health insurance options will vary somewhat depending on your state of residence, but in general they are:
1 - Employer sponsored
2 - COBRA
3 - Private plan
4 - Affordable Care Act (aka; Obama Care)
5 - Medicaid
6 - Pre-65 Medicare (you have to be seriously sick for this)
7 - Health share ministry
8 - Self insure (i.e.; no insurance)

Options 1 and 2 are the same, just a difference on who pays.
Likewise, 3 and 4 are also the same, just a difference in how much you will "probably" pay.
I suspect that 5 and 6 don't apply to you.
Option 7 really isn't "insurance". Some folks like it, but research it well.
And 8 can be a BIG gamble that "could" have life long consequences.
That is a really good list, I left off 7 - Health share ministry since I don't think it would work for us. I should have listed it in hindsight. I also should have added 9 - Move to another country. I don't think that is an option for many but it is something we have considered. To say that is a complicated option is an understatement.
Medical costs (including insurance premiums and deductibles) seem to be increasing by about 5% ABOVE inflation every year.

Note that once you are on Medicare, health care still isn't "free". Different ways to go (Advantage vs. Medigap), but here in Oregon (and friends in other states report similar), I budget $1000/month for my wife and I (we are both on Medicare) for "all" health care expenses (including dental and vision)....increasing by 5% above inflation every year. Yea, yea, I know lots of folks will come on and say how much less they pay (or think they pay)...good for them. I am just saying that Medicare isn't free. Sharing this so you can be sure to budget for your health care expenses into the future (assuming your crystal ball isn't as foggy as mine).
So that is REALLY interesting. Yesterday the wife and I were discussing a retirement budget and from what I could see, health care prior to Medicare is going to cost around $750-1000 a month for ObamaCare plans, and we would likely spend the same amount after Medicare kicks in.
You may (or may not) have lower overall expenses as you get older. Sure, you may travel less travel. But how about now having to pay someone to paint the house instead of doing it yourself. Also, you may find taxes increase as you get older.
Good point. The materials we used in our house does not require painting for this exact reason. 😁 But it is a valid point. :) At some point we will have to pay someone to take care of the yard, or we will move which will likely have HOA fees.

I don't really worry about tax increases per say, they may, well will, happen but the bigger concern is that Social Security payments will be reduced by hook or crook. The US is broke and something is going to happen at some point. Ironically, one of our retirement plan assumptions made decdes ago was that Social Security would not exist for us. Now, the likely hood of that happening was pretty much zero, and if it did, there would be far bigger things to worry about, but I figured it was a good way to plan. And it was. Now that we are getting close to getting Social Security, the benefit is really nice. :)

Warren Buffet said something decades ago about how the US pays off it's debt. The one word was inflation. The US would cheapen the dollar to pay the debt made with more expensive dollar. And he we are.
A typical retiree pays less in taxes during the first few years of retirement (especially if they haven't started Social Security) than they do later on in retirement (due to RMD's from IRA accounts). This possibly makes this early retirement time frame a good opportunity to do Roth conversions assuming, of course, that you have any Traditional IRA accounts.
But any conversions (or sale of a business, home/stock sales, etc.), could reduce your ACA subsidy (should you go that route). And/or it could trigger IRMAA surcharges on your Medicare premiums (there is a two year look back so income at age 63 will will not only effect your ACA subsidy the following year but your Medicare premiums at age 65 as well).
That is a good point too. I hope others know about RMDs. Our plan is to take out more money than we need, which is then invested which should lower the impact of RMD in the future, but that has to be balanced with how much we would be in today's tax along with the impact to ObamaCare payments.
Long Term Care isn't cheap, but you may be able to cover it by the sale of your home (assuming you own your home free and clear) since you won't need a home when in LTC. Of course, this doesn't work if you want care at home and/or your spouse isn't needing long term care at the same time. You could do a reverse mortgage (personally I'm not a fan of them).

Life isn't guaranteed nor easy to plan out in advance. Just do the best you can and enjoy the ride (I do need to take my own advice a bit more).

Hope this helps and welcome to your next phase in life.
LTC is another conundrum but selling real estate is how we would fund it. I have seen too many people needing LTC, and worse, having to provide LTC.

Thank you for your advice. It is helpful and it will help other people reading this dicussion now, and in the future. (y)
 
/ Health Care Prior to Medicare? #56  
Great thread, I'm right there with many who posted. Currently I'm 64.5 yo and Medicare will start 7/1 for me. I plan to get a Supplement to cover what Medicare doesn't.
But, to get here, I've retired twice. Once in March 2021, then went on Cobra, that took me to Oct 2023. Then I went back to work just before my Cobra ran out and worked for the State Dept of Roads, quit in Feb 2024, went on Cobra again to cover me to Medicare age. I didn't find much was affordable in Nebraska for ACA. Cheapest I found was $1102/mth with a $9k deductible. $22k BEFORE they started paying for anything! There were some short term insurance plans where you re-qualified every year basically. They were cheap too. I also don't go to the doctors much, never have over the past 60 years. I've been blessed in this regard. Usually you State Dept of Roads are alwasy hiring. I loved the job, but when they stuck us out filling potholes on the expressway at 2:30 in the afternoon, I called it quits. That was dangerous.....
 
/ Health Care Prior to Medicare? #57  
A note of caution should you choose to self insure prior to going on Medicare.
My Medigap (aka, Medicare Supplement) provider required proof that we had health insurance prior to starting their plan. I have no idea if this practice is common throughout the industry and across the country, or if Medicare part C (aka, Advantage) plans also have this requirement. I also don't know what they would have said had we not had health insurance prior to signing up for Medicare....I just know that I needed to provide this proof.
Just sharing that this could be an unexpected hiccup in picking up a Medicare supplement and/or Advantage plan if you chose to self insure prior to starting Medicare.
Perhaps another reason to work with someone who knows the issues that may apply to your state.
 
/ Health Care Prior to Medicare?
  • Thread Starter
#58  
A note of caution should you choose to self insure prior to going on Medicare.
My Medigap (aka, Medicare Supplement) provider required proof that we had health insurance prior to starting their plan. ...
Yes, one needs to have "creditable coverage" on some insurance plans before getting into Medicare, otherwise, one can be more.
 
/ Health Care Prior to Medicare? #59  
Yes, one needs to have "creditable coverage" on some insurance plans before getting into Medicare, otherwise, one can be more.
A google search found this answer.....(No, you don't need to have creditable insurance coverage before you can get Medicare coverage)
 
/ Health Care Prior to Medicare? #60  
Medigap or Supplemental insurance is an "optional" policy from a "private company" that pays the 20% Part B costs (and the part A deductible) that Medicare doesn't pay. It is in addition to Medicare (it has a separate, additional, premium). In my case, the Medigap insurer we choose sure as shooting required we have prior coverage. As I said earlier, I have no idea if other companies, in other states, do or don't have this requirement. I also have no idea if Medicare Advantage (aka, Part C) plans have this requirement since I didn't go that route.
Just sharing so folks can plan ahead if they are thinking of self insuring and then attempting to pick up a Medicare "Supplement" when they sign up for Medicare.
There is a ton of rules regarding Supplements that vary widely from state to state. Consult an independent insurance broker and/or your state SHIPA (I think that's the right acronym) office.
 

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