

Healthcare poses a significant challenge for those considering early retirement in the United States. Many individuals rely on employer-sponsored health insurance, raising the question: what happens when you retire early? How do you secure health insurance? Initially, I planned to obtain coverage through healthcare.gov (ACA). However, recent legislative changes by Republicans have resulted in the non-extension of ACA premium tax credits, leading to a projected 75% increase in premiums for most ACA policies next year. This is concerning.
Upon checking healthcare.gov, I found that a silver plan costs approximately $1,650 per month for a family of three in Oregon. This is already steep, and with a 75% increase, we could be facing nearly $3,000 per month for health insurance in 2026. That’s quite alarming!
Fortunately, my wife, Mrs. RB40, worked long enough to qualify for a reduced pension upon her retirement earlier this year. This allows us to maintain her employer-sponsored health insurance, which is a significant relief. Currently, we pay about $650 per month, and while we expect an increase next year, it shouldn’t be as drastic as 75%. We feel fortunate to have dodged a bullet.
Getting Old Ain’t for Wimps
While health insurance is a pressing concern, the reality of aging is even more daunting. Both Mrs. RB40 and I are relatively healthy now, but we anticipate facing more health challenges in the future, as evidenced by our parents’ experiences.
Mrs. RB40 plans to visit her parents for a month. Her father has mobility issues and recently experienced a fall. Although he has health coverage through his pension, his primary care physician has moved, and the earliest appointment available is in January. Mrs. RB40 will attempt to secure an appointment during her visit; if unsuccessful, she’ll take him to urgent care. He has additional health issues that I prefer not to disclose. Even with health insurance, finding a good doctor can be challenging due to a nationwide shortage, particularly in rural areas like their small town near Palm Springs.
Her mother is healthier but still faces some challenges. After a fall in a dry pool a few years ago, she has limited vision in her left eye. They are divorced and live separately, but now that Mrs. RB40 is retired, she intends to spend more time helping them. This is part of our plan to relocate to California once our son finishes high school. Her mother also has health coverage through her pension.
My father is grappling with health issues as well. Recently, he has been unable to bear weight on his left leg, and the cause remains unclear. He has gout, which flares up occasionally, but that’s not the current issue. Living in Thailand, he has access to public healthcare. He visited the hospital, but they are still investigating the problem. An MRI is scheduled for next week, and he is also following up on a recent prostate cancer diagnosis. While cancer is frightening, prostate cancer is often slow-growing, and there are numerous treatment options available. I remain hopeful.
My mother passed away in 2023 after battling dementia. Her absence is deeply felt.
Indeed, getting old isn’t for the faint-hearted. It’s crucial to prioritize exercise and healthy eating while we’re still young. We should also seize the opportunity to travel and experience everything we desire in our 50s and 60s, as it will become increasingly difficult as we age. I’m grateful that we’ve achieved financial independence and managed to retire early. Life is fleeting, and it’s essential to enjoy it while we are still young and healthy.
Alright, that’s all I have for today. Are you planning to retire early? What’s your plan for healthcare?
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