Close Close
Popular Financial Topics Discover relevant content from across the suite of ALM legal publications From the Industry More content from ThinkAdvisor and select sponsors Investment Advisor Issue Gallery Read digital editions of Investment Advisor Magazine Tax Facts Get clear, current, and reliable answers to pressing tax questions
Luminaries Awards
ThinkAdvisor

Retirement Planning > Retirement Investing

Center for Retirement Research Finds Healthy Pay Higher Costs than Unhealthy in Retirement

X
Your article was successfully shared with the contacts you provided.

Although current health care costs for healthy retirees are lower than those of the unhealthy, the healthy actually face higher total health care costs over their remaining lifetime. That’s the surprising finding of an issue brief released Tuesday from The Center for Retirement Research at Boston College.

Entitled “Does Staying Healthy Reduce Your Lifetime Health Care Costs?,” the brief notes medical and long-term care costs represent a substantial uninsured risk for most retired households. An earlier brief from the Center reported findings on average lifetime health care costs at selected ages and on the distribution of those costs. This second brief explores the relationship between health care costs and health status. That is, it considers whether current good health is a predictor of low health care costs over one’s remaining lifetime. If so, healthy households could set aside less for health care expenditures than the unhealthy, and households that stay healthy could release for general consumption money that they had previously set aside for health care costs.

“The somewhat counterintuitive finding is attributed to the bottom line that all of us, whether healthy or unhealthy, are going to experience a period of ill-health prior to death,” says Anthony Webb, one of the brief’s authors. “Healthy people will live longer, and as a result, rack up higher health care costs.”

Adverse selection is another reason, as many healthy households wait until close to the time of use to purchase insurance. They then run the risk of facing higher pre-miums, or for long-term care insurance, being denied coverage altogether. Insurers need to charge premi-ums that reflect the risk of claim. Therefore, households that do not buy Medigap when they first join Medicare run the risk of facing substantially higher premiums, as do households of any age that postpone buying long-term care insurance.

To illustrate, the expected present value of lifetime health care costs for a couple turning 65 in 2009 in which one or both spouses suffer from a chronic disease is $220,000, including insurance premiums and the cost of nursing home care, and 5 percent can expect to spend more than $465,000. The comparable numbers for couples free of chronic disease are substantially higher, at $260,000 and $570,000, respectively.


NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.