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Retirement Health Insurance Options: What Are Your Choices?

One of the most pressing practical challenges for anyone retiring before age 65 is securing health insurance coverage for the years until Medicare begins.

Moore Invested

The options available depend on your income, health, and how many years remain before Medicare eligibility. COBRA continuation coverage allows you to keep your employer’s plan for up to 18 months but at full premium cost, which in 2026 averages $400 to $700 per month for individual coverage. The ACA Marketplace offers comprehensive coverage that cannot deny applicants for pre-existing conditions; losing employer coverage qualifies you for a Special Enrollment Period, though the enhanced subsidies that had lowered premiums since 2021 were not renewed for 2026, meaning higher-income retirees now face the full cost of marketplace plans, which can exceed $1,500 per month at age 62 in some markets. Joining a spouse’s employer plan, if available, is typically the most cost-effective option. Health Sharing Ministries exist as an alternative for some but are not regulated as insurance and carry significant coverage limitations. Retirees over 65 rely primarily on Original Medicare with a Medigap supplemental policy, a Medicare Advantage plan, or a combination of Parts A, B, and D. Healthcare costs are among the largest and most variable expenses in retirement, making health coverage planning an essential part of any retirement income strategy.

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