One piece of advice. Look hard at your health care cost projections. Even with the ACA your health care premiums will rise the older you get. The ten years between age 55 and 65 are the highest. The government subsidy helps with the premium. However if you have high deductibles, unexpected and protracted illness could result in you paying the full deductible each year. In addition look hard at the physicians covered in your plan. If you use out of network physicians they can, and many will, bill you for the difference between their posted rates and what your insurance company pays. If you plan to travel some, even if only occasionally to see family, make sure the network includes doctors nationally or at least in the area you may be going to visit. Some plans have no caps on out of network expenditures in a year. Treatment for a costly medical emergency in an out of network hospital, where your treatment is by out of network doctors, can result in tens of thousands of medical expenses.
I know the above from experience. I early retired three years ago. Within days I came down with an illness that still requires medical care. I've also had surgery for another condition and complications from the surgery. I'm now in cancer treatment at a medical center two hours from my home because the local doctors did not have the ability to diagnose and care for my particular situation. Needless to say, we have maxed out our medical spending each year and have been through the wringer of fighting bills from out of network suppliers. This year we switched to a more expensive bronze plan with a much larger network of physicians locally and nationally. We'll pay more per month in premiums, but less in total if we continue meeting our high deductibles.
Run the numbers on the health policy you are buying. Look at what the maximum annual out of pocket can be if you unexpectedly high medical costs for several years in a row. Make sure your savings are sufficient. We fortunately had HSA's and other savings to tap, and our retirement spending budget was higher than we've required for other expenses. We'll make it to Medicare but I'd hate to think of where we would be if our accumulated savings was lower.
Sent from my iPad using Early Retirement Forum