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Rising Healthcare Costs Pose Significant Risk to Retirement Portfolios

Apr 14, 2026 03:35 UTC
Long term

New data indicates that retirees face six-figure medical expenses that often exceed their financial preparations. Average costs for individuals are estimated at $172,500, doubling for couples.

  • Individual healthcare costs average $172,500 in retirement
  • Couples face an average burden of $345,000
  • Medical costs saw a 4% year-over-year increase from 2024 to 2025
  • Medicare Part B and D represent 44% of total estimated costs
  • Out-of-pocket expenses account for 47% of the total
  • One-fifth of Americans fail to factor healthcare into retirement plans

Retirees are increasingly underprepared for the non-discretionary burden of healthcare costs, which can significantly erode retirement savings. While many focus on housing and daily living expenses, medical costs represent a substantial and unavoidable financial commitment. According to data from Fidelity Investments, the average individual retiree is expected to spend $172,500 on medical expenses throughout their retirement. For married couples, this figure rises to $345,000. These figures highlight a growing gap in retirement planning for a significant portion of the population. The 2025 average of $172,500 represents a 4% increase over 2024, a trend driven by the steady impact of inflation. The cost structure is primarily divided between Medicare Part B and D, which account for 44% of the estimate, and out-of-pocket expenses—such as deductibles and co-payments—which comprise 47%. Prescription drugs make up the remaining 9%. Despite the scale of these expenses, Fidelity's research shows that approximately 20% of Americans have never considered the healthcare costs they will face in retirement. Unlike discretionary spending on travel or housing, healthcare is a mandatory expense, making it a critical vulnerability for those who have not adjusted their savings targets to account for these six-figure requirements.

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