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‘I’m 56, earn $198k, and have no preexisting conditions’: Can I afford private healthcare to retire early?

A 56-year-old earning $198,000 annually wants to retire early and is questioning whether private healthcare is affordable. The individual reports having no preexisting conditions and is focused on achieving financial independence, retire early (FIRE) goals.

Healthcare costs are a major concern for early retirees who lose employer-sponsored coverage before becoming eligible for Medicare at age 65. Private health insurance premiums can be expensive, especially for older adults.

The cost of a private plan depends on factors like income, location, and coverage level. For someone earning nearly $200,000, subsidies under the Affordable Care Act (ACA) may not be available.

Without subsidies, a bronze-level plan could cost around $600 to $800 per month for a 56-year-old. A gold-level plan with lower deductibles might exceed $1,200 monthly.

Early retirees should also account for out-of-pocket maximums, which can reach $9,450 for an individual in 2024. Dental and vision coverage add further expenses.

Managing taxable income in early retirement can help lower premium costs. Using a mix of Roth IRA withdrawals and taxable accounts may keep income below subsidy thresholds.

Private healthcare is feasible for high earners targeting early retirement, but requires careful budget planning. The individual’s lack of preexisting conditions may make standard plans more accessible and affordable.

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