Unplanned medical expenses can be a big blow to your finances. For some, that can lead to cashflow problems — 21% of Americans with a household income of $90,000-plus find it difficult to afford their healthcare costs.2
Post retirement, the costs can be even steeper. A nursing home stay could cost more than $100,000 per year, and hiring a home health aide for roughly six hours per day could cost more than $6,000 per month.3 “Seven out of 10 Americans turning 65 today will have some health event for which long-term care is necessary,4 and the cost can decimate savings,” says Robert Murray, director, insurance relationship manager, Retirement and Personal Wealth Solutions at Bank of America.
Ways to prepare: Check if your employer offers a flexible spending account (FSA) or a health savings account (HSA); both are tax-advantaged accounts that allow you to pay for healthcare expenses with pre-tax funds. The HSA — available only for those with high-deductible health plans — can be particularly valuable because unused funds can remain in the HSA until your death (and in some cases beyond) and earnings can grow tax-free. “Instead of dipping into your IRAs to pay medical bills in retirement and possibly paying income taxes on those withdrawals, you can tap an HSA tax-free for medical expenses,” says Paul Galliano, senior vice president, Workplace Benefit Solutions for Bank of America.
Consider a long-term care insurance policy to help preserve your wealth and that of your children, who often shoulder the costs of caring for aging parents.
Or think about a trust, which can help ensure the uninterrupted availability of assets for your care should you become mentally or physically incapacitated, says Jen Galvagna, head of Trust, Estates and Tax, Bank of America Private Bank. “A trustee can step in and pay medical and long-term care bills and manage all other aspects of your financial life and estate.”
What if there’s a divorce or other unexpected loss of income?