New Update: Healthcare Costs Increasing by Over 60% in Some States. Will you be impacted?

MetLife Retirees Face Rising Health Care Costs: What You Need to Know

'With rising premiums, shifting federal programs, and mounting medical debt, MetLife employees must take a more deliberate approach to budgeting for health care in retirement to help avoid financial pitfalls that could derail long-term plans.' – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.

'As health care policy continues to evolve, MetLife employees should regularly revisit their retirement strategies to account for potential coverage gaps and unexpected medical expenses that could strain fixed budgets.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article we will discuss:

How rising health care premiums and shrinking federal support may affect pre-Medicare retirees.
The impact of medical debt, weakened consumer protections, and changing credit rules on retirement outcomes.
Adjustments to Medicaid and government health care programs that could disrupt early retirement plans.

Health Care Costs Continue to Climb for Retirees

The following article has been revised to reflect recent changes in health care policy and economics for individuals with longstanding corporate careers. MetLife retirees and employees preparing for retirement are experiencing higher medical expenses, tighter household budgets, and new health care regulations—an especially relevant concern for those managing fixed incomes or long-term savings goals.

Premiums Rising, Coverage Shrinking

One key factor driving up costs is the anticipated end of Affordable Care Act (ACA) premium subsidies. If these subsidies expire, annual out-of-pocket premiums could increase by an average of $1,247—a 75% jump. ¹ This would affect MetLife retirees relying on ACA plans prior to Medicare eligibility. Additionally, the One Big Beautiful Bill Act (OBBBA), passed in July 2025, calls for nearly $1 trillion in cuts to federal health care spending, with Medicaid bearing the brunt over the next ten years. ²

These reductions could result in up to 10.9 million Americans losing health care coverage by 2034, according to the Congressional Budget Office (CBO). ³

Eroding Consumer Protections

Policy changes are also exposing MetLife retirees to greater financial stress. A federal ruling overturned a consumer-friendly rule that prevented medical debts over $500 from appearing on credit reports. ⁴ As a result, credit scores for millions could be affected—an issue that carries implications for mortgages, employment applications, and other financial decisions during retirement transitions.

The Weight of Medical Debt

Across the country, medical debt remains a persistent challenge: ⁵

- 40% of adults report having dental or medical debt.
- 1 in 6 borrowed money or used credit cards to pay off medical bills.
- Over 20 million owe $250 or more; 14 million owe over $1,000; and 3 million owe more than $10,000.
- Adults aged 50–64 carry more debt than those 65–79 due to delayed Medicare access.

These statistics underscore the pressure on MetLife employees who retire before reaching Medicare eligibility.

Health Decisions at Risk

According to Tyson Mavar, a financial advisor with Wealth Enhancement, 'Credit scores may not be affected for those who hold medical debt, potentially resulting in delayed treatment.' This concern is amplified for MetLife retirees who may have limited health care coverage and rising expenses.

While some households cope with medical debt by cutting back on food and housing, depleting savings, or borrowing more, these approaches only serve to contribute to poorer health and higher stress.

Government Program Adjustments

Medicaid changes under OBBBA bring added burdens, particularly for early retirees in rural areas. Adjustments include stricter eligibility verification, new work requirements, and increased co-pays of up to $35 per visit for those near the poverty line. These revisions may impact millions of rural Americans and bring added stress to rural health care facilities that are already stretched thin.

A $50 billion Rural Hospital Transformation Fund was announced, but it is expected to address just 37% of anticipated losses and is set to expire by 2032. ⁶

Why It Matters for MetLife Families

Recent health care changes are reshaping retirement planning. Even though MetLife offers a range of employee benefits and retirement options, not all workers transition into Medicare or employer-based retiree coverage without gaps. According to Fidelity, a 65-year-old individual retiring in 2025 may need to spend $172,500 health care throughout retirement—not including long-term care. ⁷

Future policy shifts could add thousands more to that estimate. Keeping an eye on health care policy and evaluating benefit elections are now essential components of retirement planning.

The Bottom Line

Navigating today’s health care system is like taking a road trip with higher tolls, fewer exits, and less reliable maps. MetLife employees near or in retirement are encountering a shifting landscape of costs, coverage, and legal rules. If these developments are overlooked, retirement plans may be exposed to financial disruptions that are difficult to recover from.

Being proactive with coverage reviews, medical budgeting, and credit management can help retirees steer clear of costly missteps and adapt to an increasingly complex health care environment.

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Sources:

1. Business Insider. “ Millions of Americans could pay up to $1,247 more for Affordable Care Act health insurance next year ,' by Juliana Kaplan, 23 July 2025.

2. The Guardian. “ Democrats Use New Tactic to Highlight Trump’s Gutting of Medicaid ,” by Stephanie Kirchgaessner, 27 July 2025.

3. USA Today. ' Neary 11 million Americians would lose insurance under Trump's tax bill, analysis says ,' by Ken Alltucker, 4 June 2025.

4. Medicare Rights Center. ' Federal Court Reverses Federal Medical Debt Protections ,' by Julie Carter, 31 July 2025.

5. Peterson-KFF, Health System Tracker. ' The burden of medical debt in the United States ,' by S. Rakshit, M. Rae, G. Claxton, K. Amin, and C. Cox, 12 Feb. 2024.

6. KFF. ' A Closer Look at the $50 Billion Rural Health Fund in the New Reconciliation Law ,' by Zachary Levinson and Tricia Neuman, 4 Aug. 2025.

7. Fidelity. ' How to plan for rising health care costs ,' Fidelity Viewpoints, 12 Aug. 2024.

How does the MetLife Retirement Plan structure benefits differently for salaried versus commissioned employees, and what specific factors go into calculating the retirement benefits for each type of employee as detailed in the MetLife plan documents?

Salaried vs. Commissioned Employees: MetLife structures benefits for salaried employees based on their base salary and Annual Variable Incentive Plan, while commissioned employees' benefits are calculated using 42% of commissions from Company proprietary products and services. The benefit formula takes into account eligible pay, Social Security Wage Base, and credited service(MetLife_Retirement_Plan…).

For employees considering early retirement from MetLife, what factors should they weigh in terms of financial security and expected benefits, and how does the MetLife plan accommodate early retirement for participants who may be eligible?

Early Retirement Considerations: Employees considering early retirement should weigh the reduction in benefits due to early retirement factors. Eligibility requires at least 15 years of service and being at least 55 years old. Early retirement benefits are reduced according to specific factors based on age and service(MetLife_Retirement_Plan…)(MetLife_Retirement_Plan…).

What are the implications of the recent changes to the MetLife Retirement Plan regarding the freeze on the Traditional Formula benefits, and how does this impact employees who have been accruing benefits under this system?

Changes to Traditional Formula Benefits: The Traditional Formula was frozen as of December 31, 2022. All future benefit accruals are under the Personal Retirement Account (PRA) formula, which impacts those who were accruing under the Traditional Formula by transitioning them to the PRA(MetLife_Retirement_Plan…).

How does MetLife ensure that employees are fully informed of their rights under the Employee Retirement Income Security Act (ERISA), and what resources does the company provide for employees to understand their pension benefits?

ERISA Rights and Resources: MetLife ensures employees are informed of their ERISA rights through plan documents, the MetLife HR Global Compensation and Benefits Department, and the Retirement Benefits Service Center. Participants can access detailed plan information, their benefits, and contact the plan administrator for legal issues(MetLife_Retirement_Plan…).

In the event of resignation or transitioning to another role within MetLife, what provisions does the retirement plan offer regarding preserved benefits, and how can employees navigate this process to secure their retirement funds?

Preserved Benefits after Resignation: Employees leaving MetLife retain preserved benefits if vested. These benefits can be claimed at retirement age, and employees can opt for different forms of payment, including lump sums or annuities, depending on the value of their preserved benefits(MetLife_Retirement_Plan…).

What measures are in place for employees at MetLife to reach out for support and clarification about their retirement benefits, and how can they utilize those resources effectively to address any concerns they might have?

Support for Retirement Benefit Queries: Employees can seek support through the Retirement Benefits Service Center or the online portal. These resources provide answers to any queries about benefits and can be used to resolve discrepancies in benefit calculations or account information(MetLife_Retirement_Plan…).

As MetLife employees, what strategies can individuals implement to maximize their pension benefits throughout their careers, including understanding the impact of factors like final average pay and years of credited service?

Maximizing Pension Benefits: Employees can maximize pension benefits by understanding the impact of final average pay, credited service, and the Social Security Wage Base. Maintaining consistent employment and maximizing eligible pay are key strategies for increasing retirement benefits(MetLife_Retirement_Plan…).

Can you explain the eligibility criteria for participation in the MetLife Retirement Plan and how an employee can determine their eligible pay throughout the duration of their employment with the company?

Eligibility for MetLife Retirement Plan: To participate in the plan, employees must complete at least one year of service with 1,000 hours and be 21 years old. Eligible pay is determined by the employee's base salary or a percentage of commissions for commissioned employees(MetLife_Retirement_Plan…).

What steps should MetLife employees take if they notice discrepancies or unusual activity in their retirement accounts, and what resources are available to assist them in resolving these issues?

Addressing Discrepancies in Accounts: If employees notice discrepancies, they should contact the Retirement Benefits Service Center immediately. There are procedures in place for filing claims, and employees must report errors within a reasonable timeframe(MetLife_Retirement_Plan…).

How can MetLife employees obtain further information about their pension rights and benefits, and what specific documentation or communication channels should they utilize to ensure they have accurate and comprehensive information? These questions are designed to assist employees in navigating their retirement benefits with MetLife.

Obtaining Further Information: Employees can access comprehensive information on their pension rights and benefits through the online portal or by contacting the plan administrator. The portal provides personalized benefit details, and written requests can be submitted for official plan documents(MetLife_Retirement_Plan…).

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.

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