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The Five Biggest Stealth Costs in Retirement for Kaiser Permanente Employees

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Healthcare Provider Update: Healthcare Provider: Kaiser Permanente Kaiser Permanente is a leading integrated healthcare provider that offers a range of medical services including preventive care, hospitalization, and specialty care across various states. Potential Healthcare Cost Increases in 2026 As we approach 2026, significant healthcare cost increases are expected, especially for Kaiser Permanente customers. Health insurance premiums for Affordable Care Act (ACA) plans are projected to rise dramatically, with some individuals facing increases of over 75% due to the anticipated expiration of enhanced federal premium subsidies. Coupled with higher medical costs and aggressive rate hikes from major insurers, many policyholders could experience unprecedented out-of-pocket expenses, signaling a challenging financial landscape for consumers in the near future. Click here to learn more

It is important for KP employees to pay specific attention to interest rates as some of the KP pension plans are sensitive to rate changes. Some KP employees are allowed to take their pension utilising new rates each month. If interest rates continue to rise, KP employees will find this article useful as it will help with the retirement planning process.

'Kaiser Permanente employees must remain vigilant about hidden costs in retirement, as unexpected expenses like health care, taxes, and inflation can have a real impact on their long-term financial well-being. Proactive planning and budgeting for these stealth expenses can provide much-needed peace of mind as they enter retirement.' – Michael Corgiat, a representative of The Retirement Group, a division of Wealth Enhancement.

'Kaiser Permanente retirees often underestimate the impact of inflation and unexpected medical costs on their retirement savings. By planning for these stealth expenses and adjusting their budgets accordingly, they may avoid unnecessary financial strain and maintain a comfortable lifestyle throughout retirement.' – Brent Wolf, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

  1. The five most common stealth expenses in retirement, including health care, taxes, emergencies, family-related expenses, and inflation.

  2. The impact of inflation and unexpected costs on Kaiser Permanente retirees.

  3. Strategies to reduce the burden of stealth expenses through proactive planning and saving.

Many Kaiser Permanente employees concentrate on budgeting and income management while making retirement plans. While this is crucial, planning for hidden or stealth costs—unexpected expenses that can occur and negatively impact finances—is often overlooked. Even with a well-thought-out budget, retirees may find themselves caught off guard by these expenses, leading to unnecessary stress.

Unexpected expenses are a significant factor in 43% of retirees feeling more financially worried than before retirement, according to a recent study by TheSeniorList.com. 1  Many Kaiser Permanente retirees realize that they are unprepared for the hidden costs that emerge once they leave employment, despite saving substantial amounts for retirement. While $1.26 million is considered an ideal amount to retire comfortably, 2  many Kaiser Permanente employees haven’t reached this target, making them vulnerable to unanticipated costs that could derail their financial plans.

“Kaiser Permanente retirees and pre-retirees recognize the imperative to plan for unforeseen financial events, but they often struggle to put aside sufficient funds to do so,” says Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement. The current high rate of inflation is making it more challenging for investments and savings to keep up with rising prices, exacerbating the issue. Notably, 20% of retirees and 35% of pre-retirees say they experienced a financial shock that caused them to lose more than 25% of their assets, according to the Retirement Risk Survey conducted by the Society of Actuaries (SOA) Research Institute. 3  This underscores the importance of addressing hidden expenses in retirement.

To help prevent financial strain, Kaiser Permanente retirees should prepare for and anticipate the five most common stealth expenses listed below.

Health Care Expenses

Kaiser Permanente retirees are often surprised by the full cost of health care, despite it being a known expense. Unexpected medical expenses, especially for serious or chronic conditions, can become a significant financial burden. 'Putting numbers around the potential cost of unexpected medical crisis is notoriously challenging, and even chronic health issues are hard to estimate, especially if they last longer than expected,' says Patrick Ray, a financial advisor at The Retirement Group, a division of Wealth Enhancement. The price of medical care might vary greatly. A hospital stay of two nights could cost about $20,000, but a longer stay or a serious illness could easily exceed $100,000. 4

Even for those with insurance, medical bills are a common source of hidden costs. Kaiser Permanente retirees may need to cover a significant portion of medical expenses due to escalating insurance premiums, co-pays, and deductibles. By confirming they have adequate insurance coverage, including supplemental insurance for unforeseen medical costs, retirees can manage these expenses more effectively. Home insurance can also provide additional financial support for unexpected costs, such as an injury on the property.

Taxes

Taxes do not disappear in retirement, despite what many retirees may assume. Many Kaiser Permanente retirees believe they won’t need to pay taxes once they stop working. However, this is rarely the case, especially for those with multiple income sources. 'Although many retirees no longer earn a salary, they still receive income from an array of sources, such as employer-sponsored plans, savings and investments, and Social Security,' says Kevin Won, a financial advisor with The Retirement Group.

Depending on its source, retirement income may be taxed differently. For example, distributions from retirement accounts like IRAs and 401ks are taxable, and Social Security benefits may be taxed if a retiree's income surpasses certain thresholds. Taxes on investment income can complicate retirement planning. Kaiser Permanente retirees can save on taxes by using strategic asset placement and planning. 

Emergencies

Emergencies are an inevitable aspect of life, and their unpredictability makes them especially challenging to prepare for. These emergencies can include anything from car repairs and home maintenance to unanticipated legal or family medical expenses. Neva Bradley, a financial advisor at The Retirement Group, emphasizes the importance of putting money aside for these situations. On a fixed income, she explains, 'retirees who don't put funds aside for emergencies risk facing unexpected expenses that could reduce  their monthly income, making it harder to cover necessary costs.'

Kaiser Permanente retirees can manage these unexpected costs by maintaining a separate emergency savings fund. It is important to set aside a percentage of funds specifically for emergencies, so retirees can cover expenses without having to dip into their primary retirement savings or return to work.

Family Emergencies

Financial emergencies involving family members can also be a significant hidden expense in retirement. Many retirees, including those at Kaiser Permanente, want to help their adult children or grandchildren during difficult times. Helping adult children in a crisis or contributing to grandchildren’s college tuition could cost up to $20,000 per year or more for tuition alone.

Major family events, such as the death of a spouse, can also create high expenses. For instance, typical funerals cost between $7,000 and $12,000, 5  and there may also be legal fees to settle the estate, which can range from $5,000 to $10,000 or more. 6  Financial advisor Kevin Won stresses the importance of planning for these expenses. “Retirees who want to help family members through tough times should think through how they plan to cover those costs,” he says.

Costs Associated with Inflation

Inflation is one of the most common and unpredictable expenses in retirement. Many Kaiser Permanente retirees aren’t prepared for their purchasing power to slowly decrease. Inflation can significantly erode the value of retirement funds, making it harder to maintain your desired lifestyle. 'Inflation isn't something you can control, but it is something you can plan for,' says Kevin Won. This begins by understanding how inflation could erode your purchasing power over time. For instance, investments of $50,000 annually today would notionally need to grow to $90,000 in 20 years to maintain the same purchasing power.

Inflation impacts every aspect of life, from housing and health care to food and transportation. Inflation and the cost of living were cited by 28% of retirees as the most unexpected aspect of their retirement planning, slightly surpassing the 27% who mentioned medical and health care costs, according to the SeniorList survey. Kaiser Permanente retirees living in older homes or regions susceptible to natural disasters may also face additional costs for repairs or insurance.

Three Strategies to Reduce Retirement Stealth Expenses

Fortunately, Kaiser Permanente retirees can take steps to prepare for and reduce the burden of these hidden costs.

Create a 'Stealth' Annual Budget

One practical approach is to create an annual budget specifically for stealth expenses. By planning in advance, Kaiser Permanente retirees can minimize the stress of dealing with unforeseen bills, which many mistakenly treat as emergencies. Neva Bradley advises, 'Budget for these expenses annually.' Regular retirement budgeting should include costs such as car updates or appliance replacements.

Delay Retirement

Delaying retirement by even a few months or years can help enhance a retiree's financial situation. Continuing to work allows retirees to save more, avoid early withdrawals from retirement accounts, and let investments grow. Neva Bradley recommends that Kaiser Permanente retirees 'push back retirement for as long as practical' to strengthen their financial position.

Put the Money Away Early

One of the most effective ways to prepare for unforeseen expenses is to start saving for retirement as early as possible. Paul Bergeron from The Retirement Group suggests using health savings accounts (HSAs) to save for future medical costs. 'Health care costs are on the rise and often exceed what retirees anticipate. An HSA can help,' he notes. Even without an HSA, Kaiser Permanente retirees should prioritize saving for medical expenses to cover co-pays, co-insurance, and uncovered health care costs that can quickly add up.

In Conclusion

Hidden costs, such as health care, taxes, emergencies, family-related expenses, and inflation, can significantly affect Kaiser Permanente retirees’ financial well-being. While these expenses are often unforeseen, retirees can take proactive steps to plan for them. By budgeting for unexpected costs annually, delaying retirement, and saving strategically, Kaiser Permanente retirees can alleviate the financial strain brought on by stealth expenses and craft a comfortable retirement.

The soaring expense of long-term care, often not fully covered by health insurance, is a major concern for retirees. Those who are currently 65 have almost a 70% chance of needing some type of long-term care services in the future. 7  Planning ahead for these costs, whether through insurance or savings, is crucial for safeguarding retirement income.

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Sources:

1. TheSeniorList. ' Surprise Retirement Costs: What Seniors Need to Know To Protect Their Savings ,' by Amie Clark. 8 Oct. 2024.

2. CNBC. ' The 'magic number' to retire comfortably fell to $1.26 million--but people are less confident they can reach it ,' by Jessica Dickler. 21 Apr. 2025. 

3. Society of Actuaries. “ Retirement Risk Survey Finds Financial Shocks .” Society of Actuaries, 19 Dec. 2024.

4. International Citizens Insurance. ' How Must Does Healthcare Cost in the U.S.? ' 2025.

5. Trust & Will. ' Funeral Costs 101 .' 2025.

6. Trustate. ' Estate Expenses - Who Pays What? ' 2025.

7. Administration for Community Living. ' How Much Care Will You Need? ' 18 Feb. 2020.

Other Resources:

Kiplinger. “The Five Biggest Stealth Costs in Retirement.” Kiplinger, 26 May 2025.

What is the 401(k) plan offered by Kaiser Permanente?

The 401(k) plan offered by Kaiser Permanente is a retirement savings plan that allows employees to save a portion of their salary on a pre-tax basis, helping them build a nest egg for retirement.

How does Kaiser Permanente match contributions to the 401(k) plan?

Kaiser Permanente provides a matching contribution to the 401(k) plan, where they match a percentage of employee contributions, up to a certain limit, helping employees maximize their savings.

What are the eligibility requirements for Kaiser Permanente's 401(k) plan?

Employees of Kaiser Permanente are generally eligible to participate in the 401(k) plan after completing a specified period of service, which is outlined in the plan documents.

Can employees of Kaiser Permanente make changes to their 401(k) contributions?

Yes, employees of Kaiser Permanente can change their contribution amounts to the 401(k) plan at any time, subject to the plan's guidelines.

What investment options are available in Kaiser Permanente's 401(k) plan?

Kaiser Permanente's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to help employees diversify their portfolios.

Does Kaiser Permanente provide educational resources for employees regarding the 401(k) plan?

Yes, Kaiser Permanente offers educational resources and tools to help employees understand their 401(k) options and make informed investment decisions.

What is the vesting schedule for Kaiser Permanente’s 401(k) matching contributions?

The vesting schedule for Kaiser Permanente’s 401(k) matching contributions varies based on years of service, and employees can find specific details in the plan documents.

Can Kaiser Permanente employees take loans against their 401(k) savings?

Yes, Kaiser Permanente allows employees to take loans against their 401(k) savings, subject to the terms and conditions outlined in the plan.

What happens to the 401(k) plan when an employee leaves Kaiser Permanente?

When an employee leaves Kaiser Permanente, they have several options regarding their 401(k) plan, including cashing out, rolling it over to another retirement account, or leaving it in the plan if allowed.

Is there an automatic enrollment feature in Kaiser Permanente's 401(k) plan?

Yes, Kaiser Permanente may have an automatic enrollment feature that enrolls eligible employees into the 401(k) plan at a default contribution rate unless they choose to opt-out.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Kaiser Permanente offers a defined benefit pension plan providing retirement income based on compensation and years of service. The plan does not include a cash balance component. Employees can also contribute to additional retirement accounts with potential employer matching.
Kaiser Permanente announced significant layoffs, cutting over 100 IT roles in 2023, primarily impacting Northern California. This decision followed an earlier reduction of 49 workers in human resources services. These layoffs coincided with a major strike by over 75,000 employees protesting short-staffing and corporate outsourcing, highlighting ongoing labor tensions within the healthcare industry. In response to labor disputes, Kaiser Permanente ratified a new four-year contract in November 2023 with more than 85,000 healthcare workers. The agreement includes annual wage increases, a minimum wage boost, and more investments in employee training and hiring. This move aims to address worker burnout and staffing shortages, reflecting the pressures on the healthcare sector amidst economic challenges and rising operational costs.
Kaiser Permanente offers RSUs to its employees, vesting over a period and converting into shares upon vesting. Stock options are not typically part of their compensation package, focusing more on RSUs and other performance incentives.
Kaiser Permanente, a leader in integrated healthcare, has made several significant updates to its employee healthcare benefits in recent years, adapting to the changing economic, investment, tax, and political landscapes. In 2023 and 2024, Kaiser Permanente has emphasized connected care, combining care and coverage to simplify access to health services. Noteworthy updates include $0 copays for telehealth services, $15 chiropractic services (up to 20 visits per year), and enhanced rewards programs where employees can earn up to $150 in Healthy Rewards. The health plan also continues to support employees' mental and emotional well-being through free access to the Calm and myStrength apps, providing meditation and personalized mental health resources at no cost​ (Kaiser Permanente)​​ (Kaiser Permanente)​. Given the current economic uncertainties and evolving healthcare regulations, Kaiser Permanente's approach to healthcare benefits underscores the importance of comprehensive, accessible, and affordable healthcare for its employees. This strategy not only addresses immediate health needs but also enhances overall employee satisfaction and retention. Discussing healthcare benefits is crucial in today's climate as companies like Kaiser Permanente strive to balance cost management with the delivery of high-quality healthcare services. The company's proactive measures ensure that their employees are well-supported, promoting a healthier and more productive workforce​ (Kaiser Permanente)​​ (Working at Kaiser Permanente)​.
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For more information you can reach the plan administrator for Kaiser Permanente at one kaiser plaza Oakland, CA 94612; or by calling them at 510-271-5940.

https://healthplans.kaiserpermanente.org/federal-employees-fehb/wp-content/uploads/2022/10/2023FEHB-Brochure-73-822.pdf - Page 5, https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/medicare/2023/summary-of-benefits-puget-sound-wa.pdf - Page 12, https://account.kp.org/2024/summary-benefits.pdf - Page 15, https://account.kp.org/2023/summary-benefits.pdf - Page 8, https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/medicare/2024/summary-of-benefits-puget-sound-wa.pdf - Page 22, https://account.kp.org/2022/summary-benefits.pdf - Page 28, https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/medicare/2022/summary-of-benefits-puget-sound-wa.pdf - Page 20, https://account.kp.org/2024/benefits-summary.pdf - Page 14, https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/medicare/2023/benefits-summary-puget-sound-wa.pdf - Page 17, https://account.kp.org/2023/benefits-summary.pdf - Page 23

*Please see disclaimer for more information

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