Alliant Energy Retirees Face Rising Health Care Costs: Insights from Patrick Ray & Tyson Mavar

'With health care inflation outpacing general costs, Alliant Energy employees should consider building personalized strategies that include HSAs and emergency reserves to help manage future medical expenses.' — Michael Corgiat, a representative of The Retirement Group, a division of Wealth Enhancement.

'As medical expenses continue to rise, Alliant Energy employees benefit from proactively incorporating health care costs into their retirement planning through customized approaches like HSAs and dedicated emergency funds.' — Brent Wolf, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article we will discuss:

1. How health care inflation impacts retirement planning for Fortune 500 employees.

2. Strategies with Health Savings Accounts (HSAs) and emergency medical funds.

3. The need for tailored planning to meet Medicare gaps and long-term care needs.

Managing retirement health care costs calls for thoughtful planning, especially as medical expenses continue to outpace general inflation. Yet, for Fortune 500 professionals approaching retirement, generic guidance often misses the mark. Patrick Ray and Tyson Mavar of The Retirement Group, a division of Wealth Enhancement, recommend a customized approach that factors in health care inflation, coverage choices, tax-efficient tools, and access to liquid funds for unexpected medical events.

Health Care Estimate for Retirees

According to the Fidelity Retiree Health Care Cost Estimate, a 65-year‑old retiring in 2025 may need approximately $172,500 saved to cover health and medical expenses during retirement—an increase of over 4% since 2024. ¹  Notably, this estimate assumes enrollment in Medicare Parts A, B, and D and excludes the costs of long‑term care.

Of that estimate, 44% of the costs would go to Medicare Parts B and D premiums, 47% relate to standard out‑of‑pocket costs (such as co-payments and deductibles), and 9% would be needed to purchase prescription medications. ¹

These trends are particularly concerning given that roughly 20% of Americans say they haven’t considered health care in retirement planning, while 17% haven’t taken any planning steps yet. ²

For its part, the Employee Benefit Research Institute (EBRI) notes that a 65‑year‑old couple with higher prescription drug expenses may need as much as $413,000 to have a 90% likelihood of covering their medical needs in retirement. ³

The Value of a Personalized Retirement Health Care Approach

In light of this data, Ray and Mavar recommend developing a retirement health care strategy tailored to each individual's situation, particularly for those at large employers like Fortune 500. Key components could include:

• - Estimating expected medical needs

• - Using Health Savings Accounts (HSAs)

• - Keeping readily available funds for emergencies

• - Aligning health care coverage with lifespan and income expectations

1. Estimating Your Health Care Budget

Although industry research offers a baseline for average health care costs, it does not consider the full range of medical expenses Alliant Energy employees could face post-retirement. For instance, if you factor in costs related to long-term care, estimates could balloon by an additional $26,000 to $127,750 per year. ⁴

Beyond long-term care, additional cost categories could include:

• - Medicare premiums

• - Prescription medications and co‑pays

• - Services not covered by Medicare (e.g., dental, vision)

Ray and Mavar caution Fortune 500 professionals not to underestimate these figures when planning.

2. Gaps in Preparedness

With 17% of Americans having taken no action to plan for health care in retirement, Ray and Mavar emphasize treating health care planning as a central component—not an afterthought.

3. Making Full Use of HSAs

Ray and Mavar suggest consistently contributing to HSAs during working years. For instance, a 35‑year‑old contributing up to $4,300 annually and assuming a 7% return might accumulate over  $500,000  by age 65, including approximately  $140,000 in tax savings . Only about  30%  of HSA holders currently invest those balances.

In their recent webinar, ' Leveraging HSAs to Reduce Health Care Costs ,' Mavar described benefits such as tax‑free growth and withdrawals for qualified medical expenses for those with high‑deductible health plans.

4. Building an Emergency Medical Reserve

Unexpected diagnoses or emergencies can quickly drain resources. Mavar recommends a separate cash reserve—such as in a money market or high‑yield savings account—outside primary retirement accounts. This may help retirees handle health care shocks without impacting long‑term investments.

• Broader Economic Landscape: Health Care Inflation and Trends

Health care spending is projected to continue rising. In a report published by federal actuaries, U.S. health care spending is expected to rise by 7.1% in 2025—well ahead of general inflation. ⁵  Reasons for this rise range from growing personal health care spending and hospital spending growth, to prescription drugs and physician services. As a result, health care expenses could account for 20% of U.S. GDP by 2033. ⁵

At the same time, many health care insurers report higher medical-loss ratios, indicating increased spending on care—including chronic disease management and mental health services—costs that could be passed down to retirees.

Key Recommendations for Retirement Health Care Preparation

• As Mavar and Ray note, the $172,500 estimate for those retiring in 2025 is simply a starting reference point. Early retirement or long-term care needs could push your total higher.

• If you are among the percentage of people who has not yet considered health care costs in your retirement planning, now is the time to start. By leveraging the triple tax advantages available through HSAs, putting aside sufficient reserves to address medical emergencies, and exploring individual strategies that take your personal coverage choices, retirement timing, and health conditions into account, you can build a safety net that considers your long-term health care spending needs.

Final Thoughts

Health care outcomes and personal circumstances vary widely—especially among long‑time Fortune 500 professionals. A tailored planning strategy—covering realistic spending projections, full use of HSAs, dedicated medical reserves, and thoughtful coverage choices—can help support a more predictable and manageable retirement journey.

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Alliant Energy offers its employees both a defined benefit pension plan and a 401(k) plan as part of their retirement benefits package. The company's pension plan follows a Final Average Pay (FAP) formula, where benefits are calculated based on the average salary over the final years of an employee's career, multiplied by years of service. Employees become vested in the pension plan after a specified number of years of service, generally after 10 years. Alliant Energy's defined benefit plan ensures that employees who retire at the standard retirement age of 65 or older receive a monthly pension payment, with earlier retirements receiving adjusted, reduced benefits​ (Pension Rights Center)​ (Wikipedia)​ (Wikipedia). Alliant Energy's 401(k) plan allows employees to contribute a percentage of their income to a tax-deferred savings account. The company matches a portion of employee contributions, a common feature to incentivize savings. Employees have the option to choose between traditional 401(k) contributions, which are made pre-tax, and Roth 401(k) contributions, made after-tax. These plans also provide a wide range of investment options, such as mutual funds, bonds, and stocks, which employees can select based on their retirement goals​ (Wikipedia)​ (Annuity.org). In terms of eligibility, employees generally qualify for both the pension plan and the 401(k) plan after meeting a specific threshold of years of service, which is typically 10 years for the pension plan and immediate eligibility for the 401(k) plan upon employment. The pension benefits calculation typically involves age and years of service. As for the 401(k), employees can enroll upon hire and take advantage of Alliant Energy's employer matching contribution immediately.

In 2024, Alliant Energy continued its energy transition efforts by filing a request to convert its coal-fueled Edgewater Generating Station to natural gas. This shift is part of Alliant's broader sustainability initiatives aimed at reducing greenhouse gas emissions and bolstering reliability​ (Homepage). The company reaffirmed its commitment to clean energy and community economic benefits. This restructuring is crucial to track because the energy industry is directly influenced by shifts in the economic and political landscape, which has implications for investment strategies and tax benefits​ (Alliant Energy Retirees - Home)​ (Alliant Energy Retirees - Home). Alliant Energy updated its 401(k) plan record keeper in 2023, switching to Fidelity Investments. This transition, disclosed in an 8-K filing with the SEC, signifies an effort to enhance the management and performance of employee retirement plans​ (Alliant Energy Retirees - Home). Changes in company benefits and pensions are essential to follow because they reflect how companies are adapting to both market conditions and new tax laws, affecting employees' retirement security​ (Alliant Energy Retirees - Home).

Alliant Energy offers its employees stock options (SO) and Restricted Stock Units (RSU) as part of its compensation and benefits program. Stock options provide employees the right to purchase company stock at a predetermined price, while RSUs are company shares granted to employees, typically with vesting conditions. Alliant Energy's stock options and RSUs are generally made available to senior-level management and eligible employees based on performance and tenure. In 2022, Alliant Energy continued to grant stock options under its Long-Term Incentive Plan (LTIP). These stock options (LNT-SO) allowed eligible employees to purchase shares at a set price, aligning their interests with shareholder value growth. Additionally, RSUs (LNT-RSU) were awarded, vesting over time as an incentive to retain talent and reward long-term contributions​ (Homepage)​ (Alliant Energy)​ (Homepage). For 2023 and 2024, the company sustained its stock option grants, especially focusing on performance-based RSUs, which required meeting specific performance metrics for full vesting. These RSUs are typically granted annually and can vest over several years, incentivizing executives and employees to meet long-term company goals. Information on the distribution and conditions for these awards can be found in Alliant Energy’s annual reports and proxy filings​.

Alliant Energy offers comprehensive health benefits to its employees and retirees, reflecting a commitment to supporting the well-being of their workforce. For current employees, the company provides several key healthcare options, including medical, dental, and vision insurance plans. Their health plans emphasize flexibility and affordability, with options such as the Consumer-Driven Health Plan (CDHP), which allows employees to manage their healthcare expenses using Health Reimbursement Arrangements (HRA) and Flexible Spending Accounts (FSA). Additionally, Alliant Energy provides access to mental health services through their Employee Assistance Program (EAP), which offers confidential support for personal, emotional, and financial issues​ (Alliant)​ (Homepage). The importance of discussing healthcare benefits at Alliant Energy in today's economic, investment, and political environment cannot be overstated. Rising healthcare costs and changing tax laws have made it critical for employees to maximize their benefits, especially as companies like Alliant Energy continue to adapt their offerings to provide sustainable and inclusive coverage. For retirees, Alliant Energy ensures continuity in care through early retiree medical benefits, with premium categories based on contract status. With programs such as Delta Dental and VSP for vision care, the company maintains comprehensive coverage even after retirement. As healthcare remains a significant concern in policy debates, understanding these benefits helps employees and retirees alike plan for future costs and healthcare needs.