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

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

Healthcare Provider Update: Healthcare Provider for IBM: IBM primarily partners with Aon and Anthem Blue Cross for its employee healthcare plans, providing a range of medical coverage options to its employees including retirees. Projected Healthcare Cost Increases in 2026: In 2026, IBM and many other companies are expected to face significant healthcare cost increases, largely driven by the looming expiration of enhanced subsidies under the Affordable Care Act (ACA). As these subsidies potentially vanish, reports indicate that out-of-pocket premiums could surge by over 75% for the majority of enrollees, creating an affordability crisis. With combined factors of escalating medical costs, aggressive premium hikes by major insurers, and the uncertainty surrounding federal assistance, businesses like IBM must brace for rising healthcare expenses that may impact their overall compensation strategies and employee benefits offerings. Click here to learn more

'With health care inflation outpacing general costs, IBM 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, IBM 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:

How health care inflation impacts retirement planning for Fortune 500 employees.
Strategies with Health Savings Accounts (HSAs) and emergency medical funds.
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 IBM 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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Sources:

1. Fidelity Investments. “ Fidelity Investments Releases 2025 Retiree Health Care Cost Estimate: A Timely Reminder for All Generations .” 30 July 2025.

2. Barron's. “ The Healthcare Tab for Retirees Keeps Growing. How to Prepare ,” by Elizabeth O'Brien. 30 July 2025.

3. EBRI. ' New Research Report Finds Projected Savings Medicare Beneficiaries Need for Health Expenses Increased Again in 2023 .' 29 Jan. 2024.

4. Genworth. ' Genworth and CareScout Release Cost of Care Survey Results for 2024 .' 4 March 2025.

5. Fierce Healthcare. “ CMS study: Healthcare spending likely to grow by 7.1% in 2025 ,” by Paige Minemyer. 30 June 2025.

How does the International Business Machines Corporation (IBM) Personal Pension Plan benefit employees in terms of retirement savings, and what specific features does this plan offer to ensure financial security for its participants during retirement? Additionally, how does IBM's pension plan compare to industry standards, and what unique advantages does IBM provide to its employees through this retirement plan?

Retirement Savings Benefits of IBM’s Personal Pension Plan: IBM’s Personal Pension Plan benefits employees by offering a secure pathway to accumulate retirement savings. The plan primarily operates as a defined benefit cash balance plan, providing employees with a predictable retirement benefit based on a formula. This structure allows for easier financial planning as employees can foresee their benefits at retirement, contrasting favorably with plans where payouts depend on investment returns. IBM's pension plan typically includes features such as early retirement options and survivor benefits, enhancing financial security for participants and their families.

In what ways can employees of International Business Machines Corporation (IBM) maximize their benefits from the company-sponsored Personal Pension Plan? Discuss both the contribution limits and enrollment processes that IBM has in place and how employees can effectively navigate these policies to enhance their future retirement income.

Maximizing Benefits from IBM’s Pension Plan: IBM employees can maximize their benefits from the company-sponsored Personal Pension Plan by actively participating and understanding the plan’s contribution limits and enrollment processes. Employees are encouraged to join the plan as soon as they are eligible and to contribute consistently throughout their tenure at IBM. Navigating these policies effectively involves utilizing IBM's resources for financial planning and advice, which can help employees optimize their contributions in alignment with their retirement goals.

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Employee Education on Pension Options: IBM takes several measures to educate its employees about pension options. This includes providing detailed plan documentation, access to financial advisors, and online resources that explain various aspects of the pension plan. To improve communication, IBM could further enhance these efforts by offering more frequent informational workshops and personalized counseling sessions, which would help employees make informed decisions about their retirement planning.

What are the tax implications for employees participating in the International Business Machines Corporation (IBM) Personal Pension Plan, particularly in reference to the latest IRS limits for 2024? Discuss how IBM aligns its pension contributions with IRS regulations and what employees should know about the potential tax benefits linked to their retirement savings.

Tax Implications for Plan Participants: The tax implications for employees participating in IBM’s Personal Pension Plan are significant, especially with respect to the latest IRS limits for 2024. IBM aligns its pension contributions with these regulations, offering tax benefits such as deferred taxation on contributions and earnings until withdrawal. Employees should be aware of the annual contribution limits set by the IRS and understand how these affect their taxable income and retirement savings.

Can you detail how the defined benefit cash balance structure of the International Business Machines Corporation (IBM) pension plan works? Explain how this structure provides certainty and predictability for employees nearing retirement and compare it to traditional defined contribution plans available in the industry.

Defined Benefit Cash Balance Structure: IBM's defined benefit cash balance plan provides certainty and predictability by crediting participants' accounts with a set percentage of their annual earnings plus interest credits, which are independent of the plan’s investment performance. This structure benefits employees by providing a stable accumulation of retirement benefits, contrasting with defined contribution plans where retirement savings are subject to market fluctuations. This predictability is especially valuable for employees nearing retirement, who might be concerned about market volatility.

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Pension Plan Sustainability and Funding: To ensure the financial stability and sustainability of its pension plan, IBM employs strategic management practices, including regular funding contributions and conservative investment strategies. Additionally, IBM regularly reviews its plan's funding status and makes adjustments to ensure it meets future obligations. This proactive management helps maintain the plan’s health, ensuring its ability to meet the promised benefits to retirees.

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Improving Pension Offerings: To attract and retain top talent, IBM could enhance its pension offerings by increasing the benefits or flexibility of the plan. For instance, offering higher accrual rates or more diverse investment options could make the plan more attractive. Analyzing competitive trends and employee preferences could guide IBM in refining its pension benefits to offer a more compelling value proposition in the competitive tech industry landscape.

How does the retirement counseling process work for employees of International Business Machines Corporation (IBM) when preparing for retirement? Provide an overview of the resources and tools available to employees and how IBM can better support its workforce in achieving their retirement goals.

Retirement Counseling Process at IBM: IBM provides a comprehensive retirement counseling process that includes access to personal financial advisors, detailed plan documentation, and online planning tools. To better support its workforce in achieving retirement goals, IBM could expand its counseling services to offer more customized advice and increase the frequency of one-on-one sessions to address individual employee needs and concerns more effectively.

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Compliance with Federal Regulations: IBM ensures compliance with all federal regulations concerning pension plans, which is crucial for maintaining the integrity and trustworthiness of its retirement benefits. Compliance involves regular audits, adherence to funding requirements, and transparent communication with plan participants about any changes. This strict adherence helps protect the benefits of employees and fosters trust in IBM’s commitment to their financial well-being.

How can employees of the International Business Machines Corporation (IBM) contact the human resources department to learn more about their retirement benefits, specifically regarding the Personal Pension Plan? Discuss the available channels for communication and the types of information employees can expect to receive when reaching out to IBM for retirement-related inquiries.

Contacting IBM for Retirement Benefits Information: Employees of IBM can contact the human resources department to learn more about their retirement benefits through multiple channels, including dedicated support lines, email, and internal web portals. These channels provide access to comprehensive information on the Personal Pension Plan, and employees can expect to receive guidance on enrollment, benefit calculations, and plan options when reaching out for assistance.

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

IBM offers a Retirement Benefit Account as part of its defined benefit plan. The plan provides a fixed contribution and guaranteed interest rate, ensuring stable growth of retirement benefits. Employees can choose between lump-sum payments or monthly annuities upon retirement. The plan provides retirement income based on years of service and final average pay, with a cash balance component that grows annually with interest credits.

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