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

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Healthcare Provider Update: Molina Healthcare is a prominent healthcare provider that offers a range of health insurance plans, primarily through the Affordable Care Act (ACA) marketplace. In Florida, Molina is proposing a significant rate increase of approximately 41% for individual plans in 2026, which is the highest among competing insurers. This surge in premiums is part of a broader trend expected across the ACA marketplace, where many participants may face increased costs due to various factors including the potential expiration of enhanced federal premium subsidies and rising medical expenses. If enacted, this could lead to substantial financial strain for a large portion of enrollees, particularly those who are reliant on affordable coverage under the ACA. Click here to learn more

'With health care inflation outpacing general costs, Molina Healthcare 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, Molina Healthcare 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 Molina Healthcare 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.

What type of retirement savings plan does Molina Healthcare offer to its employees?

Molina Healthcare offers a 401(k) retirement savings plan to its employees.

Does Molina Healthcare match employee contributions to the 401(k) plan?

Yes, Molina Healthcare provides a matching contribution to the 401(k) plan, helping employees maximize their retirement savings.

What is the eligibility criteria for Molina Healthcare's 401(k) plan?

Employees of Molina Healthcare 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 Molina Healthcare employees choose how much to contribute to their 401(k) plan?

Yes, employees at Molina Healthcare can choose their contribution amount, subject to IRS limits.

What investment options are available in Molina Healthcare's 401(k) plan?

Molina Healthcare's 401(k) plan offers a variety of investment options, including mutual funds and other investment vehicles, allowing employees to diversify their portfolios.

How can Molina Healthcare employees access their 401(k) account information?

Molina Healthcare employees can access their 401(k) account information through the plan's online portal or by contacting the plan administrator.

Are there any fees associated with Molina Healthcare's 401(k) plan?

Yes, there may be administrative fees and investment-related fees associated with Molina Healthcare's 401(k) plan, which are disclosed in the plan documents.

Can Molina Healthcare employees take loans against their 401(k) savings?

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

What happens to Molina Healthcare employees' 401(k) accounts if they leave the company?

If Molina Healthcare employees leave the company, they have several options for their 401(k) accounts, including rolling over to another retirement account or cashing out, subject to tax implications.

Does Molina Healthcare offer financial education resources for employees regarding their 401(k) plan?

Yes, Molina Healthcare provides financial education resources and tools to help employees make informed decisions about their 401(k) savings.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Molina Healthcare offers a competitive benefits package that includes both pension and 401(k) plans for its employees. As of 2022, 2023, and 2024, the Molina Healthcare 401(k) plan allows employees to save for retirement with both pre-tax and Roth options. The company matches 100% of employee contributions up to 4% of their salary. Employees are automatically enrolled at a 4% contribution rate. Eligibility for the company match occurs after one year of service, making Molina's retirement plan accessible to full-time employees. In addition to the 401(k) plan, Molina Healthcare provides a defined contribution retirement plan for employees. This plan does not specify an exact pension formula but is built around employee and employer contributions rather than a traditional defined benefit structure. Full-time employees working a minimum of 30 hours per week qualify for these retirement benefits. Additionally, the Employee Stock Purchase Plan (ESPP) is available, which allows employees to purchase company stock at a discounted rate, further enhancing retirement savings. The 401(k) and pension plans are managed with a focus on employee participation and long-term financial wellness. These plans are designed to encourage active savings for retirement while offering the flexibility of both traditional and Roth contribution options. Molina emphasizes the importance of long-term service by vesting employer contributions after one year.
Restructuring Layoffs: In 2023 and early 2024, Molina Healthcare announced multiple layoffs as part of their ongoing restructuring efforts. One significant wave involved a 10% reduction in the corporate and health plan workforce, impacting approximately 1,400 employees. This was part of a larger restructuring initiative aimed at reducing operating expenses and aligning the company with the changing healthcare landscape​ (Molina Healthcare)​ (Molina Healthcare). Importance: It is critical to address these layoffs because they are happening in a period of heightened economic uncertainty and shifts in government healthcare funding. These workforce reductions may affect service delivery and the overall financial performance of the company, influencing its stock value and investment outlook in 2024.
Molina Healthcare provides its employees with stock-based compensation, including stock options and Restricted Stock Units (RSUs), to align their interests with those of shareholders and incentivize long-term performance. Molina's Employee Stock Purchase Plan allows eligible employees to buy company stock at a 15% discount. RSUs are granted to key executives and senior employees as part of their compensation package, which vests over a multi-year period based on performance targets and continued employment. In 2022, 2023, and 2024, Molina Healthcare granted stock options and RSUs through its equity incentive plan. These awards are designed for executives and select employees who meet performance criteria. Stock options are priced at the market value on the grant date, and RSUs are granted based on company performance and employee role. In 2023, Molina reported $115 million in stock-based compensation​ (Molina Healthcare)​ (Stock Analysis). Stock options and RSUs at Molina Healthcare are available to senior management and executives, with eligibility determined by job role and performance metrics. The 2024 Proxy Statement and the 2023 Annual Report provide details on the structure of these equity incentives (page 30, Proxy Statement 2024)
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For more information you can reach the plan administrator for Molina Healthcare at , ; or by calling them at .

https://carlsoncap.com/articles/nua-net-unrealized-appreciation/ https://www.fidelity.com/learning-center/personal-finance/retirement/company-stock https://www.sec.gov/Archives/edgar/data/1179929/000117992922000025/moh4q21_examendedandrestat.htm https://recosa.org/update-regarding-457b-deferred-compensation-plan-changes/8270/07/27/2023/14/35/ https://www.thelayoff.com/t/1qkf8P4H https://careers.molinahealthcare.com/benefits https://www.principal.com/businesses/trends-insights/2023-pension-lump-sums-dropping-new-years-ball https://www.einnews.com/pr_news/584645135/2023-pension-buyouts-how-interest-rates-are-affecting-lump-sum-offers https://www.irs.gov/retirement-plans/recent-interest-rate-notices https://www.mercer.com/en-us/insights/retirement/defined-benefit-plans/pension-discount-yield-curve-and-index-rates-in-us/ https://investors.molinahealthcare.com/news-releases/news-release-details/molina-healthcare-reports-fourth-quarter-and-year-end-2022 https://www.nerdwallet.com/p/reviews/insurance/medicare/molina-medicare-advantage https://mergr.com/company/molina-healthcare https://labusinessjournal.com/healthcare/long-beach-based-molina-healthcare-lay-nearly-170/ https://www.marketscreener.com/quote/stock/MOLINA-HEALTHCARE-INC-13588/news/Molina-Healthcare-Plans-to-Layoff-10-of-the-Corporate-and-Health-Plan-Employees-35022012/ https://www.emparion.com/cash-balance-pension-plan-faq/ https://www.futureplan.com/resources/news-articles/defined-benefit-cash-balance-plan-key-priorities/ https://www.milliman.com/en/insight/2023-lump-sums-defined-benefit-plans-much-lower-as-interest-rates-rise https://www.irs.gov/irb/2024-34_IRB

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