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

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

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Healthcare Provider Update: Healthcare Provider for Texas Roadhouse Texas Roadhouse employees typically rely on Blue Cross Blue Shield of Texas (BCBS Texas) for their healthcare coverage. This provider is known for offering a range of health plans, including those that cater specifically to the needs of employees in the restaurant industry. Healthcare Cost Increases in 2026 As we approach 2026, Texas Roadhouse employees may face significant healthcare cost increases, driven largely by anticipated premium hikes in the Affordable Care Act (ACA) marketplace. Preliminary reports indicate that some states could experience rate increases exceeding 60% due to the expiration of federal premium subsidies and rising medical costs. With the possibility of out-of-pocket premiums surging by over 75% for approximately 22 million policyholders nationally, employees must proactively reassess their healthcare budgets and explore options to mitigate potential financial strains as these changes unfold. Click here to learn more

'With health care inflation outpacing general costs, Texas Roadhouse 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, Texas Roadhouse 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 Texas Roadhouse 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 plan does Texas Roadhouse offer to its employees?

Texas Roadhouse offers a 401(k) retirement savings plan to its employees.

How can Texas Roadhouse employees enroll in the 401(k) plan?

Texas Roadhouse employees can enroll in the 401(k) plan by completing the enrollment process through the company's HR portal or by contacting HR for assistance.

Does Texas Roadhouse match employee contributions to the 401(k) plan?

Yes, Texas Roadhouse provides a matching contribution to employee 401(k) contributions, subject to certain limits.

What is the eligibility requirement for Texas Roadhouse employees to participate in the 401(k) plan?

Texas Roadhouse employees are generally eligible to participate in the 401(k) plan after completing a specified period of service, typically 60 days.

What types of investment options are available in the Texas Roadhouse 401(k) plan?

The Texas Roadhouse 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles.

Can Texas Roadhouse employees take loans against their 401(k) savings?

Yes, Texas Roadhouse employees may be able to take loans against their 401(k) savings, subject to the plan's terms and conditions.

What is the vesting schedule for Texas Roadhouse's 401(k) matching contributions?

The vesting schedule for Texas Roadhouse's 401(k) matching contributions typically follows a graded vesting schedule, which means employees earn rights to the match over time.

How can Texas Roadhouse employees change their contribution percentage to the 401(k) plan?

Texas Roadhouse employees can change their contribution percentage by accessing their account online or by submitting a request through HR.

Are there any fees associated with the Texas Roadhouse 401(k) plan?

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

Can Texas Roadhouse employees roll over their 401(k) savings from a previous employer?

Yes, Texas Roadhouse employees can roll over their 401(k) savings from a previous employer into the Texas Roadhouse 401(k) plan, following the plan's rollover procedures.

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