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

Advanced Micro Devices Retirees Face ACA Premium Shock—Here’s How Others Are Responding

Healthcare Provider Update: Healthcare Provider for Advanced Micro Devices: Advanced Micro Devices (AMD) utilizes a variety of healthcare providers, primarily partnering with major insurers for its employee health benefits. While specific arrangements may vary, AMD's health plans typically include coverage options from networks including UnitedHealthcare, Anthem, and others. Potential Healthcare Cost Increases in 2026: As we approach 2026, employees of Advanced Micro Devices should brace for significant increases in healthcare costs. With projected record hikes in ACA marketplace premiums-some states seeing increases over 60%-employees may find a larger portion of their healthcare expenses shifted to them. Factors like the expiration of enhanced federal subsidies and continual medical cost inflation are driving these changes, potentially leading to out-of-pocket costs soaring by as much as 75%. In this challenging landscape, it's essential for employees to review benefit changes and make informed selections to mitigate the financial impact. Click here to learn more

'Advanced Micro Devices employees approaching retirement should recognize that proactive income and health care planning can make the difference between preserving subsidy eligibility and facing sharply higher ACA premiums.' – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.

'Advanced Micro Devices employees planning their retirement should consider how income levels influence ACA subsidies, as even small adjustments in taxable withdrawals can affect future health care affordability.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

How the expiration of enhanced ACA subsidies after 2025 could impact health care costs for retirees and early retirees.
Real-life case studies illustrating how different individuals are adjusting to rising ACA premiums.
Practical steps Advanced Micro Devices professionals can take before enrolling in 2026 Marketplace plans.

by Brent Wolf, CFP®, Wealth Enhancement

As open enrollment for 2026 Marketplace plans begins, many households are seeing dramatic shifts in their renewal letters. Rising base premiums and the possible end of enhanced subsidies after 2025 could mean significantly higher out-of-pocket costs for anyone purchasing coverage through the Affordable Care Act (ACA) exchange.

The Kaiser Family Foundation (KFF) estimates that if Congress does not extend enhanced premium tax credits, average net premium payments could more than double in 2026. ¹

“It feels like a second mortgage to pay this premium.”

Profile: A couple in their early 60s who retired a few years before becoming Medicare-eligible.

What changed: Their ACA premium had been manageable due to increased subsidies. Their renewal now indicates a rise of about $1,000 to $1,200 monthly if enhanced credits expire.

Decision pressure: They faced hard choices—drawing more taxable income from IRAs, going without coverage, or returning to the workforce for employer-based insurance.

Our response: We reworked their income plan to align with the ACA’s income-based subsidy structure. By controlling their Modified Adjusted Gross Income (MAGI) through smaller IRA withdrawals, use of cash reserves, and partial Roth conversions, we kept them eligible for key subsidies. Comparing a Bronze high-deductible plan with a health savings account (HSA) to a Silver plan revealed the Silver plan—thanks to cost-sharing reductions—was more economical given their expected medical treatments.

“I can’t risk losing coverage while battling an illness.”

Profile: A single client in her early 60s undergoing ongoing medical treatment.

What changed: Without enhanced subsidies, her premiums nearly tripled.

Decision pressure: Balancing affordability with the need to keep her care team and prescriptions consistent.

Our response: We prioritized staying with her provider network and controlling her out-of-pocket costs. A dedicated “medical reserve” fund—equal to one year’s maximum out-of-pocket limit—gave her a cushion without liquidating investments during market declines. We also worked with her physicians to identify lower-cost prescriptions through her plan’s formulary.

“The new premiums are hurting our business margins.”

Profile: A self-employed couple—one partner managing asthma and the other a cardiac rhythm condition.

What changed: Without subsidies, their net premiums are expected to rise sharply.

Decision pressure: Continue paying high premiums, choose a plan with a very high deductible, or seek W-2 employment for benefits.

Our response: We compared total annual costs for a Silver plan versus a Bronze option, factoring in frequent specialist visits and prescriptions. Once total medical costs were considered, the Silver plan proved more cost-effective. We also aligned their life and disability coverage and tailored their tax approach to reflect potential changes in premium tax credits.

“I’m young and healthy—do I even need full coverage?”

Profile: An independent contractor in their 20s with minimal expected medical use.

What changed: Premiums for mid- and high-tier plans nearly quadrupled.

Decision pressure: Choosing between a high-deductible Bronze HSA plan and catastrophic coverage.

Our response: We modeled three options—a Bronze HSA-eligible plan, a mid-tier plan, and catastrophic coverage. The Bronze HSA option offered the best mix of lower premiums and long-term tax benefits. Monthly automated HSA contributions build a future medical fund that can later be used for qualified health care expenses or Medicare premiums (excluding Medigap) after age 65.

Five Steps to Take Before You Enroll

1. Evaluate your total annual cost, not just the premium. Factor in deductibles, copays, and the possibility of reaching your out-of-pocket maximum.

2. Manage your MAGI carefully. ACA subsidies depend on income. Coordinate Roth conversions, capital gains, and IRA withdrawals strategically.

3. Verify your doctor and prescription coverage. Always confirm your plan’s provider network and formulary before enrolling.

4. Maintain a medical reserve fund. Hold six to 12 months of premiums plus a portion of your maximum out-of-pocket in cash or short-term Treasuries.

5. Finalize your plan by December 15. Open Enrollment for 2026 coverage ends on December 15, with plans effective January 1.

If Affordability Is a Concern

Choosing to go without insurance can expose you to serious financial strain in case of illness or accident. Consider the most affordable Bronze plan that still meets ACA minimum coverage requirements. If your income decreases during the year, you may become eligible for Medicaid or CHIP and qualify for a Special Enrollment Period. ²

How The Retirement Group Supports Advanced Micro Devices Professionals

For Advanced Micro Devices employees approaching or already in retirement, the intersection of rising health care costs and income planning can be complex. The Retirement Group focuses on helping clients navigate ACA subsidy rules, tax-efficient withdrawal strategies, and health care cost planning during retirement transitions.

To speak with an advisor about aligning your retirement income and health care planning, call (800) 900-5867 today.

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Articles you may find interesting:

Sources:

1. Cox, Cynthia, et al. “ACA Marketplace Premium Payments Would More Than Double on Average Next Year if Enhanced Premium Tax Credits Expire.” Kaiser Family Foundation (KFF) , 2025, pp. n.p., https://www.kff.org/affordable-care-act/aca-marketplace-premium-payments-would-more-than-double-on-average-next-year-if-enhanced-premium-tax-credits-expire/ .
2. Centers for Medicare & Medicaid Services. ' Understanding Special Enrollment Periods. ' June 2025.
Other resources:
1. “When Can You Get Health Insurance? | Dates & Deadlines.” HealthCare.gov , U.S. Centers for Medicare & Medicaid Services, n.d., https://www.healthcare.gov/quick-guide/dates-and-deadlines/ .
2. Publication 969: Health Savings Accounts and Other Tax-Favoured Health Plans. Internal Revenue Service, 2024, pp. 8–9, https://www.irs.gov/pub/irs-pdf/p969.pdf .
3. “Silver vs. Bronze Plan Selection: Cost-Comparison Scenarios.” Centers for Medicare & Medicaid Services (CMS) , 23 Dec. 2024, pp. 1–3, https://www.cms.gov/files/document/silver-vs-bronze-cost-comparison-scenario-resource.pdf .
4. Murphy, Tom. “Expect Health Insurance Prices to Rise Next Year, Brokers Say.” AP News , Associated Press, 24 Aug. 2025, https://apnews.com/article/health-insurance-drug-costs-2026-rates-c4d865ec09c7088ecc6b55dc520f3566 .

What is the 401k plan offered by Advanced Micro Devices?

The 401k plan offered by Advanced Micro Devices is a retirement savings plan that allows employees to save a portion of their salary on a tax-deferred basis.

How can employees of Advanced Micro Devices enroll in the 401k plan?

Employees of Advanced Micro Devices can enroll in the 401k plan through the company’s HR portal or by contacting the HR department for assistance.

Does Advanced Micro Devices match employee contributions to the 401k plan?

Yes, Advanced Micro Devices offers a matching contribution to the 401k plan, which helps employees grow their retirement savings.

What is the maximum contribution limit for the 401k plan at Advanced Micro Devices?

The maximum contribution limit for the 401k plan at Advanced Micro Devices is in accordance with IRS guidelines, which may change annually.

Can employees of Advanced Micro Devices take loans against their 401k savings?

Yes, employees of Advanced Micro Devices may have the option to take loans against their 401k savings, subject to the plan's specific terms and conditions.

What investment options are available in the Advanced Micro Devices 401k plan?

The Advanced Micro Devices 401k plan offers a variety of investment options, including mutual funds, stocks, and bonds, allowing employees to tailor their portfolios.

How often can employees change their contribution amounts to the Advanced Micro Devices 401k plan?

Employees can typically change their contribution amounts to the Advanced Micro Devices 401k plan at any time, subject to the plan’s rules.

What happens to the 401k savings if an employee leaves Advanced Micro Devices?

If an employee leaves Advanced Micro Devices, they can roll over their 401k savings to another retirement account, cash out, or leave the funds in the current plan if permitted.

Are there any fees associated with the Advanced Micro Devices 401k plan?

Yes, the Advanced Micro Devices 401k plan may have administrative fees and investment-related fees, which are disclosed in the plan documents.

How can employees access their 401k account information at Advanced Micro Devices?

Employees can access their 401k account information through the online portal provided by the plan administrator or by contacting customer service.

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

AMD has announced a restructuring plan that includes layoffs across various departments to streamline operations and reduce costs. Additionally, the company is making adjustments to its employee benefits, including changes to its pension plan and 401(k) contributions.

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For more information you can reach the plan administrator for Advanced Micro Devices at 2485 Augustine Drive Santa Clara, CA 95054; or by calling them at (408) 749-4000.