'Amazon 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.
Healthcare Provider Update: Amazon has partnered with One Medical as its primary healthcare provider. One Medical offers a membership model aimed at providing accessible and efficient healthcare, including virtual visits and same-day appointments. As we approach 2026, healthcare costs are projected to rise significantly, a trend attributed to various factors including the potential expiration of enhanced federal premium subsidies associated with the Affordable Care Act (ACA). Many states are bracing for steep premium hikes, with some individual markets seeing increases exceeding 60%, which could push out-of-pocket costs for consumers up by more than 75%. This perfect storm of escalating medical expenses, combined with insurers pursuing aggressive rate hikes, underscores the urgent need for consumers to prepare for the financial implications of rising healthcare costs in the coming year. Click here to learn more
'Amazon 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.
In this article, we will discuss:
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How the expiration of enhanced ACA subsidies after 2025 could impact health care costs for retirees and early retirees.
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Real-life case studies illustrating how different individuals are adjusting to rising ACA premiums.
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Practical steps Amazon 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 Amazon Professionals
For Amazon 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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Sources:
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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/ .
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2. Centers for Medicare & Medicaid Services. ' Understanding Special Enrollment Periods. ' June 2025.
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Other resources:
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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/ .
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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 .
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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 .
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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 type of retirement savings plan does Amazon offer to its employees?
Amazon offers a 401(k) retirement savings plan to its employees.
Does Amazon match employee contributions to the 401(k) plan?
Yes, Amazon provides a matching contribution for employee contributions to the 401(k) plan, up to a certain percentage.
How can Amazon employees enroll in the 401(k) plan?
Amazon employees can enroll in the 401(k) plan through the employee benefits portal after meeting eligibility requirements.
What is the eligibility requirement for Amazon employees to participate in the 401(k) plan?
Typically, Amazon employees are eligible to participate in the 401(k) plan after completing a specified period of service.
What investment options are available in Amazon's 401(k) plan?
Amazon's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and company stock.
Can Amazon employees change their contribution percentage to the 401(k) plan?
Yes, Amazon employees can change their contribution percentage at any time through the employee benefits portal.
What is the maximum contribution limit for Amazon employees participating in the 401(k) plan?
The maximum contribution limit for Amazon employees is set by the IRS and may change annually; employees should check the current limits.
Does Amazon allow employees to take loans against their 401(k) savings?
Yes, Amazon allows employees to take loans against their 401(k) savings, subject to certain terms and conditions.
What happens to an Amazon employee's 401(k) if they leave the company?
If an Amazon employee leaves the company, they can choose to roll over their 401(k) balance to another retirement account, leave it with Amazon, or cash it out.
Are there any fees associated with Amazon's 401(k) plan?
Yes, there may be fees associated with managing the investments within Amazon's 401(k) plan, which are disclosed in the plan documents.
With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
401(k) plan with company match, various investment options and financial planning resources.
Amazon announced its largest layoffs in company history, affecting over 27,000 employees in 2023-2024. This includes 18,000 roles cut in January 2023 and an additional 9,000 announced in March 2023. The layoffs impact various divisions, including Amazon Web Services (AWS), People Experience and Technology (PXT), advertising, and Twitch. These decisions are part of Amazon's efforts to streamline operations and cut costs amidst declining retail sales and economic uncertainty. Amazon CEO Andy Jassy emphasized the need to be leaner while continuing to invest in key long-term customer experiences. Employees affected by the layoffs are being provided with separation payments, transitional health insurance benefits, and external job placement support.
Amazon.com Inc. provides stock options (SOs) and Restricted Stock Units (RSUs) as part of its compensation. SOs allow employees to buy stock at a set price after vesting. RSUs vest over four years, with a specific schedule: 5% after the first year, 15% after the second, and 20% every six months for the remaining two years. In 2022, Amazon emphasized performance-based RSUs. In 2023, Amazon adjusted equity strategies to align with market conditions. By 2024, Amazon expanded RSU programs to include more employees. Executives, management, and broader employees are eligible for these plans. [Source: Justia, 2022 Employee Stock Plan; MyStockOptions; Consilio Wealth Advisors]
Amazon offers a comprehensive and competitive benefits package aimed at supporting the diverse needs of its employees. For 2023, Amazon provided a range of healthcare options, including medical, dental, and vision plans that begin on the first day of employment. These plans include Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) to help employees manage out-of-pocket healthcare expenses. Amazon also expanded its mental health resources, offering free counseling sessions, 24/7 virtual mental health support through the Twill app, and specialized support for children's mental health through a partnership with Brightline. These enhancements underscore Amazon’s commitment to supporting the well-being of its workforce. In 2024, Amazon continues to build on its robust benefits offerings. The company has introduced additional wellness programs, including emergency savings funds and financial assistance programs, to help employees prepare for unexpected expenses. Moreover, Amazon has improved its paid parental leave policies, providing up to 20 weeks of paid leave for birth parents and six weeks for eligible supporting parents. This holistic approach to employee benefits is particularly important in today’s economic and political climate, where healthcare affordability and access are critical issues. By continually updating its benefits package, Amazon ensures its employees are well-supported in maintaining their health and financial security.
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