<img height="1" width="1" style="display:none" src="https://www.facebook.com/tr?id=314834185700910&amp;ev=PageView&amp;noscript=1">

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

Learn More

Costco Wholesale Retirees Face ACA Premium Shock—Here’s How Others Are Responding

image-table

Healthcare Provider Update: Healthcare Provider for Costco Wholesale: Costco Wholesale partners with a range of healthcare providers through its Costco Health Insurance Marketplace. This includes various insurers that offer health plans to members, with options for individual and family coverage as well as plans targeted towards small and large groups. Healthcare Cost Increases in 2026: In 2026, healthcare costs are poised to rise sharply, largely due to the anticipated expiration of enhanced federal premium subsidies for Affordable Care Act (ACA) marketplace plans. Without these subsidies, many enrollees could face premium increases exceeding 75%, dramatically impacting their out-of-pocket expenses. As leading insurers report significant revenue and profit growth, the convergence of high medical costs and aggressive rate hikes is set to create a challenging landscape for healthcare affordability. This situation compels individuals and employers alike to reconsider their healthcare strategies heading into 2026. Click here to learn more

'Costco Wholesale 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.

'Costco Wholesale 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:

  1. How the expiration of enhanced ACA subsidies after 2025 could impact health care costs for retirees and early retirees.

  2. Real-life case studies illustrating how different individuals are adjusting to rising ACA premiums.

  3. Practical steps Costco Wholesale 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 Costco Wholesale Professionals

For Costco Wholesale 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.

Featured Video

Articles you may find interesting:

Loading...

Sources:

How does Costco implement its 401(k) retirement plan for employees, and what specific contributions does Costco make to this plan? In the context of retirement planning, understanding the structure and benefits of the 401(k) plan is crucial for employees as they approach retirement. Costco’s approach in this regard offers an insight into how the company supports its employees' retirement financial goals. This question invites an exploration of plan details such as contribution options, matching contributions, and the vesting schedule.

Costco implements its 401(k) retirement plan by providing eligible employees with options to save for retirement through pre-tax contributions, which are matched by the company to a certain extent. Employees can contribute a percentage of their salary, and Costco offers matching contributions to support long-term savings. The vesting schedule typically ensures employees gain full rights to these contributions over a period, promoting loyalty and retention.

What options does Costco provide for employees nearing retirement when it comes to healthcare benefits, and how do these options integrate with retirement planning? This question focuses on the interplay between healthcare benefits and retirement. As employees contemplate retirement, the associated healthcare costs become paramount. Analyzing Costco’s healthcare offerings can provide insights into how employees can effectively plan for these expenses in their retirement years.

For healthcare benefits nearing retirement, Costco provides employees with a range of options that can integrate with Medicare or other post-retirement health plans. These options help employees manage healthcare expenses as part of their broader retirement planning strategy, ensuring that healthcare costs are mitigated during retirement years.

In what ways can employees at Costco leverage deferred compensation plans as part of their overall retirement strategy? Deferred compensation plays a significant role in an employee’s financial planning for retirement. This question encourages a detailed examination of how Costco’s deferred compensation plans work, including eligibility criteria, potential tax implications, and strategic considerations for maximizing retirement income.

Deferred compensation plans at Costco allow employees to defer a portion of their income, reducing their taxable income in the present and postponing tax obligations until retirement when they may be in a lower tax bracket. These plans are typically used as a part of a broader financial retirement strategy, with eligibility criteria and options varying by employee role and tenure.

How does Costco ensure that its retirement benefits remain competitive compared to industry standards, and what is the company's strategy for employee retention through these benefits? Understanding Costco’s competitive stance in the marketplace regarding retirement benefits can shed light on both employee retention strategies and the effectiveness of their benefits packages. This inquiry can lead to an analysis of how Costco benchmarks its benefits against other employers in the retail sector.

Costco ensures competitiveness in retirement benefits by benchmarking against industry standards, ensuring its offerings are attractive to both new and existing employees. By maintaining competitive benefits, including 401(k) matching and deferred compensation, Costco uses these packages to support employee retention and satisfaction.

What resources and support does Costco offer to employees as they transition into retirement, and how can employees take full advantage of these resources? This question addresses the process of transitioning into retirement, focusing on the specific support mechanisms that Costco provides. Employees will benefit from understanding the company’s available resources, which could include financial planning services, retirement seminars, or counseling.

Costco offers several resources to aid the retirement transition, including financial planning tools, counseling services, and seminars aimed at helping employees maximize their benefits. Employees are encouraged to engage with these resources early to better prepare for retirement and take full advantage of available benefits.

How does Costco floor the balance between short-term incentives and long-term retirement benefits for its employees? Balancing immediate compensation with future retirement savings is crucial for a well-rounded benefits strategy. This question prompts a deep dive into Costco's compensation structure, examining the reasoning behind their approach and how it affects employees’ financial well-being over time.

Balancing short-term incentives and long-term benefits, Costco’s strategy focuses on offering a combination of immediate financial rewards, such as bonuses, alongside robust retirement savings plans like the 401(k) and deferred compensation options. This approach ensures that employees are motivated in the present while still planning for their future financial well-being.

What role do employee contributions play in the overall retirement savings plan at Costco, and how are these contributions managed by the company? Exploring the significance of employee contributions within Costco’s retirement savings framework fosters a better understanding of personal investment in retirement funds. This question calls for a look into how employee contributions are utilized, investment options available, and company management of these funds.

Employee contributions to Costco’s 401(k) plan are managed through a system that allows employees to invest their contributions in a variety of investment options. The company matches a portion of these contributions, and employees can monitor and adjust their contributions as part of their overall retirement savings strategy.

How can employees at Costco prepare for changes in tax regulations regarding retirement benefits, particularly in light of updates from the IRS? With ongoing changes to tax codes, especially those affecting retirement income, employees need guidance on effective preparation strategies. This question opens the floor for discussing IRS updates, implications for Costco employees, and proactive planning steps.

Costco prepares employees for changes in tax regulations by providing updates through internal communications and offering access to financial planning resources. These resources guide employees in understanding IRS updates and help them adjust their retirement plans to accommodate tax law changes.

How does Costco handle communications regarding retirement benefits for employees, and what channels are available for employees to seek clarification or support? Effective communication is essential in benefits administration, particularly for retirement planning. This question seeks insight into the methods Costco employs to communicate benefits information and how employees can navigate these channels for assistance.

Communication regarding retirement benefits at Costco is handled through multiple channels, including online portals, direct mail, and HR consultations. Employees can seek clarification and support through these methods, ensuring they fully understand their retirement options and any changes that occur.

How can employees contact Costco for further information regarding their retirement benefits and any changes that may occur? Awareness of how to obtain additional information is vital for employees as they navigate retirement planning. This question centers on providing Costco employees with clear guidance on whom to contact and the process involved, ensuring that they are well-informed about their options.

Employees can contact Costco for retirement benefits information through HR support lines, online employee portals, or in-person consultations with benefits specialists. This allows employees to stay informed about their retirement plans and any potential updates that may impact their long-term financial planning.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Leading wholesale retailer
Costco offers stock options to eligible employees. The stock options vest over time, providing long-term incentives.
New call-to-action

Additional Articles

Check Out Articles for Costco Wholesale employees

Loading...

Further Information for Costco Wholesale* Employees

*Please see disclaimer for more information

Relevant Articles

Check Out Articles for Costco Wholesale employees

Loading...