'Meta 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: Healthcare Provider for Meta Meta, which operates various platforms such as Facebook, Instagram, and WhatsApp, provides health benefits to its employees through a partnership with UnitedHealthcare. This collaboration ensures that Meta's workforce has access to a comprehensive range of medical services, including preventive care and wellness programs. Potential Healthcare Cost Increases in 2026 As we approach 2026, healthcare costs are anticipated to surge significantly, primarily due to unprecedented hikes in Affordable Care Act (ACA) premiums. Certain states are projected to see increases exceeding 60%, a trend driven by rising medical costs and the potential expiration of enhanced federal premium subsidies. The Kaiser Family Foundation warns that without Congressional action, the majority of ACA marketplace enrollees could face out-of-pocket premium hikes of over 75%, further straining household budgets. As insurers cite inflated claims and operational costs, employers and consumers alike must prepare for these dramatic financial shifts in the healthcare landscape. Click here to learn more
'Meta 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 Meta 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 Meta Professionals
For Meta 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 is the 401(k) plan offered by Meta?
Meta offers a 401(k) plan that allows employees to save for retirement by contributing a portion of their salary before taxes.
How does Meta match employee contributions to the 401(k) plan?
Meta provides a matching contribution to the 401(k) plan, typically matching a percentage of the employee's contribution up to a certain limit.
Can employees at Meta choose how their 401(k) contributions are invested?
Yes, employees at Meta can choose from a variety of investment options for their 401(k) contributions, including stocks, bonds, and mutual funds.
What is the eligibility requirement for Meta's 401(k) plan?
Employees at Meta are generally eligible to participate in the 401(k) plan after completing a specified period of employment.
Does Meta offer a Roth 401(k) option?
Yes, Meta offers a Roth 401(k) option, allowing employees to make after-tax contributions to their retirement savings.
How often can employees at Meta change their 401(k) contribution amounts?
Employees at Meta can change their 401(k) contribution amounts at any time, subject to the plan's rules.
What happens to my 401(k) plan if I leave Meta?
If you leave Meta, you can choose to roll over your 401(k) balance to another retirement account, leave it in the Meta plan, or cash it out, although cashing out may incur penalties.
Does Meta provide financial education resources for employees regarding their 401(k)?
Yes, Meta provides financial education resources and tools to help employees make informed decisions about their 401(k) savings.
Are there any fees associated with Meta's 401(k) plan?
Yes, there may be administrative fees associated with Meta's 401(k) plan, but these are typically disclosed in the plan documents.
Can employees take loans against their 401(k) balance at Meta?
Yes, Meta allows employees to take loans against their 401(k) balance, subject to specific terms and conditions.
With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Meta offers a 401(k) plan with a generous company match. Employees have a variety of investment options to choose from.
Restructuring and Layoffs: Meta announced layoffs impacting 10,000 jobs in 2023 and planned to reduce VP positions in 2024. Company Benefit Changes: Severance packages included 16 weeks of pay, healthcare coverage, and stock vesting. The company aims to streamline its structure and focus on AI and technological advancements. (Sources: Recruiting News Network, PCMag)
Meta Platforms offers Restricted Stock Units (RSUs) as a significant part of its compensation, with less emphasis on stock options (SOs). RSUs convert to shares after vesting, typically over four years. In 2022, Meta focused on performance-based RSUs. In 2023, Meta continued its robust RSU program for long-term value. By 2024, Meta adjusted RSU distribution to remain competitive. Executives, management, and broader employees are eligible for RSUs. [Source: Consilio Wealth Advisors; Macrotrends; Meta Annual Report 2023, p. 12]
Meta Platforms provides a comprehensive healthcare benefits package aimed at supporting the well-being of its employees. In 2023, Meta offered various medical, dental, and vision plans that provide extensive coverage for preventive care, major medical services, and mental health support. The company also offers flexible spending accounts (FSAs) and health savings accounts (HSAs) to help employees manage out-of-pocket healthcare expenses. Additionally, Meta provides wellness programs, including mental health resources and fitness incentives, to promote overall employee well-being. In 2024, Meta Platforms continues to enhance its benefits offerings to support the diverse needs of its workforce. The company introduced new wellness incentives and expanded coverage options, allowing employees to earn rewards for completing health assessments and participating in wellness activities. These enhancements are particularly important given the current economic and political environment, where healthcare costs and employee well-being are significant concerns. By continuously updating its benefits package, Meta Platforms ensures its employees are well-supported in maintaining their health and financial security.