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

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'Navient 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.

'Navient 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 Navient 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 Navient Professionals

For Navient 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 401(k) plan offered by Navient?

Navient offers a 401(k) plan that allows employees to save for retirement through pre-tax contributions, providing a tax-advantaged way to build their savings.

Does Navient provide a company match for the 401(k) contributions?

Yes, Navient offers a company match for employee contributions to the 401(k) plan, enhancing the overall retirement savings for employees.

How can I enroll in Navient's 401(k) plan?

Employees can enroll in Navient's 401(k) plan through the company’s benefits portal during the enrollment period or after a qualifying life event.

What are the contribution limits for Navient's 401(k) plan?

The contribution limits for Navient's 401(k) plan are set according to IRS guidelines, which may change annually. Employees should check the current limits for the specific year.

Can I change my contribution percentage to Navient's 401(k) plan?

Yes, employees can change their contribution percentage to Navient's 401(k) plan at any time through the benefits portal.

What investment options are available in Navient's 401(k) plan?

Navient's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to suit different risk tolerances.

When can I start withdrawing from my Navient 401(k) plan?

Employees can typically start withdrawing from their Navient 401(k) plan at age 59½, but specific rules may apply based on the plan's provisions.

Does Navient allow loans against the 401(k) plan?

Yes, Navient may allow employees to take loans against their 401(k) plan, subject to specific terms and conditions outlined in the plan documents.

What happens to my Navient 401(k) if I leave the company?

If you leave Navient, you can choose to roll over your 401(k) balance to another retirement account, cash out, or leave the funds in the plan if permitted.

Are there any fees associated with Navient's 401(k) plan?

Yes, there may be administrative and investment fees associated with Navient'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.

Name of Pension Plan: Navient Pension Plan Details: The Navient Pension Plan provides a defined benefit pension to eligible employees. The plan offers a monthly benefit upon retirement based on years of service and salary history. Years of Service and Age Qualification: Employees are eligible for the pension plan after reaching 5 years of service. Normal retirement age is 65, but early retirement options may be available starting at age 55 with reduced benefits. Pension Formula: The formula for calculating benefits is based on a percentage of the employee's average salary over their highest earning years multiplied by the number of years of service. Pension Plan Terminology: Defined Benefit Plan: A pension plan where retirement benefits are predetermined based on salary and years of service. Normal Retirement Age: The age at which an employee can retire with full pension benefits. Early Retirement: Option to retire before normal retirement age with adjusted benefits. Name of 401(k) Plan: Navient 401(k) Plan Details: The Navient 401(k) Plan is a defined contribution plan where employees can make pre-tax contributions. The company may offer a matching contribution up to a certain percentage of the employee’s salary. Eligibility: Employees are eligible to participate in the 401(k) plan upon hire. There is no minimum service requirement to begin contributing.

In 2023, Navient announced a significant restructuring plan, including layoffs as part of its strategy to streamline operations and reduce costs. This move aligns with the company's shift towards focusing more on its core business areas and reducing overhead expenses. It is essential to address this news due to the current economic climate, which is marked by fluctuating market conditions and evolving investment strategies. The restructuring may impact employees' job security and future career prospects, making it crucial to stay informed about these changes.

Stock Options and RSUs Available: For Navient employees, stock options and RSUs are typically part of the company's compensation package, particularly for senior executives and key employees. Stock options (SO) and RSUs are designed to align employee interests with shareholder interests by providing potential financial rewards based on the company's stock performance.

Healthcare Benefits Overview: Navient provides a comprehensive benefits package that includes medical, dental, and vision insurance. They offer several plan options to suit different needs, including HMO, PPO, and high-deductible health plans (HDHPs). Acronyms and Terms: HMO (Health Maintenance Organization), PPO (Preferred Provider Organization), HDHP (High-Deductible Health Plan), FSA (Flexible Spending Account), HSA (Health Savings Account).