Healthcare Provider Update: Healthcare Provider Information for Aetna Aetna, part of the CVS Health family, has been a key player in the Affordable Care Act (ACA) marketplace, providing health insurance plans to individuals and families. However, significant changes are on the horizon for 2026, as Aetna will exit the ACA marketplace in 17 states, impacting approximately 1 million members. This withdrawal is attributed to the company's challenges in maintaining competitiveness and providing value in a rapidly evolving healthcare landscape. Potential Healthcare Cost Increases in 2026 As the healthcare landscape shifts, substantial premium hikes are anticipated for those enrolled in ACA marketplace plans, with projections of up to 75% increases in out-of-pocket costs due to the potential loss of enhanced federal subsidies. In some states, insurers have filed for rate increases exceeding 60%, driven by surging medical costs and the expiration of premium tax credits established under the American Rescue Plan. For Aetna's former members, this change further complicates their healthcare landscape as they seek new insurance options amid heightened financial pressures. Click here to learn more
“In light of projected Medicare Part B premium increases, AbbVie Inc. employees should proactively adjust their retirement income projections and consult with a financial advisor to address rising health care expenses.” – Michael Corgiat, a representative of The Retirement Group, a division of Wealth Enhancement.
“In anticipation of significant Medicare Part B premium hikes, AbbVie Inc. employees would benefit from integrating health care cost projections into their retirement plans and seeking guidance from professional advisors on potential relief strategies.” – Brent Wolf, a representative of The Retirement Group, a division of Wealth Enhancement.
In this article we will discuss:
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The upcoming Medicare Part B premium increase and its impact on retirement budgets.
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How Medicare Part B is funded and how COLA adjustments compare to premium hikes.
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Strategic planning tips to help AbbVie Inc. retirees manage rising health care costs.
There will soon be a significant shift in Medicare expenses that could affect your retirement budget. According to the 2025 Medicare Trustees Report, the average Part B premium will jump by 11.6%—rising from $185 in 2025 to $206.50 in 2026 1 —outpacing most Social Security cost of living adjustments (COLA) over the last decade. AbbVie Inc. employees should begin factoring this increase into their long-term financial plans.
Benefit Structure for Medicare Part B
Outpatient and preventative care are covered under Part B, including:
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- Cancer screenings, diagnostic procedures, and doctor visits
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- Durable medical equipment and mental health counseling
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- Prescription medications for outpatients and ambulance transportation
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- Skilled nursing services and home health care
In 2025, beneficiaries must pay a $185 monthly premium, a $257 annual deductible, and a 20% co-insurance on most services—important information for any AbbVie Inc. retiree’s annual budget.
History of Premiums (2015–2025)
Year | Standard Premium | Dollar Change | Percentage Change |
---|---|---|---|
2015 | — | — | — |
2016 | $121.80 | +$16.90 | 16.1% |
2017 | $134.00 | +$12.20 | 10.0% |
2018 | $134.00 | +$0.00 | 0.0% |
2019 | $135.50 | +$1.50 | 1.1% |
2020 | $144.60 | +$9.10 | 6.7% |
2021 | $148.50 | +$3.90 | 2.7% |
2022 | $170.10 | +$21.60 | 14.5% |
2023 | $164.90 | –$5.20 | –3.1% |
2024 | $174.70 | +$9.80 | 5.9% |
2025 | $185.00 | +$10.30 | 5.9% |
The 2022 increase—a 14.5% rise driven by higher drug costs and pandemic-related utilization—served as a warning sign that’s echoed in the projected 2026 jump.
Estimated Premiums (2026–2034)
Year | Estimated Premium | Dollar Growth | Percentage Growth |
---|---|---|---|
2026 | $206.50 | +$21.50 | 11.6% |
2027 | $218.60 | +$12.10 | 5.9% |
2028 | $231.30 | +$12.70 | 5.9% |
2029 | $247.40 | +$16.10 | 5.8% |
2030 | $264.70 | +$17.30 | 7.0% |
2031 | $281.60 | +$16.90 | 6.4% |
2032 | $300.80 | +$19.20 | 6.8% |
2033 | $325.90 | +$25.10 | 7.0% |
2034 | $347.50 | +$21.60 | 6.6% |
Part B premiums alone could approach $350 per month by 2034—a 231% increase since 2015—underscoring why AbbVie Inc. retirees should plan now to mitigate long-term budget shocks.
The Funding Mechanisms
There are two primary sources of funding for Medicare Part B:
1. 75% from general U.S. Treasury revenues
2. 25% from premiums paid by beneficiaries
Premium income reached $139.8 billion in 2024, 2 with additional support from brand name drug fees and trust fund interest—details that AbbVie Inc. retirees may find crucial when reviewing their future health care funding.
Cost of Living Adjustments vs. Premium Increases
In 2026, the “hold harmless” provision that protects most Social Security benefits from Part B hikes may not apply. The anticipated 2.5% Social Security COLA—roughly $50 per month—still falls short of the $21.50 premium increase. Only recipients with monthly benefits under $800 will see any net gain, so AbbVie Inc. employees relying on Social Security should plan for most of their increase to be offset.
Strategic Planning Tips
To manage rising health care costs, AbbVie Inc. employees should consider the following proactive steps:
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Forecast Health Care Inflation: Incorporate rising out-of-pocket costs and premiums into your annual budgeting.
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Compare Plans Online: Use the official Medicare Plan Finder to evaluate alternatives beyond agent recommendations.
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Manage IRMAA Exposures: Employ tax-sensitive strategies—such as income smoothing withdrawals—to help limit future surcharges.
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Explore Local Tax Relief: Research state and municipal programs offering property tax exemptions or rebates for seniors.
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Stress-Test Your Retirement Portfolio: Model health care inflation scenarios over multiple decades and adjust allocations to safeguard purchasing power.
Extended Consequences
By 2034, annual Part B costs alone could top $3,000–$4,000 if current trends persist—one of the fastest rising expense categories for retirement households. AbbVie Inc. retirees who plan early can navigate budgetary shocks to help maintain their lifestyle goals.
According to Wealth Enhancement’s Patrick Ray, this premium surge ranks among the steepest retirement cost increases, and prudent investors must factor health care inflation into their retirement forecasts to mitigate unwelcome surprises.
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Sources:
1. USA Today. ' Social Security 2026 COLA estimated at 2.7%, but much of it will go to Medicare Part B ,' by Medora Lee. 17 July 2025.
2. Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds. ' 2025 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds ,' U.S. Department of Health and Human Services, 18 June 2025.
Other Resources:
1. Kaiser Family Foundation. “ FAQs on Medicare Financing and Trust Fund Solvency .” Kaiser Family Foundation, 15 June 2024.
3. Urban Institute. “ Applying a Premium Cap in Medicare Part B and Part D .” Urban Institute, Mar. 2023.
4. “ Social Security’s 2026 COLA: Recipients Could Get More Money Next Year .” LiveNOW from FOX, 15 June 2025.
5. Kiplinger Staff. “ Medicare Premiums 2026: Projected IRMAA Brackets and Surcharges for Parts B and D .” Kiplinger, 26 June 2025.
What is the 401(k) plan offered by AbbVie Inc.?
The 401(k) plan offered by AbbVie Inc. is a retirement savings plan that allows employees to save a portion of their paycheck before taxes are taken out, helping them prepare for retirement.
How does AbbVie Inc. match employee contributions to the 401(k) plan?
AbbVie Inc. provides a matching contribution to employee 401(k) accounts, typically matching a percentage of the employee's contributions up to a certain limit.
What are the eligibility requirements for AbbVie Inc.'s 401(k) plan?
Employees of AbbVie Inc. are generally eligible to participate in the 401(k) plan after completing a certain period of service, which is outlined in the plan documentation.
Can AbbVie Inc. employees change their contribution rates to the 401(k) plan?
Yes, employees of AbbVie Inc. can change their contribution rates to the 401(k) plan at any time, subject to the plan's rules and limits.
What investment options are available in AbbVie Inc.'s 401(k) plan?
AbbVie Inc.'s 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to help employees diversify their retirement savings.
Is there a vesting schedule for AbbVie Inc.'s 401(k) matching contributions?
Yes, AbbVie Inc. has a vesting schedule for matching contributions, meaning employees must work for a certain period before they fully own the employer's contributions.
How can AbbVie Inc. employees access their 401(k) account information?
Employees of AbbVie Inc. can access their 401(k) account information through the company's designated retirement plan website or by contacting the plan administrator.
What happens to AbbVie Inc. employees' 401(k) accounts if they leave the company?
If AbbVie Inc. employees leave the company, they have several options regarding their 401(k) accounts, including rolling over the balance to another retirement account, cashing out, or leaving it in the AbbVie Inc. plan if permitted.
Are there any fees associated with AbbVie Inc.'s 401(k) plan?
Yes, AbbVie Inc.'s 401(k) plan may have certain administrative fees, investment fees, or other costs associated with managing the plan, which are disclosed to employees.
Can AbbVie Inc. employees take loans from their 401(k) accounts?
Yes, AbbVie Inc. allows employees to take loans from their 401(k) accounts under specific conditions set forth in the plan.