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Navigating Rising Medicare Costs: A Coinbase Global Employee’s Guide

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Healthcare Provider Update: Provides medical, dental, vision, and mental health coverage, along with wellness programs and unlimited PTO 4. With ACA subsidies set to expire, Coinbases robust benefits and mental health support offer a stable and attractive alternative to rising marketplace costs. Click here to learn more

“In light of projected Medicare Part B premium increases, Coinbase Global 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, Coinbase Global 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:

  1. The upcoming Medicare Part B premium increase and its impact on retirement budgets.

  2. How Medicare Part B is funded and how COLA adjustments compare to premium hikes.

  3. Strategic planning tips to help Coinbase Global 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. Coinbase Global 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:

  • - Cancer screenings, diagnostic procedures, and doctor visits

  • - Durable medical equipment and mental health counseling

  • - Prescription medications for outpatients and ambulance transportation

  • - 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 Coinbase Global 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 Coinbase Global 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 Coinbase Global 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 Coinbase Global employees relying on Social Security should plan for most of their increase to be offset.

Strategic Planning Tips

To manage rising health care costs, Coinbase Global employees should consider the following proactive steps:

  • Forecast Health Care Inflation:  Incorporate rising out-of-pocket costs and premiums into your annual budgeting.

  • Compare Plans Online:  Use the official Medicare Plan Finder to evaluate alternatives beyond agent recommendations.

  • Manage IRMAA Exposures:  Employ tax-sensitive strategies—such as income smoothing withdrawals—to help limit future surcharges.

  • Explore Local Tax Relief:  Research state and municipal programs offering property tax exemptions or rebates for seniors.

  • 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. Coinbase Global 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 type of retirement plan does Coinbase Global offer to its employees?

Coinbase Global offers a 401(k) retirement savings plan to its employees.

How can employees of Coinbase Global enroll in the 401(k) plan?

Employees of Coinbase Global can enroll in the 401(k) plan through the company’s HR portal during the enrollment period.

Does Coinbase Global match employee contributions to the 401(k) plan?

Yes, Coinbase Global provides a matching contribution to employees' 401(k) plans, subject to certain limits.

What is the maximum contribution limit for the 401(k) plan at Coinbase Global?

The maximum contribution limit for the 401(k) plan at Coinbase Global is in line with IRS regulations, which can change annually.

Can employees of Coinbase Global take loans against their 401(k) savings?

Yes, employees of Coinbase Global may have the option to take loans against their 401(k) savings, subject to the plan's terms.

What investment options are available in the Coinbase Global 401(k) plan?

The Coinbase Global 401(k) plan offers a variety of investment options, including mutual funds, index funds, and target-date funds.

Is there a vesting schedule for the employer match in Coinbase Global’s 401(k) plan?

Yes, Coinbase Global has a vesting schedule for the employer match, which outlines how long employees must work to fully own the matching contributions.

Can employees of Coinbase Global change their contribution percentage at any time?

Employees of Coinbase Global can change their contribution percentage during designated times, typically during open enrollment or after a qualifying event.

What happens to the 401(k) plan if an employee leaves Coinbase Global?

If an employee leaves Coinbase Global, they have several options for their 401(k) savings, including rolling it over to another retirement account or cashing it out.

Are there any fees associated with the Coinbase Global 401(k) plan?

Yes, there may be administrative fees associated with the Coinbase Global 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.
In early 2024, Coinbase Global announced a restructuring plan involving a reduction of approximately 15% of its workforce. This move comes in response to declining cryptocurrency market conditions and regulatory challenges.
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For more information you can reach the plan administrator for Coinbase Global at 100 Pine Street, Suite 1250 San Francisco, CA 94111; or by calling them at (888) 908-7930.

*Please see disclaimer for more information

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