Healthcare Provider Update: Ingles Markets, a regional grocery store chain, partners with UnitedHealthcare for its employee healthcare benefits. As we look ahead to 2026, potential healthcare cost increases for Ingles Markets and similar employers are concerning. The projected rise in health insurance premiums linked to the Affordable Care Act (ACA) suggests many employees could see out-of-pocket costs soar by over 75%. This surge is driven by several factors, including higher medical expenses, the potential expiration of enhanced federal subsidies, and significant rate hikes from major insurers, all of which combine to create a challenging financial landscape for both employers and their employees. Click here to learn more
“In light of projected Medicare Part B premium increases, Ingles Markets 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, Ingles Markets 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 Ingles Markets 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. Ingles Markets 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 Ingles Markets 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 Ingles Markets 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 Ingles Markets 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 Ingles Markets employees relying on Social Security should plan for most of their increase to be offset.
Strategic Planning Tips
To manage rising health care costs, Ingles Markets 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. Ingles Markets 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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- Medicare Open Enrollment for Corporate Employees: Cost Changes in 2024!
- Stages of Retirement for Corporate Employees
- 7 Things to Consider Before Leaving Your Company
- How Are Workers Impacted by Inflation & Rising Interest Rates?
- Lump-Sum vs Annuity and Rising Interest Rates
- Internal Revenue Code Section 409A (Governing Nonqualified Deferred Compensation Plans)
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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 Ingles Markets offer to its employees?
Ingles Markets offers a 401(k) retirement savings plan to its employees.
How can employees of Ingles Markets enroll in the 401(k) plan?
Employees of Ingles Markets can enroll in the 401(k) plan by completing the enrollment process through the company's HR portal or by contacting the HR department for assistance.
Does Ingles Markets provide any matching contributions to the 401(k) plan?
Yes, Ingles Markets provides matching contributions to the 401(k) plan, subject to certain conditions and limits.
What is the eligibility requirement to participate in the Ingles Markets 401(k) plan?
Employees of Ingles Markets typically become eligible to participate in the 401(k) plan after completing a specified period of service, as outlined in the plan documents.
Can employees of Ingles Markets change their contribution percentage to the 401(k) plan?
Yes, employees of Ingles Markets can change their contribution percentage to the 401(k) plan at any time, following the guidelines set forth in the plan.
What investment options are available in the Ingles Markets 401(k) plan?
The Ingles Markets 401(k) plan offers a variety of investment options, including mutual funds, target date funds, and other investment vehicles.
Is there a loan provision available in the Ingles Markets 401(k) plan?
Yes, the Ingles Markets 401(k) plan may allow participants to take loans against their account balance, subject to specific terms and conditions.
At what age can employees of Ingles Markets begin to withdraw funds from their 401(k) plan without penalties?
Employees of Ingles Markets can typically begin to withdraw funds from their 401(k) plan without penalties at age 59½, following IRS regulations.
How does Ingles Markets communicate changes to the 401(k) plan to its employees?
Ingles Markets communicates changes to the 401(k) plan through employee newsletters, meetings, and updates on the HR portal.
Are there any fees associated with the Ingles Markets 401(k) plan?
Yes, there may be administrative and investment fees associated with the Ingles Markets 401(k) plan, which are detailed in the plan documents.