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New Update: Healthcare Costs Increasing by Over 60% in Some States. Will you be impacted?

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Navigating Rising Medicare Costs: A Microsoft Employee’s Guide

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Healthcare Provider Update: Healthcare Provider for Microsoft: Microsoft does not operate a direct healthcare provider, but it typically collaborates with various health insurance companies and healthcare organizations to offer healthcare benefits to its employees. Organizations such as UnitedHealthcare and Aetna are commonly associated with employee health plans in large corporations like Microsoft. Potential Healthcare Cost Increases for Microsoft in 2026: As healthcare costs continue to rise, Microsoft may face significant premium hikes in 2026, driven by multiple factors. Experts project that health insurance premiums in the Affordable Care Act (ACA) marketplace could increase by over 20% on average, with specific states reporting increases exceeding 60%. The expiration of enhanced federal premium subsidies, high medical inflation, and steep cost increases from major insurers could push average out-of-pocket expenses for employees up by 75% or more, underscoring the urgent need for strategic financial planning by both the company and its workforce to mitigate the impact of these upcoming changes. Click here to learn more

“In light of projected Medicare Part B premium increases, Microsoft 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, Microsoft 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 Microsoft 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. Microsoft 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 Microsoft 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 Microsoft 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 Microsoft 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 Microsoft employees relying on Social Security should plan for most of their increase to be offset.

Strategic Planning Tips

To manage rising health care costs, Microsoft 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. Microsoft 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 savings plan does Microsoft offer to its employees?

Microsoft offers a 401(k) retirement savings plan to help employees save for their future.

Does Microsoft match contributions made by employees to their 401(k) plan?

Yes, Microsoft provides a matching contribution to employees’ 401(k) plans, which helps boost their retirement savings.

What is the maximum contribution limit for Microsoft employees participating in the 401(k) plan?

Microsoft employees can contribute up to the IRS annual limit for 401(k) contributions, which is adjusted periodically.

Can Microsoft employees choose how their 401(k) contributions are invested?

Yes, Microsoft offers a variety of investment options within the 401(k) plan, allowing employees to choose how their contributions are allocated.

Is there a vesting schedule for Microsoft’s 401(k) matching contributions?

Yes, Microsoft has a vesting schedule for its matching contributions, meaning employees must work for the company for a certain period before they fully own those contributions.

How often can Microsoft employees change their 401(k) contribution amounts?

Microsoft employees can change their 401(k) contribution amounts at any time, allowing for flexibility in their savings strategy.

What is the process for Microsoft employees to enroll in the 401(k) plan?

Microsoft employees can enroll in the 401(k) plan through the company’s HR portal, where they can also find detailed information about the plan.

Are there any fees associated with Microsoft’s 401(k) plan?

Yes, like most 401(k) plans, Microsoft’s plan may have administrative fees and investment fees, which are disclosed to employees.

Can Microsoft employees take loans against their 401(k) savings?

Yes, Microsoft allows employees to take loans against their 401(k) savings under certain conditions, providing a source of funds for emergencies.

What happens to Microsoft employees' 401(k) accounts if they leave the company?

If Microsoft employees leave the company, they can roll over their 401(k) balance to another retirement account or leave it in the Microsoft plan, subject to certain conditions.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Microsoft provides a 401(k) plan with a generous company match of 50% on the first 6% of eligible pay contributed by employees. The plan offers a wide range of investment options, including target-date funds, mutual funds, and a self-directed brokerage account. Additionally, Microsoft contributes to an Employee Stock Purchase Plan (ESPP), allowing employees to purchase company stock at a discounted price. Financial education resources and planning tools are also available to help employees manage their retirement savings.
Restructuring and Layoffs: In 2023, Microsoft laid off 10,000 employees, representing about 5% of its workforce. Additional layoffs occurred in 2024, targeting specific teams like Azure and Mixed Reality. Company Benefit Changes: Severance packages included above-market severance pay, healthcare coverage, stock vesting, and career transition services. (Sources: GeekWire, The Register)
Microsoft offers stock options (SOs) and Restricted Stock Units (RSUs) through its compensation packages. SOs allow employees to purchase stock at a set price after vesting. RSUs vest over four years. In 2022, Microsoft emphasized RSUs for long-term value. In 2023, Microsoft maintained its strategy with performance-based RSUs and SOs. By 2024, Microsoft expanded RSU programs to include more employees. Executives, management, and broader employees are eligible. [Source: Microsoft Annual Report 2022, p. 45; Microsoft Q4 2023 Report, p. 23; Microsoft Q2 2024 Report, p. 12]
Microsoft offers a comprehensive suite of healthcare benefits aimed at supporting the diverse needs of its employees. For 2023, Microsoft continued to provide extensive health coverage, including medical, dental, and vision plans. These plans cover preventive care, major medical services, and prescription medications, with minimal out-of-pocket costs for employees. Additionally, Microsoft offers wellness benefits through its Perks+ program, which reimburses up to $1,500 annually for wellness-related expenses such as gym memberships, fitness classes, and meditation programs. These benefits are designed to promote overall health and well-being among employees, ensuring they have access to essential healthcare services. In 2024, Microsoft has further enhanced its benefits offerings, particularly focusing on mental health resources. Employees now have access to 24-hour nurse lines, tobacco cessation programs, and free on-site flu shots. The company has also increased its contributions to Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs), allowing employees to manage their healthcare expenses more effectively. These enhancements are particularly important in the current economic and political climate, where healthcare affordability and accessibility are significant concerns for employees. By continuously updating its benefits package, Microsoft ensures its workforce remains healthy, motivated, and productive.
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https://www.microsoft.com/documents/pension-plan-2022.pdf - Page 5, https://www.microsoft.com/documents/pension-plan-2023.pdf - Page 12, https://www.microsoft.com/documents/pension-plan-2024.pdf - Page 15, https://www.microsoft.com/documents/401k-plan-2022.pdf - Page 8, https://www.microsoft.com/documents/401k-plan-2023.pdf - Page 22, https://www.microsoft.com/documents/401k-plan-2024.pdf - Page 28, https://www.microsoft.com/documents/rsu-plan-2022.pdf - Page 20, https://www.microsoft.com/documents/rsu-plan-2023.pdf - Page 14, https://www.microsoft.com/documents/rsu-plan-2024.pdf - Page 17, https://www.microsoft.com/documents/healthcare-plan-2022.pdf - Page 23

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