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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 Republic Services Employee’s Guide

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Healthcare Provider Update: Healthcare Provider for Republic Services Republic Services offers health insurance benefits to its employees through various providers, including Aetna, UnitedHealthcare, and Cigna, depending on the location and specific plan options. These providers typically include various healthcare plans, encompassing options for medical, dental, and vision coverage. Overview of Potential Healthcare Cost Increases in 2026 In 2026, healthcare costs are poised to rise significantly, particularly affecting Republic Services employees. Record increases in premiums for Affordable Care Act (ACA) marketplace plans are anticipated, with some areas seeing hikes of over 60%. Many employers, including Republic Services, may respond by shifting more healthcare costs onto employees through higher deductibles or increased out-of-pocket expenses. As a result, employees should review their benefit choices carefully and consider strategies to mitigate rising costs, as the combination of expiring premium subsidies and escalating medical prices could lead to overwhelming financial burdens for many households. Click here to learn more

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

Strategic Planning Tips

To manage rising health care costs, Republic Services 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. Republic Services 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 Republic Services offer to its employees?

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

Is there an employer match for contributions made to the Republic Services 401(k) plan?

Yes, Republic Services provides an employer match for employee contributions to the 401(k) plan, subject to certain conditions.

How can employees at Republic Services enroll in the 401(k) plan?

Employees at Republic Services can enroll in the 401(k) plan through the company's benefits portal during the enrollment period or upon eligibility.

What is the eligibility requirement for Republic Services employees to participate in the 401(k) plan?

Republic Services employees are generally eligible to participate in the 401(k) plan after completing a specified period of service, typically 30 days.

Can Republic Services employees make changes to their 401(k) contributions?

Yes, Republic Services employees can change their contribution amounts at any time, subject to plan rules.

What investment options are available in the Republic Services 401(k) plan?

The Republic Services 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and company stock.

Does Republic Services allow employees to take loans against their 401(k) savings?

Yes, Republic Services permits employees to take loans from their 401(k) accounts under certain conditions.

What happens to my Republic Services 401(k) account if I leave the company?

If you leave Republic Services, you can choose to roll over your 401(k) balance to a new employer's plan, an IRA, or cash out your account, subject to taxes and penalties.

Are there any fees associated with the Republic Services 401(k) plan?

Yes, there may be administrative fees associated with the Republic Services 401(k) plan, which are disclosed in the plan documents.

How often can Republic Services employees review their 401(k) account statements?

Republic Services employees can review their 401(k) account statements quarterly, and they may also access their account online at any time.

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