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AT&T Employees: The Health Care Reality Many Retirees Don’t Expect

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Healthcare Provider Update: Healthcare Provider for AT&T: AT&T collaborates with multiple healthcare providers to ensure its employees receive quality health coverage. One primary partner is UnitedHealthcare, which offers health plans tailored for AT&T employees. Potential Healthcare Cost Increases in 2026: As the landscape of healthcare evolves, AT&T employees may face significant challenges with rising healthcare costs in 2026. Experts anticipate a steep surge in premiums for Affordable Care Act (ACA) marketplace plans, with some states projecting increases exceeding 60%. This rise is largely attributed to the potential expiration of enhanced federal premium subsidies and soaring medical expenses. Without action from Congress to extend these subsidies, over 22 million enrollees may see their out-of-pocket costs increase by more than 75%, making it imperative for workers to prepare financially for the coming changes. Click here to learn more

'AT&T employees approaching retirement are often surprised by the health care costs that can still arise after Medicare begins, which is why it's important to evaluate potential medical expenses early so health care planning becomes a thoughtful part of an overall retirement strategy.' – Michael Corgiat, a representative of The Retirement Group, a division of Wealth Enhancement. 

'Many AT&T employees approaching retirement underestimate how health care expenses may continue even after Medicare begins, underscoring the need to consider health care costs as part of broader retirement planning discussions.' – Brent Wolf, CFP®, a representative of The Retirement Group, a division of Wealth Enhancement. 

In this article, we will discuss:

  1. How Medicare impacts retiree health care planning.

  2. Common coverage gaps and unexpected health care expenses.

  3. Why early retirement health care planning matters.

by Brent Wolf, CFP®, Wealth Enhancement

As retirement approaches, many AT&T employees believe that health care expenses may become easier to manage once they reach Medicare eligibility age. However, this assumption can sometimes overlook the complexity of health care costs later in life.

Medicare plays an important role in the U.S. health care system for retirees. Eligibility generally begins at age 65, although some individuals may qualify earlier due to certain disabilities or medical conditions. Many AT&T retirees rely on Medicare coverage as one component of managing health care expenses during retirement.

However, Medicare does not cover every medical cost. Deductibles, premiums, coinsurance, and certain uncovered services remain part of the program. Because of this, retirees—including those who previously worked for AT&T—may still experience out-of-pocket medical expenses even after enrolling in Medicare.

Health Care Expenses May Still Be High

Health issues later in life can create financial pressure for retirees. Depending on the type of treatment required, out-of-pocket expenses may still arise even for individuals with Medicare and other insurance coverage. AT&T employees approaching retirement may find it helpful to become familiar with these potential health care costs earlier in the planning process.

Certain serious medical conditions may require long-term treatment and ongoing care. For example, cancer treatment often involves hospital stays, specialized therapies, and ongoing medical management. Serious illnesses like these can create financial challenges for individuals and families.

Even when insurance plans cover a portion of these expenses, some health care costs may still fall to the patient. Conditions requiring long-term treatment, therapy, or specialized medical support may result in continued financial strain for retirees.

Coverage Gaps That Retirees Need to Know

While Medicare provides valuable coverage, it was never designed to pay for every health care expense retirees may face. For AT&T employees evaluating retirement readiness, understanding these coverage gaps can be an important consideration.

One example is long-term care. Medicare generally does not cover custodial care when assistance with daily activities—such as eating, dressing, or bathing—becomes the primary need. 1  Many AT&T retirees may eventually encounter situations where this type of support becomes necessary.

Medicare also typically does not cover full-time custodial care or 24-hour home care. 2  Certain home health services may be covered if specific eligibility requirements are met, but many services remain outside Medicare coverage.

Because of these limitations, some health care needs later in life may still require significant out-of-pocket spending. For retirees living on a fixed income, these unexpected medical expenses can create financial stress.

Why Retirement Health Care Planning Is Important

Health care needs often increase with age. Research shows that many individuals who reach age 65 will require some form of long-term support during the remainder of their lives. 3  This is why retirement planning discussions among AT&T employees frequently include health care cost considerations.

Planning ahead for health care expenses can help retirees better understand possible financial scenarios in the future. Considering these costs early can provide greater clarity about how health care may affect retirement income.

Planning for health care does not mean medical issues will occur—or that they can always be prevented. However, it may help individuals and families think through potential financial impacts and consider different possibilities that could arise later in retirement.

Greater Awareness Can Increase Confidence

Retirement planning is not about forecasting the future with certainty. Instead, it focuses on developing strategies that help people navigate uncertainty, including future health care needs. Many AT&T employees find that learning about potential risks can support more informed retirement decisions.

Understanding what Medicare covers—and what it does not—can help retirees evaluate how health care expenses may affect retirement income over time. This awareness can be a helpful step when developing a retirement strategy.

Getting Retirement Planning Assistance

Health care planning is an important part of retirement preparation, but it is only one element of a broader financial strategy. Retirement planning for AT&T employees may also include considerations such as longevity risk, income planning, investment strategies, and maintaining stability throughout retirement.

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The Retirement Group can assist with retirement planning discussions if you would like help reviewing your financial strategy. Speaking with a financial professional may provide insight into how different scenarios could influence your long-term retirement plan.

For more information about retirement planning and to discuss your financial goals, call The Retirement Group at  (800) 900-5867 .

Sources:

1. Centers for Medicare & Medicaid Services.  Medicare & You 2026.  U.S. Department of Health and Human Services, 2026,  https://www.medicare.gov/publications/10050-medicare-and-you.pdf .

2. Social Security Administration.  Medicare.  U.S. Social Security Administration, 2026,  https://www.ssa.gov/pubs/EN-05-10043.pdf.  

3. Administration for Community Living.  How Much Care Will You Need?  U.S. Department of Health and Human Services, 18 Feb. 2020,  https://acl.gov/ltc/basic-needs/how-much-care-will-you-need .

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
AT&T offers a defined benefit pension plan with a cash balance component. The cash balance plan grows with annual interest credits and employer contributions. Employees can choose between a lump-sum payment or monthly annuities upon retirement.
Layoffs and Restructuring: AT&T is expanding its $8 billion cost-reduction program, which includes significant layoffs. The company has reduced its workforce by more than 115,000 employees over the past five years, with further cuts expected in 2024 (Sources: TechBlog, WRAL TechWire). Operational Strategy: The restructuring efforts are part of AT&T's broader strategy to improve efficiency and adapt to a maturing market. This includes collaborations with firms like Blackrock to create open-access networks, which could provide new growth opportunities (Source: TechBlog). Financial Performance: Despite these challenges, AT&T reported strong financial results in 2023, driven by growth in 5G and fiber services. Revenues from mobility and consumer wireline segments saw significant increases, reflecting the company's strategic focus on high-growth areas (Source: AT&T).
AT&T offers RSUs that vest over several years, giving employees a stake in the company's equity. They also grant stock options, allowing employees to purchase shares at a set price.
AT&T has consistently updated its healthcare benefits to address the dynamic healthcare landscape and ensure comprehensive coverage for its employees. In recent years, AT&T has focused on enhancing its wellness programs, introducing initiatives like virtual healthcare services and telemedicine, which have become increasingly important during and after the pandemic. These services provide employees with convenient access to healthcare, reducing the need for in-person visits and supporting overall health management. Additionally, AT&T has increased its focus on mental health resources, offering counseling services and stress management programs, reflecting the company's commitment to holistic employee wellness. For 2024, AT&T has made adjustments to its healthcare plans to better align with the rising costs of medical services and prescription drugs. The company has introduced higher contribution limits for Health Savings Accounts (HSAs) and has implemented more robust wellness incentives to encourage proactive health management among employees. These changes are essential in the current economic and political environment, where healthcare affordability and accessibility remain critical issues. By continuously evolving its healthcare benefits, AT&T aims to support its employees' health and financial well-being, ensuring they have the resources needed to navigate the complex healthcare landscape.
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If you have questions about a potential AT&T surplus or would like more information you can reach the plan administrator for AT&T at p.o. box 132160 Dallas, TX 75313-2160; or by calling them at 210-351-3333.

https://www.att.com/documents/pension-plan-2022.pdf - Page 5, https://www.att.com/documents/pension-plan-2023.pdf - Page 12, https://www.att.com/documents/pension-plan-2024.pdf - Page 15, https://www.att.com/documents/401k-plan-2022.pdf - Page 8, https://www.att.com/documents/401k-plan-2023.pdf - Page 22, https://www.att.com/documents/401k-plan-2024.pdf - Page 28, https://www.att.com/documents/rsu-plan-2022.pdf - Page 20, https://www.att.com/documents/rsu-plan-2023.pdf - Page 14, https://www.att.com/documents/rsu-plan-2024.pdf - Page 17, https://www.att.com/documents/healthcare-plan-2022.pdf - Page 23

*Please see disclaimer for more information

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