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University of Chicago Employees: The Health Care Reality Many Retirees Don’t Expect

'University of Chicago 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 University of Chicago 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:

How Medicare impacts retiree health care planning.
Common coverage gaps and unexpected health care expenses.
Why early retirement health care planning matters.

by Brent Wolf, CFP®, Wealth Enhancement

As retirement approaches, many University of Chicago 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 University of Chicago 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 University of Chicago—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. University of Chicago 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 University of Chicago 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 University of Chicago 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 University of Chicago 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 University of Chicago 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 University of Chicago 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 .

What are the eligibility criteria for participation in the SEPP plan for employees of The University of Chicago, and how can factors like years of service and age impact an employee's benefits under this plan? Discuss how these criteria might have changed for new employees post-2016 and what implications this has for retirement planning.

Eligibility Criteria for SEPP: Employees at The University of Chicago become eligible to participate in the SEPP upon meeting age and service requirements: being at least 21 years old and completing one year of service. For employees hired after the plan freeze on October 31, 2016, these criteria have been crucial in determining eligibility for newer employees, impacting their retirement planning as they do not accrue benefits under SEPP beyond this freeze date.

In what ways does the SEPP (Staff Employees Pension Plan) benefit calculation at The University of Chicago reflect an employee's years of service and final average pay? Examine the formulas involved in the benefits determination process, including how outside factors such as Social Security compensation can affect the total pension benefits an employee receives at retirement.

Benefit Calculation Reflecting Service and Pay: The SEPP benefits are calculated based on the final average pay and years of participation, factoring in Social Security covered compensation. Changes post-2016 have frozen benefits accrual, meaning that current employees’ benefits are calculated only up to this freeze date, affecting long-term benefits despite continued employment.

How can employees at The University of Chicago expect their SEPP benefits to be paid out upon their retirement, especially in terms of the options between lump sum distributions and annuities? Analyze the advantages and disadvantages of each payment option, and how these choices can impact an employee's financial situation in retirement.

Payout Options (Lump Sum vs. Annuities): Upon retirement, employees can opt for a lump sum payment or annuities. Each option presents financial implications; lump sums provide immediate access to funds but annuities offer sustained income. This choice is significant for financial stability in retirement, particularly under the constraints post the 2016 plan changes.

Can you elaborate on the spousal rights associated with the pension benefits under the SEPP plan at The University of Chicago? Discuss how marital status influences annuity payments and the required spousal consent when considering changes to beneficiary designations.

Spousal Rights in SEPP Benefits: Spouses have rights to pension benefits, requiring spousal consent for altering beneficiary arrangements under the SEPP. Changes post-2016 do not impact these rights, but understanding these is vital for making informed decisions about pension benefits and beneficiary designations.

As an employee nearing retirement at The University of Chicago, what considerations should one keep in mind regarding taxes on pension benefits received from the SEPP? Explore the tax implications of different types of distributions and how they align with current IRS regulations for the 2024 tax year.

Tax Considerations for SEPP Benefits: SEPP distributions are taxable income. Employees must consider the tax implications of their chosen payout method—lump sum or annuities—and plan for potential tax liabilities. This understanding is crucial, especially with the plan’s benefit accrual freeze affecting the retirement timeline.

What resources are available for employees of The University of Chicago wishing to understand more about their retirement benefits under SEPP? Discuss the types of information that can be requested from the Benefits Office and highlight the contact methods for obtaining more detailed assistance.

Resources for Understanding SEPP Benefits: The University provides resources for employees to understand their SEPP benefits, including access to the Benefits Office for personalized queries. Utilizing these resources is essential for employees, especially newer ones post-2016, to fully understand their retirement benefits under the current plan structure.

How does The University of Chicago address benefits for employees upon their death, and what provisions exist for both spouses and non-spouse beneficiaries under the SEPP plan? Analyze the specific benefits and payment structures available to beneficiaries and the conditions under which these benefits are distributed.

Posthumous Benefits: The SEPP includes provisions for spouses and non-spouse beneficiaries, detailing the continuation or lump sum payments upon the death of the employee. Understanding these provisions is crucial for estate planning and ensuring financial security for beneficiaries.

What factors ensure an employee remains fully vested in their pension benefits with The University of Chicago, and how does the vesting schedule affect retirement planning strategies? Consider the implications of not fulfilling the vesting criteria and how this might influence decisions around employment tenure and retirement timing.

Vesting and Retirement Planning: Vesting in SEPP requires three years of service, with full benefits contingent on meeting this criterion. For employees navigating post-2016 changes, understanding vesting is crucial for retirement planning, particularly as no additional benefits accrue beyond the freeze date.

Discuss the impact of a Qualified Domestic Relations Order (QDRO) on the SEPP benefits for employees at The University of Chicago. How do divorce or separation proceedings influence pension benefits, and what steps should employees take to ensure compliance with a QDRO?

Impact of QDROs on SEPP Benefits: SEPP complies with Qualified Domestic Relations Orders, which can allocate pension benefits to alternate payees. Understanding how QDROs affect one’s benefits is crucial for financial planning, especially in the context of marital dissolution.

How can employees at The University of Chicago, who have questions about their benefits under the SEPP plan, effectively communicate with the Benefits Office for clarity and assistance? Specify the various communication methods available for employees and what kind of information or support they can expect to receive.

Communicating with the Benefits Office: Employees can reach out to the Benefits Office via email or phone for detailed assistance on their SEPP benefits. Effective communication with this office is vital for employees to clarify their benefits status, particularly in light of the post-2016 changes to the plan.