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Healthcare Costs in Retirement: What Ohio National Mutual Employees Need to Plan For

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The Assumption Most Ohio National Mutual Employees Make

When Ohio National Mutual employees approach retirement, many assume that once they reach Medicare age, healthcare costs become manageable. Medicare helps, supplemental coverage helps, and savings provide a cushion. For routine healthcare, that is often true.

But serious health events tell a different story. A major illness, a significant accident, or a prolonged need for daily care can generate costs that go well beyond what Medicare and standard insurance are designed to cover. When that happens, the financial impact can be severe, even for Ohio National Mutual employees who spent decades building savings and doing most things right.

At The Retirement Group, this is why the planning process does not just focus on average outcomes. Retirement plans are stress-tested against realistic worst-case healthcare scenarios, because those scenarios are not as rare as Ohio National Mutual employees assume.

Where the Gaps Actually Appear

Medicare is a valuable foundation, but it was never designed to eliminate financial exposure entirely. The gaps that create the most pressure tend to fall into a few consistent categories.

Long-term care is the largest. When someone needs daily assistance with basic activities, whether at home, in an assisted living facility, or in a nursing home, the costs can run into thousands of dollars per month. Standard Medicare covers only limited skilled nursing care following a hospital stay, not the extended personal care that many Ohio National Mutual employees eventually need.

Home health assistance is similar. If someone needs ongoing help at home after a significant health event, the cost of that support adds up quickly and is largely out of pocket.

Specialized treatment often requires travel to medical centers, extended stays near those facilities, and lengthy recovery periods. Those costs are real and significant, even when the medical treatment itself is covered.

Home modifications after an accident or diagnosis can add another layer of expense. Structural changes to accommodate mobility needs are rarely covered by insurance.

The pattern that shows up consistently in retirement planning is not that Ohio National Mutual employees made poor decisions. It is that they underestimated how large these costs can become when multiple needs arise at the same time.

Why Planning for Difficult Scenarios Matters

A retirement plan built around average healthcare outcomes looks very different from one built around realistic worst-case scenarios. A sound approach asks the harder questions early:

What happens financially if one spouse needs years of assisted care?

What does the plan look like if a serious illness requires specialized treatment over multiple years?

What if healthcare costs grow faster than the general rate of inflation?

What happens if one partner lives significantly longer than projected?

These are uncomfortable questions. But building a plan that accounts for them creates resilience. As Brent Wolf of The Retirement Group often tells Ohio National Mutual employees, planning for the worst case does not mean expecting it. It means being financially resilient if it happens.

The Emotional Dimension of Healthcare Planning

The financial pressure of a serious health event does not only come from the bills. It comes from the decisions families have to make while already under enormous stress.

When medical costs become overwhelming, Ohio National Mutual employees and their families face choices they never expected: whether to sell a home, whether they can afford specialized care, how long savings will last, and who takes on the role of primary caregiver. None of those conversations is easy, and they become harder when financial uncertainty is part of the picture.

A retirement plan that includes a realistic healthcare buffer does not prevent illness. But it reduces the financial stress that compounds a medical crisis.

Building Healthcare Resilience Into Your Retirement Plan

For Ohio National Mutual employees, the practical steps come down to a few key areas.

Understand what Medicare covers and, more importantly, what it does not. The gaps between Medicare coverage and actual care costs are where most Ohio National Mutual employees are surprised.

Consider long-term care coverage. Whether through a dedicated policy, a hybrid life insurance product, or self-insurance through dedicated reserves, having a plan for extended care is one of the most important decisions a Ohio National Mutual employee can make.

Model healthcare costs at a higher inflation rate than general inflation. Healthcare costs historically rise faster than the overall consumer price index, and that gap compounds significantly over a long retirement.

Build flexibility into the retirement income plan so that a significant healthcare expense does not force immediate cuts to everything else.

Healthcare planning is not a separate conversation from retirement planning. It is the same conversation. The Ohio National Mutual employees who are most secure in their later years are the ones who planned for healthcare costs with the same seriousness they brought to planning their investment portfolio.

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For Ohio National Mutual employees, healthcare planning is not a separate conversation from retirement planning. It is the same conversation. The costs are predictable in their unpredictability, and the families who build real financial resilience into their retirement plans are the ones who planned for healthcare with the same seriousness they brought to everything else.

Ohio National Mutual's health plan design significantly impacts retirement healthcare costs. The HDHP combined with a Health Savings Account (HSA) offers triple tax advantages: contributions are pre-tax, growth is tax-free, and qualified medical withdrawals are tax-free. The 2026 HSA limits are $4,400 for individual coverage and $8,750 for family coverage. If Ohio National Mutual seeds HSA accounts with $300 individual / $600 family, employees receive immediate purchasing power for healthcare. HSA balances roll over year-to-year (unlike FSAs) and can be invested for long-term growth, making them powerful retirement healthcare savings vehicles. Starting contributions early and minimizing HSA withdrawals during working years can accumulate substantial reserves for Medicare-eligible years.

Without retiree medical, Medicare becomes the foundation of retirement healthcare. Employees should enroll in Medicare Parts A and B at 65 and carefully evaluate supplement (Medigap) or Medicare Advantage plans. Delayed enrollment penalties apply, so timely enrollment is critical. Long-term care planning (nursing facilities, assisted living, home care) often exceeds Medicare and health insurance coverage. Exploring long-term care insurance options during working years—while still insurable—protects retirement savings from catastrophic healthcare costs.

What retirement plan options does Ohio State offer its employees, and how do these plans compare in terms of contribution rates and employer matching? Understanding the distinctions between the ARP Defined Contribution and OPERS Traditional Pension Plan is important for making informed retirement choices.

Retirement Plan Options: Ohio State offers several retirement plan options, including the ARP Defined Contribution, OPERS Member-Directed, OPERS Traditional Pension (Defined Benefit), and OPERS Combined Plan (Defined Benefit and Defined Contribution). Employees contribute 10% of their eligible compensation to these plans, and Ohio State contributes 14%. In the ARP, employees manage their investments, while OPERS plans involve a mixture of defined benefit formulas and employee contributions​(Ohio State_Retirement P…).

How does the vesting schedule work for contributions made to the various retirement plans at Ohio State? Employees should have a clear understanding of when they become fully vested in employer contributions and how this affects their retirement benefits.

Vesting Schedule: For the ARP plan, both employee and university contributions are immediately vested. In the OPERS Member-Directed plan, employee contributions are immediately vested, but university contributions are vested over five years. For the OPERS Traditional Pension and Combined plans, vesting occurs in stages: employees become 33% vested after 5 years and 67% vested after 10 years​(Ohio State_Retirement P…).

In what ways can Ohio State employees manage their retirement accounts following termination or retirement, including options for lump-sum distributions or rolling funds into other retirement vehicles? Exploring these options can help employees better plan their financial future post-employment.

Account Management Post-Employment: Upon termination or retirement, employees can either leave their balance with the provider, roll it over into another qualified account, or withdraw funds as lump sums, fixed-period payments, or annuities. OPERS also offers joint or multiple life annuities​(Ohio State_Retirement P…).

Can you elaborate on the investment choices available under the Ohio State ARP Defined Contribution plan, and how does the investment risk differ from that of the OPERS plans? It’s essential to assess how employees can maximize their retirement savings through sound investment strategies.

Investment Choices and Risk: In the ARP Defined Contribution and OPERS Member-Directed plans, employees choose from various investment options, bearing all the associated risks and fees. In contrast, OPERS manages the assets in the Traditional Pension and the DB portion of the Combined Plan, so employees assume no investment risk​(Ohio State_Retirement P…).

What criteria must be met for employees at Ohio State to qualify for disability benefits under the pension plans, and how are these benefits structured? Understanding the nuances of these benefits can be crucial for staff planning for unforeseen events.

Disability Benefits: Employees can qualify for disability benefits under OPERS after five years of service. Benefits are calculated based on service credits in the Traditional Pension and Combined Plans. The ARP plan offers no additional disability benefits beyond the vested account balance​(Ohio State_Retirement P…).

How does the interaction between Ohio State's retirement plans affect employees' eligibility for Social Security benefits, and what considerations should be taken into account? This is a significant aspect that can influence long-term retirement planning.

Interaction with Social Security: Participation in Ohio State's retirement plans may reduce Social Security benefits for eligible employees due to offset provisions. This can impact long-term retirement planning, so employees should consider this when making decisions​(Ohio State_Retirement P…).

What are the tax implications of withdrawing funds from Ohio State's retirement plans, and how can employees effectively plan for these taxes? Insights into the tax-deferred nature of contributions can aid in financial decision-making.

Tax Implications: Contributions to Ohio State’s retirement plans are made on a pre-tax basis, meaning federal and state taxes are deferred until the time of withdrawal. Early withdrawals (before age 59½) may incur additional tax penalties​(Ohio State_Retirement P…).

Are there any additional benefits or programs available to employees through Ohio State that can complement retirement savings, such as health care benefits after retirement? These additional offerings can significantly enhance overall retirement security.

Additional Benefits: Ohio State provides health care, disability, and survivor benefits to employees enrolled in the OPERS Traditional Pension and Combined Plans. Access to a Retiree Medical Account for healthcare expenses is available in some plans​(Ohio State_Retirement P…).

How can Ohio State employees get in touch with the Human Resources department to learn more about retirement plan options, contribution limits, and other benefits? It's crucial for employees to know the right channels to obtain help regarding their retirement planning.

Human Resources Contact: Employees can contact the Office of Human Resources or their selected ARP provider for more information on retirement plan options, contribution limits, and other benefits. Ohio State also provides resources on its HR website​(Ohio State_Retirement P…).

What changes, if any, are expected in Ohio State's retirement plans for the upcoming year, especially concerning contribution limits and other regulatory adjustments? Staying informed about potential changes can help employees proactively adjust their retirement savings strategies. These questions aim to provide a comprehensive understanding of retirement plans and associated benefits at Ohio State, facilitating employee engagement and informed decision-making.

Expected Plan Changes: Any changes to contribution limits or plan adjustments will likely be communicated through Ohio State’s HR department. It's essential for employees to stay updated through official HR channels to proactively adjust their retirement strategies​(Ohio State_Retirement P…).

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