THE ROTH GUY

Retirement Health Care Costs Just Jumped Again- 2025 Fidelity Update
October 23, 2025

Healthcare costs in retirement just keep climbing- and the newest Fidelity study shows how serious the challenge has become. In this episode, Jude breaks down what retirees can expect to pay for medical expenses, why those costs are outpacing inflation, and the most overlooked ways to plan ahead.

From the hidden expenses Medicare doesn’t cover to how an HSA can serve as a “stealth Roth,” Jude shares actionable strategies to help you prepare for one of retirement’s biggest financial wildcards. You’ll also learn how tax moves like Roth conversions can unexpectedly impact your Medicare premiums and why it’s crucial to factor healthcare into your overall income plan.

📌 Here’s some of what we discuss in this episode:

📈 Healthcare costs rising twice as fast as inflation

🏥 Medicare doesn’t cover everything

⚠️ Watch out for IRMAA and tax surprises

🧩 Plan early to avoid financial strain

0:00 – Intro

2:35 – Retirement income misconceptions

3:45 – What’s included in the $172,500 estimate

4:40 – Common blind spots

5:55 – The HSA potential  

7:25 – Medicare doesn’t cover everything  

10:00 – Strategies to offset rising healthcare

12:14 – Final thoughts

Fidelity Report

https://newsroom.fidelity.com/pressreleases/fidelity-investments–releases-2025-retiree-health-care-cost-estimate–a-timely-reminder-for-all-gen/s/3c62e988-12e2-4dc8-afb4-f44b06c6d52e

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Episode Transcript

Note: This transcript was produced using AI, so please excuse any typos and inaccuracies…

Speaker 1  00:00

This week on the Roth guy, we’re going to talk about Fidelity’s new numbers for health care in retirement, and the numbers are pretty staggering. So let’s get into it this week here with Jude Wilson

 

Walter Storholt  00:09

flying high above the metropolis. It’s the Roth guy with holistic wealth advisor. Jude Wilson

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