This article may contain references to products or services from one or more of our advertisers or partners. We may receive compensation when you click on links to those products or services. Nonetheless, our opinions are our own.
The information presented in this article is accurate to the best of our knowledge at the time of publication. However, information is subject to change, and no guarantees are made about the continued accuracy or completeness of this content after its publication date.
One of the biggest costs for retirees is health care. As people get ready to retire, keeping track of these costs becomes an important part of staying financially secure. Fidelity Investments says that a couple who is 65 years old and retiring today can expect to spend almost $315,000 on health care costs during retirement, not including long-term care. These numbers show how important it is to plan ahead and make smart choices.
Retirees have many ways to keep their out-of-pocket costs low, from learning about Medicare to using tax-advantaged accounts. It is possible to lower costs without hurting health outcomes by using a mix of preventive care, choosing the right strategic plan, and introducing changes to your lifestyle.
We’ll list six proven ways that retirees can keep their savings safe while still getting good medical care.
- 1. Comprehensive Knowledge of Medicare Plans and Benefits
- 2. Maximize the Use of Preventive Health Services
- 3. Shift to Generic Medications When Available
- 4. Utilize Health Savings Accounts (HSAs) Effectively
- 5. Shop for Health Services and Compare Providers
- 6. Stay Physically and Socially Active to Prevent Illness
- Conclusion
-
Frequently Asked Questions
- What is the average amount retirees spend on health care?
- Can retirees still contribute to an HSA?
- How can someone find the best Medicare Advantage plan?
- What services does Medicare cover at no additional cost?
- Are there tools for comparing prescription drug prices?
- What are some effective ways to negotiate medical bills?
- Can lifestyle really lower medical costs?
- Recommended Reads
1. Comprehensive Knowledge of Medicare Plans and Benefits
Most retirees in the United States get their health care coverage from Medicare. But not knowing how all of its parts work together can lead to extra costs.
Medicare Structure and Coverage
Medicare Part | Coverage | Cost to Enrollee |
---|---|---|
Part A | Inpatient hospital services | Typically free if payroll taxes are paid |
Part B | Outpatient services, doctor visits | Monthly premium required |
Part C | Medicare Advantage (private plans) | Varies by plan; may offer extras |
Part D | Prescription drug coverage | Monthly premium; copays apply |
Optimization Tips
- Annual Plan Review: Open enrollment (Oct 15–Dec 7) allows retirees to switch plans. Reviewing yearly can uncover better premiums or broader coverage.
- Medication Review: Adjusting Part D plans to reflect new prescriptions can lower monthly costs.
- Avoid Late Penalties: Enroll on time to prevent surcharges, especially for Part B and D.
2. Maximize the Use of Preventive Health Services
Preventive care helps lower long-term medical costs by finding health problems early. Medicare pays for a lot of preventive services in full.
Covered Preventive Services
- Annual wellness visits
- Screenings for cancer, diabetes, and heart disease
- Flu and pneumonia vaccinations
- Depression screenings
Financial Impact
Preventive services can result in:
- Lower hospital admission rates
- Reduced need for advanced treatment
- Fewer emergency room visits
Using these services regularly can help your health in the long run and save you money.
3. Shift to Generic Medications When Available
A large part of retirees’ health care costs are for prescription drugs. One of the best ways to save money is to switch to generic drugs.
Brand vs. Generic Comparison
Feature | Brand-Name Drugs | Generic Drugs |
---|---|---|
Active Ingredients | Same | Same |
Cost | Higher | Lower (up to 85% less) |
FDA Approval | Required | Required |
Cost Reduction Strategies
- Request generics when receiving a prescription
- Use pharmacy comparison tools such as GoodRx
- Join pharmacy discount programs or loyalty cards
Voted "Best Overall Budgeting App" by Forbes and WSJ
Monarch Money helps you budget, track spending, set goals, and plan your financial future—all in one app.
Get 50% OFF your first year with code MONARCHVIP
4. Utilize Health Savings Accounts (HSAs) Effectively
HSAs are a great way for people who meet certain criteria to save money on taxes and pay for health-related costs.
HSA Tax Benefits
- Contributions: Tax-deductible
- Growth: Tax-free investment gains
- Withdrawals: Tax-free for qualified medical expenses
Eligible Expenses
- Dental care
- Vision care
- Hearing aids
- Long-term care premiums
- Medicare Part B, C, and D premiums (post-retirement, if funds were accumulated pre-Medicare)
Important Considerations
- Contributions are only allowed if enrolled in a high-deductible health plan and not yet on Medicare.
- Funds remain accessible in retirement, making early contributions beneficial.
5. Shop for Health Services and Compare Providers
Health care prices are not as clear as prices in stores. But retirees can save a lot of money by comparing prices from different providers.
Strategies to Reduce Costs
- Request Cash-Pay Discounts: Some providers offer reduced rates for direct payment.
- Use Online Price Tools: Hospitals and third-party websites often list procedure costs.
- Get Pre-Treatment Estimates: Always ask for a quote before non-emergency procedures.
Examples of Service Price Disparities
Procedure | Lowest Reported Price | Highest Reported Price |
---|---|---|
MRI (Lower Back) | $300 | $2,500 |
Colonoscopy | $800 | $3,700 |
Cataract Surgery | $1,500 | $5,000 |
Transparency gives consumers power and stops surprise bills.
Lifestyle choices have a big impact on both health outcomes and health care costs.
Health-Promoting Activities
- Exercise: Walking, strength training, and flexibility exercises help manage chronic disease
- Nutrition: A balanced diet can reduce dependency on medication
- Community Engagement: Participation in local programs supports mental health
Affordable Resources for Seniors
- Local YMCA or recreation centers with senior discounts
- Medicare Advantage plans offering SilverSneakers or similar benefits
- Community gardening, volunteering, and book clubs for mental engagement
Staying active is a great way to save money because it means fewer doctor visits, fewer prescriptions, and a better quality of life.
Conclusion
Retirement should be a time of financial freedom and personal fulfillment, not one where medical bills are too high to handle. Fortunately, retirees can use several strategies to cut their health care costs by a lot without sacrificing quality.
Knowing Medicare, choosing generics, using HSAs, comparing service prices, and committing to an active lifestyle are all things you can do right now. These plans not only help you stay healthy, but they also save you money over time.
Retirees who plan ahead and make the most of all the programs and options available to them are much more likely to have a healthy and financially secure retirement.
Frequently Asked Questions
What is the average amount retirees spend on health care?
Fidelity says that the average couple who is 65 and retiring today will need about $315,000 for medical costs during retirement, not including long-term care.
Can retirees still contribute to an HSA?
No, retirees who are on Medicare can’t put money into an HSA. But you can still use money you already have tax-free for medical expenses that qualify.
How can someone find the best Medicare Advantage plan?
On Medicare.gov, use the Medicare Plan Finder to compare coverage networks, look at drug formularies, and check the annual out-of-pocket limits. Talking to a licensed insurance agent can also help you understand your options better.
What services does Medicare cover at no additional cost?
Medicare pays for a number of preventive services, such as screenings for cancer, diabetes, and cholesterol, annual wellness visits, flu and pneumonia vaccines, and behavioral health screenings.
Are there tools for comparing prescription drug prices?
Yes. GoodRx, SingleCare, RxSaver, and other sites like them let people compare the prices of medications at local pharmacies and get digital coupons for discounts.
What are some effective ways to negotiate medical bills?
Request an itemized bill to find mistakes, ask for discounts for paying in cash, and ask about income-based help programs or payment plans.
Can lifestyle really lower medical costs?
Yes. Keeping active, keeping a healthy weight, and doing things with other people can lower the risk of long-term diseases and mental health problems. This means you won’t need as much medicine and won’t have to see the doctor as often.

Reviewed and edited by Albert Fang.
See a typo or want to suggest an edit/revision to the content? Use the contact us form to provide feedback.
At FangWallet, we value editorial integrity and open collaboration in curating quality content for readers to enjoy. Much appreciated for the assist.
Did you like our article and find it insightful? We encourage sharing the article link with family and friends to benefit as well - better yet, sharing on social media. Thank you for the support! 🍉
Article Title: 6 Smart Ways Retirees Can Lower Health Care Costs
https://fangwallet.com/2025/08/19/6-smart-ways-retirees-can-lower-health-care-costs/
The FangWallet Promise
FangWallet is an editorially independent resource - founded on breaking down challenging financial concepts for anyone to understand since 2014. While we adhere to editorial integrity, note that this post may contain references to products from our partners.
The FangWallet promise is always to have your best interest in mind and be transparent and honest about the financial picture.
Become an Insider

Subscribe to get a free daily budget planner printable to help get your money on track!
Make passive money the right way. No spam.
Editorial Disclaimer: The editorial content on this page is not provided by any of the companies mentioned. The opinions expressed here are the author's alone.
The content of this website is for informational purposes only and does not represent investment advice, or an offer or solicitation to buy or sell any security, investment, or product. Investors are encouraged to do their own due diligence, and, if necessary, consult professional advising before making any investment decisions. Investing involves a high degree of risk, and financial losses may occur including the potential loss of principal.
Source Citation References:
+ Inspo
There are no additional citations or references to note for this article at this time.