ER Doc Advisor - Financial Planning & Taxes for Emergency Physicians

EP 250: Health Insurance Hacking for the Early Retired

If you're thinking about early retirement, there's one cost that tends to catch high earners off guard. The paycheck may stop, but your expenses certainly don’t — and one of the biggest line items is health insurance. What many don’t realize is that how you fund your lifestyle in retirement can dramatically affect what you pay for coverage.

In today’s episode, we’re unpacking a planning strategy that could help you save tens of thousands of dollars before Medicare kicks in.

Topics Discussed   

  • How to significantly reduce health insurance costs before Medicare eligibility for early-retiring ER doctors.
  • How maintaining a low taxable income can unlock advanced premium tax credits on marketplace plans.
  • The importance of strategic use of after-tax funds, Roth IRAs, and HSAs in minimizing insurance premiums.
  • How retirement diversification can offer flexibility in managing pre-Medicare health insurance expenses.
  • Insights into the critical intersection of financial and insurance planning for high-earning professionals.
  • How to balance Roth IRA distributions with premium savings to extend your portfolio's longevity.
  • How to leverage tax-loss harvesting and tax-efficient investment vehicles for optimal retirement planning.
  • The impact of capital gains on modified adjusted gross income and premium tax credits.
  • The implications of estimated income on marketplace health plan premium tax credits and potential tax adjustments.

Resources Mentioned:

Tags:

 

HealthInsurance, Medicare, Early Retirement, Private Health Insurance, High-Earning, RetirementWisdom, After-Tax Funds, Roth IRAs, HSAs, Premium Tax Credits, MarketplacePlans, Retirement Diversification, Pre-Medicare, ER Professionals, Financial Guidance, emergency medicine, ER doc, ER doctor