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How Do Retirees Cope with Uninsured Medical and Long-Term Care Costs?

Anqi Chen, Alicia H. Munnell and Gal Wettstein

Working Papers, Center for Retirement Research at Boston College from Center for Retirement Research

Abstract: Even the best-laid plans can go awry. Individuals face many hurdles to adequate planning for retirement and, even when precautions are taken, they may be overwhelmed by a big enough shock. In particular, large medical and long-term care (LTC) spending shocks can devastate retirees’ hard-won finances. What, then, do individuals and households do when first-line plans to deal with healthcare costs fail? This paper studies the consequences of large out-of-pocket (OOP) medical and LTC shocks on retired households to explore this question, focusing on the Medicare-eligible population of over 65-year-olds. A large shock represents a failure of insurance to insulate the household from the healthcare expenditure, either because of lack of coverage (typical for LTC) or because of cost-sharing in existing insurance (typical in health insurance).

Pages: 45 pages
Date: 2025-04
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