RetireBlueprint Pro

Retirement guide · Real sample numbers

What will healthcare cost in retirement?

Healthcare is the bill most people underestimate, especially before Medicare starts at 65. Here are the real numbers in Michael and Linda's plan, and where to check your own.

The short answer: Michael and Linda budget $15,600 a year for healthcare in their 60s. Once both are on Medicare, their planner estimates about $686 a month ($8,230 a year) for Part B, Part D and a Medigap plan, or roughly $301,000 in premiums from 65 to the end of their plan (in future, inflation-adjusted dollars). That's before dental, vision and out-of-pocket costs.

Meet Michael & Linda

They're a fictional middle-income couple we built so you can see a full retirement plan with real numbers instead of rules of thumb. Here's what goes into their plan.

ItemMichael & Linda
Ages todayBoth 62, married filing jointly
WorkLinda retires in 2027 ($48,000 salary); Michael in 2028 ($72,000 salary)
Savings$550,000 total: Michael's 401(k) $310,000, Linda's 403(b) $165,000, Linda's Roth IRA $40,000, emergency savings $35,000
Social SecurityBoth claim at 67 in 2031: Michael $2,450/month, Linda $1,650/month
PensionLinda, $650/month starting 2027
HomeWorth $380,000, $95,000 left on the mortgage ($1,150/month, paid off in 2034)
Living costs$3,675/month, plus about $1,300/month for healthcare
GoalLeave at least $100,000 at the end of the plan

Before 65: the coverage gap

If you retire before Medicare, you need your own coverage. The three usual options are:

  1. A working spouse's employer plan, often the cheapest if it's available.
  2. COBRA: you keep your old plan for up to 18 months, but you pay the full premium yourself.
  3. The Marketplace at HealthCare.gov, where premium help depends on your income. Withdrawals and Roth conversions count as income, so your retirement plan and your health insurance cost are tied together.

Linda retires first, in 2027, and Michael keeps working into 2028. Until Medicare starts at 65, their plan budgets about $1,300 a month for healthcare.

After 65: Medicare isn't free

Michael & Linda on Medicare (estimate)
Monthly premiums for both (Part B + Part D + Medigap)$686
Per year$8,230
From 65 to the end of the plan$301,049

Two things often catch people off guard:

Where to check your own numbers

Healthcare also interacts with taxes. See Roth conversions before RMDs for how conversion income can raise premiums.

See every number for yourself

Michael & Linda's full plan is live. Click through their dashboard, crash tests and tax pages. Nothing to sign up for.

Quick answers

How much does Medicare cost per month for a couple?

For our sample couple, Part B, Part D and a Medigap supplement come to about $686 a month for both, or $8,230 a year. Check Medicare.gov for this year's official premiums.

What does health insurance cost if I retire before 65?

It depends on your options: a spouse's employer plan, COBRA, or a Marketplace plan where premium help depends on income. Our sample couple budgets about $1,300 a month in their early 60s.

Does Medicare cover dental and vision?

Original Medicare does not cover routine dental, vision or hearing. Many people buy separate coverage or choose a Medicare Advantage plan that includes it.

Educational only, not financial, tax or legal advice. Michael & Linda are a fictional sample couple built to show how the planner works; their figures come from the RetireBlueprint Pro sample plan as of October 2026 and use its default assumptions (3% inflation, 2.5% Social Security cost-of-living increases). Your numbers will be different.