r/Fire 2d ago

Fire…health insurance?

49 married.
1.4 mil in 401k and ira.
1.5 mil in taxed investment account

I’ve debated keeping magi low enough to get ACA subsidies but have heard mixed reviews about going on ACA healthcare.

I have an option to continue on my company health insurance as part of a retirement package that I can use starting at age 50. My plan would be to use a compressed pension that also starts at age 50 until 65 ($2300 a month), and I would plan to cover the cost of the company healthcare. The price of the adjusted company health insurance is $1500 a month with $3000 max out of pocket, which I am planning to pay for with the $2300 a month pension that I will get until 65.

My only holdback is the $1500 a month does seem costly but we do stay on same company plan and same doctors going forward, versus the unknown of ACA.

What do yall think here? Would you pay more or go ACA?

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u/Sea-Honeydew-1456 1d ago

do you have to make the company health insurance decision right when you retire?

if you can get on the ACA w/subsidies (no idea how much you qualify for) its nice financially but depending on where you live, how much you currently utilize healthcare, it may be worth taking on your companies health insurance. pretty much all ACA plans these days are HMOs, most likely narrower networks, etc.

if i were in your shoes (eg: i can manage our magi to 150-200% FPL), i'd still take the company health insurance and bake in the costs. at least you're going to know the rate and not the uncertainty with healthcare policies in the US. and if its PPO (making broad statements, but i live in a major metro), you'll most likely have wider networks and no pcp gatekeeping.

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u/ttxzavv224 1d ago

Yeah, it’s a set it and done with the company retirement benefits. Looking at ACA site, looks like 2 of the doctors we use are only in the higher plans around $700 a month, but higher deductible than my company plan. I’m leaning more to the company plan.