Recent study finds healthcare costs are a leading retirement fear, even among wealthy Americans

Though retirement is a period many workers look forward to, it's a worrisome milestone in many regards -- and healthcare is no exception. The combination of moving from a group employer plan to Medicare and from a steady paycheck to a fixed income is enough to make even well-to-do seniors question their personal financial outlook.

In fact, 73% of wealthy older adults say that out-of-control healthcare costs rank highly among their greatest retirement-related fears. That's the latest from a Nationwide Retirement Institute study, which also found that 53% of well-off older Americans don't know how to estimate their annual medical costs.

Of course, not knowing what to expect expense-wise can clearly make for a stressful situation. So if you're eager to minimize some of that anxiety, it pays to read up on healthcare costs in retirement and save for them accordingly.

What will you spend on healthcare in retirement?

It's difficult to nail down your healthcare costs in retirement because you don't know what sort of medical issues you might face as you age. But according to HealthView Services, a cost-projection software provider, the average 65-year-old man who lives an average lifespan will spend $189,687 on healthcare in retirement, while the average woman will spend $214,565.

Meanwhile, the typical retirement in the U.S. spans an 18-year period, according to the Bureau of Labor Statistics. Therefore, if we divide the aforementioned figures by 18, we arrive at $10,538 a year in medical spending for men and $11,920 a year for women.

Of course, this is an imperfect calculation because the main reason women are expected to spend more than men on healthcare in retirement is that they typically live longer. Our figures, meanwhile, assume an 18-year retirement across the board. Still, they should help shed some light on what healthcare might cost for the typical senior.

What's interesting is that in the above-referenced study, respondents estimated their own annual healthcare costs at $8,800 and their spouses' costs at $14,000. When we add up both sets of figures, we arrive at roughly the same total, which means that those surveyed actually have a pretty good sense of what they'll spend on medical care.

The projections above from HealthView, however, do not include long-term care costs, and those can be astronomical. The average assisted living facility in the country, for instance, costs $45,000 per year, according to Genworth Financial's 2017 Cost of Care Survey, while the average nursing home costs $85,775 per year for a shared room and $97,455 per year for a private one. And those are some daunting numbers indeed, especially when we consider that 70% of seniors 65 and over will wind up needing some type of long-term care in their lifetime.

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