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Healthcare Bridge to Medicare Calculator

Estimate the total cost of health insurance from early retirement until Medicare at 65, including yearly premium inflation.

Retirement age
Monthly premium now
Annual premium increase
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How it works

Years = 65 − retirement age · Total = Σ over each year of (monthly premium × 12 × (1 + inflation)^year)

Medicare eligibility begins at 65, so retiring earlier means paying for private coverage — usually an ACA marketplace plan or COBRA — out of pocket in the meantime. Premiums for pre-Medicare coverage are high and tend to rise faster than general inflation, and this is often one of the largest and most overlooked costs of early retirement. Managing your taxable income to qualify for ACA premium subsidies can dramatically reduce the total, which is why the number you enter should be your net premium after any subsidy.

Worked example

Retiring at 60 leaves five years to bridge. Starting at $650 a month ($7,800 a year) and growing 6% annually, the five-year total is about $43,900 — noticeably more than 5 × $7,800 because of compounding premium increases.

Frequently asked questions

Why does health coverage matter so much for early retirement?

Between retirement and age 65 you lose employer coverage but cannot yet use Medicare, so you must buy your own insurance during years when premiums are expensive. For many early retirees it is one of the single biggest line items in the plan.

Can ACA subsidies lower this cost?

Yes, substantially. Marketplace premium tax credits are based on your modified adjusted gross income, so early retirees who can keep taxable income low — for example by spending taxable savings or Roth funds — may qualify for large subsidies. Enter your expected net premium after subsidies.

What about COBRA?

COBRA can continue your employer plan for up to 18 months, which helps bridge a short gap, but you usually pay the full premium plus a fee. For gaps longer than that, an ACA marketplace plan is typically the route to 65.

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Educational estimate using simplified assumptions — not tax, legal or financial advice. Verify limits and rules with the IRS or a qualified advisor.