Healthcare Bridge Calculator | Early Retirement Health Insurance | StandUP Advisors
Tool · Healthcare Bridge

The gap between your last paycheck and Medicare. Most retirement plans skip it.

If you retire before 65, you face a healthcare-coverage gap that can run $15K–$40K per year per couple. The three main paths — COBRA, ACA marketplace, or HSA-funded high-deductible plans — produce wildly different costs depending on your income strategy. Now more than ever: the enhanced ACA subsidies expired Dec 31, 2025, and the 400% FPL "subsidy cliff" is back in force for 2026.

Estimated Annual Cost
$8,400
net after ACA subsidy
Total Cost to 65
$58,800
across the bridge years
If You Didn't Plan Income
$182,000
paying full unsubsidized premium

Coverage Options Side-by-Side

COBRA (18 mo max)
$22,000/yr
Continuation of employer plan. Full premium + 2% admin fee. Same benefits you had.
ACA Marketplace + Subsidy
$8,400/yr
Subsidy depends on income. The 400% FPL cliff is back in 2026 — cross it by $1 and you pay full unsubsidized premium. Keeping MAGI just under 400% FPL is now the single highest-value lever in the pre-65 plan.
High-Deductible Plan
$11,200/yr
Premium only. Lower than ACA silver but with higher deductible (~$3K–$8K) — more out-of-pocket risk. Pair with HSA (max $4,400 single / $8,750 family in 2026) for triple-tax-advantaged medical savings: that's a savings move, not a cost.
* Estimates use 2026 FPL guidelines, the pre-ARPA ACA applicable-percentage schedule now back in force (the IRA-enhanced subsidies expired Dec 31, 2025 — the Lower Health Care Costs Act failed to extend them), and national average premiums. State variation is significant (e.g., NY/NJ run higher, AZ/UT lower). Doesn't include dental/vision. The 400% FPL "subsidy cliff" is back: households above 400% FPL receive no premium tax credit and pay full unsubsidized premiums — which is why managing MAGI just under that threshold is now the highest-value pre-65 planning move. Premium inflation (historically ~5–10%/yr) is not modeled, so the multi-year total understates real-world cost. The "best" option shown is purely lowest-cost; network restrictions, doctor continuity, and deductible risk often dominate the actual decision. Run the numbers, then plan the income strategy around them.
The framework

Healthcare costs are an income strategy, not just an insurance choice.

The biggest move most early retirees miss: ACA marketplace subsidies are tied directly to your Modified Adjusted Gross Income (MAGI). And starting in 2026, the math is sharper — the IRA-enhanced subsidies expired Dec 31, 2025, and the 400% FPL "subsidy cliff" is back. Cross 400% FPL by a dollar and you lose the entire premium tax credit, often a $10K–$25K hit. That makes MAGI management the single highest-value lever in the pre-65 plan.

Which dollars you pull matters: Roth withdrawals don't count toward MAGI. Traditional IRA / 401(k) withdrawals do. Long-term capital gains do, at preferential rates. Tax-loss harvesting can offset. Strategic Roth conversions before ACA-bridge years (or holding them off until Medicare) is real money.

The healthcare bridge is the most expensive overlooked line item in early retirement. With the cliff back, it's also the most controllable — if you plan the income strategy around it.

The other lever: HSAs. If you're still working and eligible, max-fund an HSA every year. The triple tax advantage (deductible going in, no tax on growth, no tax on qualified withdrawals) makes it the most efficient retirement-medical savings vehicle that exists. After age 65 the funds can be withdrawn for any purpose, taxed as ordinary income.

The bridge years are planned, not endured. If you know the levers.

If you're planning to retire before 65 (or already there), this is a high-value 30-minute conversation.