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Jackson Study Reveals Vast Underestimation of Healthcare and Long-Term Care Costs in Retirement Planning

In This Article:

Latest research in Jackson’s Security in Retirement Series exposes critical gaps in retirement healthcare planning amid rising costs of care and increased life expectancy

Nearly two-thirds of pre-retired investors surveyed are underestimating their expected healthcare expenses in retirement

Only 27% of investors surveyed believe they will require long-term care — yet 70% of individuals turning 65 are likely to need this type of care

LANSING, Mich., January 22, 2025--(BUSINESS WIRE)--Jackson National Life Insurance Company® (Jackson®), the main operating subsidiary of Jackson Financial Inc.1 (NYSE: JXN), today released key findings on how retirees and financial professionals perceive healthcare risk and the associated impacts on retirement income planning, including costs of healthcare and long-term care. The study is the third installment of Jackson’s Security in Retirement Series, conducted in partnership with the Center for Retirement Research at Boston College, and follows the initial longevity risk and inflation risk studies released over the past 15 months. The multi-phased research initiative aims to provide useful, actionable, research-based insights on a variety of potential threats to financial security in retirement.

Jackson’s research reveals a notable gap between individuals’ perceptions of healthcare and long-term care costs and their overall financial preparedness, underscoring the need for better retirement planning. The findings reveal critical risks once retired, particularly in light of rising healthcare expenses, longer lifespans and the increasing prevalence of chronic conditions, all of which highlight a growing need for proactive planning to achieve a secure retirement.

Key findings from the research include:

  • Healthcare costs are grossly underestimated. Nearly two-thirds of pre-retired investors surveyed are underestimating their prospective healthcare expenses in retirement, anticipating health care expenses at least $1,220 below the $8,600 annual estimate and possibly increasing their healthcare risk.2 Additionally, only 27% of investors surveyed believe they will require long-term care at some point in their lives, however, 70% of individuals turning 65 each year are likely to need this type of care at some point in their lives.3 This is particularly notable, as Jackson’s recent longevity risk study found the vast majority of investors inaccurately predict their life expectancy, increasing retirement income planning risk.

  • Rising costs and advancements in technology increase financial burden. Advances in medical technology and treatments are expected to increase healthcare costs significantly over the next decade. The price of medical care including services, insurance, drugs and equipment has increased by over 120% since 2000,4 leaving many retirees at risk of draining their savings. These findings align with insights from Jackson’s 2024 inflation risk study, which examined how pre-retired households struggle to adapt to rising costs of essential expenses, including healthcare, in the face of inflation.

  • Investors are considering asset spend-down to qualify for Medicaid. More than 60% of investors surveyed said they plan to or may consider spending down their assets to qualify for Medicaid as a long-term care funding solution but may be underprepared for the dramatic life changes that would come with spending down their assets.

  • Concerns over long-term care costs are amplified among financial professionals surveyed. Two in five financial professionals are concerned that clients will be unable to afford acceptable care, with 56% citing this as a major risk for retirees.

  • Personal experience drives better preparedness. Respondents who have seen family members require long-term care are nearly twice as likely to believe they will need similar care. This group is also more proactive in exploring costs, adjusting retirement timelines and planning for assisted living expenses.

  • Women face unique challenges. Women leading household financial decisions express higher concern about healthcare risks but are less likely to anticipate requiring long-term care despite longer life expectancies. Many report lower income and asset levels, yet they are three times more likely than men to be caregivers for family members.