My (45F) major concern about FIRE is health insurance, for me and my child (3). Based in the US, where ACA premiums are about to explode and a public option for all is not guaranteed, and as someone with a chronic illness (manageable with expensive medications) -- is it just about FIRE planning for a lot of cost in this area? What are the strategies and recommendations for ensuring sufficient health coverage even when 'retired'?

likesmart
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This is why approaches like BaristaFIRE have become more popular over the years.

Might not be the answer you’re looking for, but lots of folks will keep a foot in the door somewhere for continuity of benefits.

likehelpful

Exactly! My husband or I will continue to work but it’ll be much more manageable

like

Simple, save $20K extra each year.

likesmart

Yep, this isn't a healthcare problem. You just need to account for the expense

likefunny

Try not to freak out about it this month in particular. Very soon we will have more idea what is happening with the ACA exchanges.

smart

The current government shutdown is an argument about whether or not ACA health insurance exchange premiums will double or not (on average) on January 1. That is what the OP refers to. I'm telling him not to panic and give Congress time to sort it out, then react to what they do.

helpful

Retire to any other first world country? If you have plenty of money to live on and don't plan to work, you ought be able to find a visa program somewhere with reasonably affordable healthcare.

Probably lower on the tier of options. I think working 20 hours a week at Starbucks is better than uplifting your life and all you know of it.

Relocation is not a reasonable option for most people simply due to family connections and cultural preferences and personal comfort. Also 401k taxes are often double taxed or withdrawn at highest bracket if it’s not an exception country like Canada.

like

Honesty this is a key reason why I’m not interested in totally retiring (early). Comparable level of services covered with my corporate insurance costs $4.5K a month under our state’s exchange. We have 3 young kids and we use medical, dental & mental health services frequently even without major medical conditions.

I think the most challenging part is not having a PPO for the cheaper plans which includes some coverage for OON providers. Mental health services in network have insane waits and limited providers. Or when my kids needed PT and OT at various points and we went OON

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