US retirees beware: Here are 5 ‘hidden’ retirement costs that millions of American seniors don’t even think about — how to identify them and safeguard your nest egg

The Medicare myth

Think Medicare will cover all of your medical needs?

While it handles hospital stays and doctor visits, Medicare won’t touch dental work, hearing aids, vision care or long-term prescriptions. And those out-of-pocket costs? They add up fast.

A routine dental implant alone can set you back $2,000 to $4,000 or more. Need prescription hearing aids? Expect to shell out another $2,000–$8,000 per pair. Even with Medicare Part D, prescription drug costs can skyrocket depending on your medications. And the real kicker? Fidelity estimates a 65-year-old couple today will need at least $330,000 to cover medical expenses in retirement.

Without a plan, these expenses will eat away at your savings before you even realize what’s happening. A Medicare Supplement (Medigap) or Advantage plan can help bridge the gap, but they come with their own costs. If you’re still working, consider maxing out a Health Savings Account (HSA) while you can, as it’s one of the best tax-free ways to prepare for the inevitable.

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Long-term care

Odds are you probably will need some form of long-term care. A 2019 federal government study of long-term care needs found nearly 70% of retirees will require help with daily activities at some point, whether it’s in-home care, assisted living or a full-time nursing facility. And none of it comes cheap.

The national median annual cost of a private room in a nursing home is about $117,000. Even in-home care costs can top $6,000 a month — and that’s before you factor in medical equipment or home modifications. And remember: Medicare won’t cover extended stays in a nursing home or ongoing home health care.

Long-term care insurance isn’t cheap, but it’s a lot better than wiping out your retirement fund in a matter of years. If you’re in your 50s or early 60s, now is the time to get a policy — waiting too long makes it unaffordable or even unavailable. Hybrid life insurance policies with long-term care benefits can also be a smart way to prepare without throwing money away on a policy you might never use.

An adult child in crisis

Just because your kids are grown doesn’t mean they’re financially secure. And when they hit a rough patch — divorce, job loss or oppressive student loan payments — guess who they tend to call first? Nearly 60% of parents still provide some level of financial support to their adult children, whether it’s covering rent, paying off debts or bailing them out of bad financial decisions, a 2024 Pew Research study found. The occasional $500 here or $1,000 there might not seem like much, but over time, it can drain your retirement fund faster than you realize.

Setting firm financial boundaries is critical. If you’re still working, start having conversations with your kids now about their long-term financial independence. If you must help, make it a one-time gift, not an open-ended lifeline.

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Most people miss out on key opportunities to grow their wealth. Partnering with the right financial advisor can help you secure a brighter future. Learn how to make your money work harder for you today.

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Losing a spouse

Losing your partner is devastating enough, but many retirees don’t realize just how much their finances will take a hit, too.

Let’s start with Social Security. A surviving spouse at full retirement age can receive 100% of the deceased spouse's benefit amount, but surviving spouses between age 60 and full retirement age will see a reduction of their deceased loved one’s benefit, depending on their age.

Pensions are another trap — some don’t transfer at all, while others reduce payouts for surviving spouses by 50% or more.

Review your pension and Social Security benefits now to understand what happens if one of you passes away. Delaying Social Security will maximize survivor benefits, while a life insurance policy can also provide an emergency cushion to soften the financial blow.

Inflation

You might have a solid retirement plan today, but what about 10, 20, or even 30 years down the line? Inflation quietly erodes your purchasing power over time, and most retirees underestimate just how much they’ll need in the future.

A $60,000-a-year budget today could balloon to nearly $80,000 in just a decade — and that’s assuming a 3% annual inflation rate.

The best defense is a diversified investment strategy that outpaces inflation. Treasury Inflation-Protected Securities (TIPS) are a solid hedge, but don’t ignore equities, since stocks historically outgrow inflation over time. Delaying Social Security also helps since benefits increase by 8% per year past full retirement age. The key? Keep your money growing, even in retirement.