this post was submitted on 17 Feb 2026
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FIRE (Financial Independence Retire Early)

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One of the biggest factors in figuring out when early retirement is possible for me is the uncertainty of health care. I've looked into ACA plans, tried to estimate how much things will cost when life is healthy and when it isn't, and considered alternative scenarios, but haven't made myself comfortable, yet, with my options. What are you considering before you qualify for Medicare?

  • ACA and other commercial plans?
  • Spouse/partner not retiring early?
  • Participate in a country with universal/national healthcare?
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[–] FancyPantsFIRE@lemmy.world 1 points 5 days ago

There’s not a whole lot to it, it starts with finding a good doctor and practice which isn’t unique to concierge. Beyond that you pay an annual fee per person, around me that’s in the $2-3k range. That fee is out of pocket and outside insurance: this fee doesn’t cover specialists, surgery, etc. In exchange for the fee you typically get more attention and appointments on demand. The downside is that the cost is on top of insurance and you could argue its buying into or supporting a two tiered healthcare system, where the benefits you’re getting are because you’re pricing out people who can’t afford to do the same.