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The future of Medicare is murky. The program's Hospital Insurance Trust Fund is expected to run out of money in the second quarter of 2033, according to the recently released 2026 Medicare Trustees Report.
That is one quarter earlier than last year's report projected. Find out why this is a problem and how to protect yourself from any fallout while also maintaining your financial fitness.
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Why it matters
Medicare Part A is sometimes referred to as "hospital insurance." This type of coverage helps pay for inpatient services in hospitals, as well as care in skilled nursing facilities, hospice facilities, and home health care.
Once the trust fund is depleted, ongoing payroll tax revenue would cover approximately just 89% of scheduled benefits. The program would only be able to cover about 89% of Part A costs from incoming revenue — a shortfall Congress would have to address, though it's not defined by law exactly how.
Currently, about 70.2 million Americans are enrolled in Medicare. Although the depletion of the trust fund would not shut down Medicare, the cutback in provider payments would likely mean that some providers would be reluctant to accept Medicare rates.
That means Medicare beneficiaries might see reduced access to care.
How retirees should respond
The projected date of depletion for the trust fund remains about seven years away. For now, there is no need to panic.
But 2033 is fast approaching. Although politicians in the nation's capital might fix things between now and then, it would be foolish to automatically count on that happening.
Instead, you should be prepared. Here are some steps to take.
Review and shop Medicare plans annually during open enrollment
Each year, Medicare open enrollment runs from Oct. 15 to Dec. 7. This is the perfect time to look for a plan that meets your needs and is possibly more affordable.
Premiums, formularies and provider networks change from year to year, so it is likely an expensive mistake to assume your plan will be the same next year as it was this year.
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Most people spend their entire working lives focusing on one thing: growing a pile of money. Then they retire and discover the skill they actually need is close to the opposite. Turning that pile into steady income, year after year, through good markets and bad, without ever running out. It may be the least discussed and most consequential transition in personal finance, and plenty of otherwise careful investors walk into it with no real plan.
That is exactly what The Definitive Guide to Retirement Income helps answer.1 <p class="">Investing in securities involves a risk of loss. Past performance is never a guarantee of future returns. Investing in foreign stock markets involves additional risks, such as the risk of currency fluctuations. Guides are provided by Fisher Investments. The publisher may be compensated when readers request a guide.</p> It is a free guide from Fisher Investments covering what your retirement will really cost, where the cash flow should come from, and how much you can safely withdraw each year. Learn More Here ›
Keep your income low to avoid IRMAA implications
Medicare beneficiaries who have higher incomes are subject to the Income-Related Monthly Adjustment Amount (IRMAA). This means they may pay more in Medicare premiums than beneficiaries who are less wealthy.
In 2026, you may be subject to IRMAA if you are an individual with a modified adjusted gross income above $109,000 or a married couple filing jointly with income above $218,000.
Keeping your income lower ensures you don't pay these higher premiums. So, watch out for retirement account withdrawals, Roth conversions, and required minimum distributions that all have the potential to push you into higher premium brackets.
Proper financial planning that reduces your income might save you up to hundreds of dollars a month in extra premiums.
Just be aware that the government looks at your tax records from two years prior when determining if you will be subject to IRMAA. If you start lowering your income today, you will need to wait a couple of years to see the payoff.
Enroll in Medicare on time
For most Americans, Medicare eligibility begins at age 65. During that year, you are allowed to sign up for the program during your Initial Enrollment Period.
Failing to sign up for Medicare on time is often costly, as you will face a late-enrollment Medicare Part B (health insurance) penalty that lasts for as long as you are enrolled in Medicare.
You will also face a permanent late-enrollment penalty for Medicare Part D (prescription drug coverage) if you go 63 consecutive days without Part D or alternative creditable prescription drug coverage.
The Initial Enrollment Period begins three months before you turn 65 and ends three months after the month you turn 65. Don't miss this deadline.
Plan for health care costs to consume more of your income
Like just about everything else these days, Medicare and health care costs are surging.
Fidelity estimates a 65-year-old will need approximately $172,500 for out-of-pocket health care costs over retirement. Even worse, that figure does not include the cost of dental and long-term care.
There is no way to control these rising costs. The best approach is to simply plan and prepare for them.
Retirement News: Almost 80% of Americans fear a retirement age increase — here’s the real reason why
Build flexibility into retirement budgets
Retirement is the time to enjoy your life after decades of working, but that doesn't mean you should overlook the need to save money for future health care costs.
The cost you pay for Medicare services is likely to increase throughout your retirement. So, don't treat Medicare as a fixed, stable expense.
Make sure to build a bit of flexibility into your retirement budget that helps you handle the rising costs of medical care.
Bottom line
History offers a clear and reassuring lesson: Congress has never allowed Medicare to fully deplete the trust fund.
Fortunately, seven years of runway remains for the government to get its act together and fix Medicare's funding problem. The Trustees Report is an early warning system, not a declaration of failure.
If you are enrolled in Medicare, the appropriate response is proactive planning, not alarm. Making sure you crush your debt and build your savings now will leave you better prepared if the worst comes to pass.
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