Health Insurance Matters: More Older Adults File for Bankruptcy

Health Insurance Matters / Harry P. Thal

The Medicare Rights Center helps people on Medicare with difficult situations as an advocate for Seniors. I contribute to them and receive a very interesting newsletter. The August 9 edition by Lindsey Copeland provides insight into this rising concern of many seniors.

According to a recent study featured in the New York Times, bankruptcy among older Americans is on the rise. The rate of people age 65 and older filing for bankruptcy is three times what it was in 1991, and this group now accounts for 12 percent of all filers, a far greater share than in 1991 (2 percent).

Driving the surge, the study suggests, is a three-decade shift of financial risk from government and employers to individuals. This pattern—which includes people waiting longer for full Social Security benefits, employers replacing pensions with defined contribution savings plans, and soaring out-of-pocket health care costs—has transferred many of the health and economic challenges associated with aging onto older adults.

The study’s findings shed light on the precarious financial situation facing many older adults. Half of all people with Medicare have annual incomes below $26,200 and one quarter have incomes below $15,250. People of color live on even less. The median income for black beneficiaries is $17,350 per year and just $13,650 for Hispanic beneficiaries. In addition, most people with Medicare have little to no savings. In 2016, 50 percent of all people with Medicare had $74,450 or less in savings, one in four had less than $14,550 in savings, and 8 percent had no savings or were living with debt.

That doesn’t provide much of a financial cushion for unexpected expenses or costly health needs. While Medicare helps most older adults pay for health care, gaps in the program’s coverage, high premiums, and cost-sharing requirements mean people with Medicare can face significant health-related out-of-pocket costs. Combined with the relatively low incomes among the Medicare population, these expenses can result in beneficiaries devoting a substantial share of their income to health care costs.

In 2016, health expenses accounted for 14 percent of Medicare household spending, on average—more than double that of non-Medicare households (6 percent). While stark, this figure understates their actual spending burden, as it does not include beneficiary spending on nursing homes or other long-term care facilities, which is a significant share of out-of-pocket costs.
Most people with Medicare simply cannot afford to pay more for health care. In 2013, the average Medicare beneficiary’s out-of-pocket spending on health care consumed 41 percent of the average Social Security check, and that figure is likely to rise.

While the factors contributing to the growing number of bankruptcy filings among older adults are numerous and complex, it is clear that high and rising health care costs play a significant role. To combat these troubling trends, the Medicare Rights Center will continue to work to strengthen the Medicare program in ways that will improve the health and economic security of older adults, including by identifying and advancing practical policy solutions that help people with Medicare better access and afford coverage. Out-of-pocket caps, reduced drug costs, and dental, vision, and hearing benefits, coupled with elimination of enrollment coverage gaps would help the Medicare program protect the economic security of its beneficiaries.

MARK YOUR CALENDARS for “Medicare and a Movie.” The informative educational (no selling) seminar will again be held at Reel Cinema, Wofford Heights on October 3. There will be new HMO plans introduced for Kern County as well as a Medicare Advantage PPO plan.
Refreshments will be served. Doors open at 12:15 with the “pre-show.” Seminar is at 1:00 p.m. followed by the week’s Feature Film.

Harry P. Thal, MA, is a licensed insurance broker in California (0621106) and 24 other states. His offices are in Kernville. He is a member of the Society of Certified Senior Advisors and Past-President of the Kern Association of Health Underwriters. He may be reached at 760-376-2100, e-mail or visit him on the web at

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