Getty Images In your 50s and beyond, health care costs loom more ominously than ever before -- and with good reason: According to the folks at Fidelity, a 65-year-old couple retiring now faces average health care costs in retirement of about $220,000. Fortunately, there are steps you can take to minimize the bite of health care expenses. Here are some tips to consider: 1. Don't take your health coverage for granted. While you might hope or expect that your employer will give you some health care coverage in retirement, that's increasingly hard to come by, and many folks who've been promised coverage have had it reduced or just canceled. Be sure to factor health care expenses into your retirement savings plan. If your financial future seems bleak, remember that you may be able to vastly improve it by working a few more years. During that time, you can save more money and keep any employer-based health insurance. Being active, whether through work or volunteering or hobbies, can help older people stay mentally and physically healthy, too. 2. Work longer. If necessary, consider working at least until Medicare kicks in, at age 65. Those who retire early can sometimes face steep health care costs until they qualify for Medicare. 3. Shop around for your prescriptions. There may be less expensive alternatives to the medications you're prescribed, and you might find much lower costs simply by calling a few local pharmacies to see what they charge for your prescription. You can also often find lower prices by ordering your medications online or through the mail. Your doctor can help lower your costs, too. If you're taking 10-mg pills, for example, you might be able to get a similar-priced prescription for 20-mg ones, and then use a pill-splitter to cut them in half. In a similar vein, if you're taking two 10-mg pills per day, you might ask if you can take a single 20-mg dose instead, if that will cut your costs and still be medically safe.
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