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Paige Cerulli Last Updated On: August 14, 2025

Early Retirement Health Insurance for Under 65

After decades of building a professional career and hopefully building a retirement plan, nearly everyone looks forward to the day when they can leave the office one last time. Finally having time to pursue a hobby, spend more time with family, or taking a grand trip are all things you’ve earned! If you’re retiring early though, you’ll want to know about Early Retirement Health Insurance.

Early Retirement Insurance

If you have the opportunity to retire before the age 65 it means you won’t have access to Medicare. Without an employer providing healthcare coverage and Medicare not kicking in yet, you are at risk for exorbitant out-of-pocket health care costs. A serious health problem or surgery could set back your retirement plans by a lot.


During that transition period you’ve got some early retirement health insurance options that can help in the event of any surprise medical costs.

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Why You Need Health Insurance In Early Retirement

You’ve already likely heard horror stories of someone that didn’t have health insurance and ended up in an emergency. Even things like transportation in an ambulance and minor surgery can costs many thousands. Since your savings and retirement plans are meant to cover your living expenses for the remainder of your years, dipping into those now for even a $10,000 medical bill is a set back to be avoided.


Having health insurance for early retirement isn’t just meant to proactively protect your wellness, it’s meant to help you maintain the wealth you’ve accrued.

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Your Early Retirement Health Insurance Options

Since everyone’s health and wealth are entirely different, there isn’t just one plan that will apply to everyone. Insurers now offer a range of early retirement health insurance options so you can choose which best suites your needs. We’ll go over five common options here.

  • COBRA Coverage: If you’re leaving a job where health benefits were provided, COBRA may allow you to extend the coverage you had even after your employment ends. Instead of your employer paying the premium, you would now be responsible for the premium payments. One consideration here is that COBRA often is available for a limited time. If you are retiring at 60 years old, COBRA may only cover you part of the time before getting to Medicare eligibility.
  • Health Insurance Marketplace Plans: The Affordable Care Act (ACA) provides both state and federal government coverage plans. These plans are intended to be budget-friendly and may even include subsidies from the government.
  • Your Spouse’s Insurance Plan: Remember that if you’re retiring and your spouse is not, you may have the option of being added to their plan through their employer. The best method for exploring this option is to check with their HR department at their place of employment.
  • Part Time Work: While you’ve certainly worked enough already to have earned your retirement, should you find the time and energy to pick up a part time job this could be a viable solution. While part-time employment typically doesn’t provide the same kind of health benefits as a full-time job, you may find that it’s worth it financially to have an employer health cover the costs of that premium. 
  • Private Health Insurance: While the costs will likely be higher than the previous solutions mentioned, purchasing your own private plan directly from an insurer will provide you an opportunity to select the exact plan you want or the specific insurer you want.

Planning Pays Off

Advanced planning is a strong strategy for managing health insurance for early retirees. Since you’ll be able to anticipate your retirement date well in advance, its wise to use that time for research and planning. Since you’ll likely be working more closely with them than you were before, a financial advisor may also be a good resource before you reach that official last day of work. 

By ensuring you understand your early retirement health insurance options you’ll be in a much better position to rest knowing you won’t have any surprise expenses. In that effort to secure your future and put your mind at ease, Early Retirement Health Insurance could be a significant factor in your planning.

Paige Cerulli Paige Cerulli is a freelance content writer and journalist who specializes in personal finance topics. She graduated from Westfield State University and brings more than a decade of professional writing experience to the ConsumerCoverage team. Paige’s work has appeared in outlets including USA Today, Business Insider, and more.