Medicare Open Enrollment: How You Can Protect Both Your Health and Finances

October 11, 2024

 Medicare, health insurance for those 65 and over, is essential coverage for many seniors as it helps pay for healthcare costs during retirement. More than 66 million Americans on Medicare rely on their insurance to help pay for healthcare expenses including doctor visits, preventative services, hospital visits, and medical supplies. 


With medical expenses likely one of the biggest expenses you’ll face as a retiree, it’s important to make sure that your Medicare coverage fits your needs. Each year, during the Medicare open enrollment period, Medicare beneficiaries have the opportunity to review and make changes to their coverage. 


While it may be tempting to stick with the same plan for the sake of convenience, ignoring this annual window can result in missed opportunities for better coverage and potential cost savings. The decisions you make during open enrollment not only affect the covered healthcare options you have access to—they can also significantly impact your financial health.


Medicare Open Enrollment Period: What You Should Know


Healthcare needs and costs can change over time, and what was a good fit one year may not be the next. Medicare open enrollment occurs every year from October 15 to December 7, giving you time to review, change, or adjust your Medicare coverage. Any changes made go into effect on January 1 of the next year.


There are several plan choices available during open enrollment, and you have the option to:


  • Switch between Original Medicare (Parts A and B) and Medicare Advantage (Part C)
  • Change your Part D prescription drug plan
  • Enroll in or update your Medigap policies for additional coverage


By understanding the different parts of Medicare and how they work together, you can make informed decisions on what coverage meets your medical and financial needs:


Medicare Part A: Hospital Insurance


Medicare Part A covers inpatient hospital stays, care in skilled nursing facilities, hospice care, and limited home healthcare services. Most likely, you qualify for premium-free Part A if you or your spouse paid Medicare taxes while working for a certain period (generally at least 10 years). If you don’t qualify for premium-free Part A, you can still buy it.


Understanding what Part A covers can help you better estimate your hospital-related costs, particularly if you anticipate any significant inpatient care or long-term stays.


Medicare Part B: Medical Insurance


Medicare Part B covers doctor visits, outpatient care, preventative services, and medically necessary services (labwork, surgeries, mental health services). Almost everyone pays a monthly premium for Part B, unlike Part A, and these premiums are based on income.


Because Part B covers routine medical care and outpatient services, factor these costs into your overall healthcare budget, especially if you frequently visit the doctor or require any specialist care.


Medicare Part C: Medicare Advantage


Medicare Part C, or Medicare Advantage, is an alternative to Original Medicare (Parts A and B) and is offered through private insurance companies. Medicare Advantage plans are required to provide, at a minimum, the same coverage as Original Medicare, but these plans often include additional benefits such as vision, dental, hearing, and prescription drug coverage (Part D).


Medicare Advantage plans can be a cost-effective option if you’re seeking additional benefits or lower out-of-pocket limits. However, the plans also come with network restrictions, which means you may be limited to seeing doctors and hospitals that are within the plan’s network.


Medicare Part D: Prescription Drug Coverage


Medicare Part D helps cover the cost of prescription drugs. Part D plans are offered through private insurance companies, and you can either add a Part D plan to your Original Medicare coverage or get it through a Medicare Advantage plan that includes drug coverage.


Because prescription drug costs can add up quickly, make sure to review your Part D plan each year to confirm that it covers the medications you need at an affordable price.


Medigap: Supplemental Insurance


Medigap, also called Medicare Supplement Insurance, is extra insurance you can buy from private insurance companies to help cover some out-of-pocket costs not covered by Original Medicare, such as deductibles, coinsurance, and co-payments.


Medigap policies can provide peace of mind by minimizing the financial risk of high out-of-pocket expenses. Remember, however, that you can’t have both a Medigap policy and a Medicare Advantage plan.


How Your Medicare Choices Can Impact Your Finances


Even if you’d like to stick with your current plan, don’t skip an annual review: plan costs, benefits, and available options can change from year to year, as can your health needs. If you don’t review your plan, you could face unexpected costs that risk your financial health, or have inadequate coverage right when you need it the most.


The choices you make during Medicare open enrollment directly impact your monthly premiums and out-of-pocket costs. Deductibles, co-pays, and coinsurance can add up, so make sure to weigh the total cost of any plan you’re considering, not just the premiums. 


Deciding between Original Medicare and Medicare Advantage can also significantly impact your medicare finances. While Medicare Advantage plans often have lower premiums, they can come with higher out-of-pocket costs. Pairing Original Medicare with Medigap can help reduce unexpected expenses, but it may involve higher upfront costs. 


One of the most important things you can do during the Medicare open enrollment period is to compare plans, as premiums, copayments, and coverage can change every year. By comparing your plan options, you can make sure you’re not overpaying for coverage or missing out on better options.


What to Keep in Mind During Medicare Open Enrollment


If you avoid these common mistakes during Medicare open enrollment, you can better protect both your health and your financial well-being:


  • Don’t overlook any plan changes: Don’t assume your current plan will continue to meet your needs—costs, coverage, and networks can change every year, and your current plan might not be the best fit anymore, both health-wise and financially.


  • Don’t assume the cheapest plan is the best: While it may be tempting to choose the plan with the lowest premium, it doesn’t always equate to the most affordable option. Lower premiums often come with higher deductibles, co-pays, and limited coverage, which can end up costing you more in the long run.


  • Don’t ignore future healthcare needs: Many often only focus on their immediate healthcare needs and forget to consider the possibility of future health issues. While you can’t predict the future, recognizing potential chronic or long-term health conditions can help you choose a plan that will continue to fit your needs in the future.


Healthcare and Financial Planning


While Medicare covers healthcare costs, it doesn’t cover everything. Make sure to include not only the costs associated with Medicare but also other potential medical expenses, such as long-term care, in your retirement and estate planning. This can help you to prepare for the unexpected, plan for the future, and protect your financial health. 


Anticipating your healthcare needs in your financial planning can also help you preserve your assets for future generations, and help you leave a lasting financial legacy.


At Five Pine Wealth Management, we can work with you to integrate your healthcare decisions and medicare finances into a comprehensive financial plan that supports your retirement and estate strategies. As fiduciary financial advisors, we are committed to acting in your best interest to help you achieve your objectives and protect and preserve your wealth. To see how we can help you, give us a call at 877.333.1015 or send us an email today.


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He Had $1.1 Million and Almost Went Back to Work. Here's What Changed

April 22, 2026
Key Takeaways A portfolio designed for accumulation may carry too much risk, or the wrong kind of risk, once you stop contributing. When two spouses are at different financial life stages, their investment strategies should reflect that difference. A Roth conversion strategy during the years before required minimum distributions begin can meaningfully reduce your long-term tax burden. Rob spent 30 years building a picture-perfect financial foundation for his retirement. He maxed out his 401(k) and stayed disciplined through market downturns. By the time he retired from a long career in plant management and HR, he had a nest egg most people only dream about. But then retirement arrived, and with it came a new kind of anxiety. Rob spent all those years learning how to build wealth, but never how to draw it down. The accumulation phase was clear, but the decumulation phase is far more complex and far more personal. Rob had hired a financial advisor when he retired, hoping for guidance through that transition. Instead, he got portfolio management and investment decisions without the broader planning context he needed. That relationship didn’t last a year. And that’s when he and his wife Christie, came to Five Pine. The Numbers Behind the Plan: When They Started Today Rob’s age 57 63 Investable assets $1.1 million $2.5 million Net worth — $3.5 million Primary challenge No decumulation plan, Comprehensive plan in place heavy pre-tax exposure Key strategies Portfolio redesign, Ongoing tax planning, Roth conversion planning rebalancing When Saving Well Isn't Enough When we first met Rob and Christie, a few things stood out right away. Rob was recently retired with $1.1 million in investable assets (the vast majority of it in pre-tax retirement accounts). Christie, about ten years younger than Rob, was still working and earning a high income as a part-owner of a small business. They were a dual-financial-life household: one person winding down, one still in full accumulation mode. Rob’s most pressing concern was straightforward to state but harder to solve: how much could he spend without putting their retirement at risk? He wanted to travel, renovate the house, and buy a new vehicle without second-guessing himself. But after those decades of saving, spending felt foreign, even a little reckless. He had seriously considered going back to work, not because he needed to, but because he felt he couldn’t trust the numbers. Underneath that, a long-term tax problem was simmering. With most of their savings in pre-tax accounts, Rob and Christie were looking at significant required minimum distributions (RMDs) starting at age 73. And Christie, likely to outlive Rob by a meaningful margin, would eventually face those distributions as a single filer at higher tax rates. They weren’t in trouble, but without a plan, they were heading toward unnecessary complexity and tax liability. A Plan Built for Retirement, Not for Accumulation We started with the full financial picture. Before we touched the portfolio, we built a comprehensive financial plan and stress-tested it against different market scenarios, spending levels, and timelines. Once Rob saw the projections running out over a 30-year horizon, his hesitation about retirement began to lift. The plan gave him the number he needed and, more importantly, the confidence to trust it. From there, we redesigned the portfolio to match Rob’s phase of life. He had come from a Dave Ramsey background and had always preferred an all-equity approach: aggressive, growth-focused, and straightforward. That served him well during the accumulation years, when he contributed every month and had decades to recover from downturns. But in retirement and drawing from the portfolio regularly, it introduced more risk than his situation warranted. We restructured his holdings to roughly 60% equities, 25% fixed income, and 15% in alternative investments, specifically private credit funds and private real estate. The alternatives were a meaningful addition. They could potentially carry lower price fluctuation than publicly-traded assets and have the ability to generate distributions, which may potentially help support spending needs without forcing untimely equity sales. Christie's accounts, meanwhile, stayed aggressive. She's still contributing through her employer plan, still has years of earning ahead of her, and has time to weather market swings. Finally, we put a Roth conversion strategy in place for the years ahead. Timed to begin when Christie retires, the strategy takes advantage of a window when their income will likely be lower, but before RMDs kick in and before Christie potentially files as a single filer at higher tax rates. Converting pre-tax dollars gradually reduces the accounts that will eventually be subject to mandatory distributions, potentially saving hundreds of thousands of dollars in taxes over time. From Hesitation to Confidence Rob came to us considering whether he needed to keep working. He left with a plan that showed him that he didn't. Once the plan was in place, Rob and Christie started making the most of their years together, international sailing trips, travel they had put off, and experiences they had earned. A health scare along the way reinforced what the plan had already made clear: the goal is to fund a life worth living while you're healthy enough to live it. On the investment side, market volatility became an opportunity rather than a threat. When markets dropped sharply during a period of economic uncertainty, we rebalanced, selling fixed income to buy equities at a discount. As markets recovered, those moves contributed meaningfully to their overall growth. Five years in, their investable assets have grown from $1.1 million to $2.5 million. Beyond that, Rob and Christie have referred five family members to Five Pine, a reflection of the trust that developed alongside their plan. In Christie's own words: "Ben and Jeremy are honest, approachable, and very professional. They take great pride in getting to know clients and listening to each individual's goals. Honestly, they are the best fiduciaries I have ever worked with, by far." Your Decumulation Strategy Starts Before You Retire Rob's story is more common than most people realize. Disciplined savers often arrive at retirement without a spending plan, a tax strategy, or a portfolio suited to this new phase of life. If you're within five to ten years of retirement (or already there), it's worth asking whether your current advisor is doing comprehensive planning, including tax planning for retirement, or simply managing your investments. Over the course of a long retirement, that distinction can determine whether or not you’re equipped to tackle retirement with confidence. We'd love to help you find your number. Email us at info@fivepinewealth.com or call 877.333.1015. Let's talk.* Frequently Asked Questions (FAQs) Q: When should I start building a decumulation strategy? A: Ideally, five to ten years before you plan to retire. That window gives you time to gradually reposition your portfolio, identify potential tax issues before they become expensive, and stress-test your spending assumptions while you still have income coming in. Q: What role does Social Security timing play in a decumulation plan? A: Claiming Social Security early locks in a permanently reduced benefit, while waiting until 70 can increase your monthly payout substantially. The right timing depends on your health, other income sources, and whether a spouse will eventually depend on your benefit as a survivor. Coordinating with your Roth conversion strategy is also worthwhile, since both affect your taxable income. Q: What happens to my decumulation plan if the market drops early in retirement? A: This is often called the sequence of returns risk. A significant market decline in the first few years of retirement can have a lasting impact on a portfolio, because you're withdrawing funds at lower values. A well-designed decumulation strategy accounts for this by maintaining a portion of the portfolio in less volatile assets, so you're not forced to sell equities at a discount to cover living expenses during a downturn. *Names have been changed to protect client privacy*

The 457 Mistake That Could Cost Early Retirees Thousands

April 1, 2026
Key Takeaways Taking early withdrawals from your 457 while letting your IRA grow can help you build a more balanced retirement plan. First responders with LEOFF or PERSI pensions can use their 457 plan as a bridge between retirement and traditional retirement account access. Rolling your 457 into an IRA at retirement removes penalty-free access to funds before age 59½. Many first responders in Washington and Idaho can realistically retire early. Thanks to pensions like WA LEOFF Plan 2 or ID PERSI, disciplined savings, and a long career of service, retiring at 55 is common. If you've been putting money into a 457 deferred compensation plan, you may be sitting on a sizable balance by the time you retire. As retirement approaches, you may be wondering: “What do I do with my 457 deferred compensation plan?” Many people unintentionally make a costly mistake. They roll their entire 457 balance into an IRA the moment they retire, thinking it's the right move. It might seem logical to combine accounts and keep things simple by moving everything into one IRA. However, this move eliminates a key advantage of a 457 plan: you lose penalty-free access to your money before age 59½. Let’s look at how this works and how you can set up your retirement accounts to stay flexible in your early retirement years. Early Retirement at 55: The Income Gap Problem Whether you're covered by LEOFF Plan 2 or PERSI, retiring around age 55 is entirely realistic. LEOFF Plan 2 members can retire with a full benefit at age 53 (or as early as 50 with 20 years of service and a reduced benefit). Idaho PERSI first responders can retire as early as 50 under the Rule of 80. The years between ages 55 and 59½ are a unique financial period. Your pension might cover a portion of your income needs, but often not everything. Social Security usually starts much later, and if most of your retirement savings are in IRAs, taking out money early can trigger penalties. This is where your 457 plan can be especially helpful. Unlike most retirement accounts, 457 plans let you take out money without the 10% early withdrawal penalty once you separate from service. This rule gives you a helpful bridge between retiring and the time when traditional retirement accounts become easier to access. You lose this benefit if you move your money into an IRA too soon. If your pension doesn't cover all your needs and you rolled everything into an IRA, you might face penalties or be unable to access your money. This early-retirement gap is exactly what good 457 planning can help you avoid. 457 Plan Withdrawal Rules Once you separate from service, whether you quit, get laid off, or retire, you can start taking 457 withdrawals from your 457 plan without a 10% penalty, no matter your age. Whether you're 55, 45, or even 35, the penalty doesn't apply. If you move money from your 401(k) or another account into your 457 and then withdraw it, that money loses the 457's penalty-free status. It’s now treated like IRA money and is subject to the 10% early withdrawal penalty. Only the original 457 money stays penalty-free. You will still owe ordinary income taxes on every withdrawal from a traditional 457, just like an IRA. The key difference is that you don’t have to pay the extra 10% penalty, which can save you thousands of dollars. Should I Roll My 457 Into an IRA? Now that you know the withdrawal rules, you might be asking yourself, “Should I roll my 457 into an IRA?” This is an important question, and the answer is: it depends. Usually, moving everything at once isn’t the best idea. Many people roll their entire 457 into an IRA at retirement because it’s often suggested as a way to “consolidate” and “simplify.” While there are legitimate reasons to roll some money into an IRA, doing it all at once at age 55 means you lose your penalty-free income bridge. A few of the advantages of rolling some money into an IRA are: More investment options Estate planning flexibility Roth conversion strategies A better strategy for most first responders retiring around 55 is to split your 457 balance into two parts, or “buckets,” each with its own role in your retirement plan: Bucket 1: Use your 457 account for early-retirement cash flow. This is the money you'll live on from age 55 to 59½ (or whenever your pension plus other income is sufficient). The 457 allows penalty-free withdrawals at any time, so you control both the amount and timing of distributions. This bucket bridges the gap until your other income starts coming in. Bucket 2: Roll into an IRA for long-term growth. Once you've determined how much you need for the early years, the rest can be rolled into a traditional IRA. The IRA bucket offers more investment choices and greater flexibility for estate planning or Roth conversion. Here’s an example: Jason is a firefighter retiring at 55 from Washington with $300,000 in his 457. His LEOFF Plan 2 pension covers most of his expenses but leaves a $1,500 per month gap. Instead of rolling everything to an IRA, he keeps $90,000 in the 457, which covers about five years of that gap at $1,500/month, and rolls the remaining $210,000 into a traditional IRA. The $90,000 stays accessible, penalty-free, and the $210,000 continues to grow. By the time he turns 59½, the IRA restrictions are gone, and he hasn't paid any unnecessary penalties. Deferred Compensation Rollover: What You Need to Know If you decide to roll part of your 457 into an IRA, the process is simple. You can move your 457 into another retirement account, like a traditional IRA, Roth IRA, 401(k), 403(b), or another 457 plan. There are a few things to keep in mind: Direct rollover is the best option. Have your 457 plan send the money straight to your IRA provider. If you get the check yourself, you have 60 days to put it into your IRA, and your employer will withhold 20% for taxes. If you miss the 60-day deadline, it will be treated as a taxable withdrawal. Roth conversions are possible, but watch the tax hit. You can convert your 457 to a Roth IRA, but be careful about taxes. If you do this soon after retiring, your income might be lower, which could make it a good time for a Roth conversion. Just make sure not to convert everything at once without checking the tax impact. Putting IRA money back into your 457 is usually not a good idea. Once IRA or other retirement plan money goes into your 457, it loses the penalty-free withdrawal benefit. Only do this if you have a very specific reason. Washington's DCP and Idaho's PERSI Choice 401(k) have their own rules. Washington state's Deferred Compensation Program (DCP) is administered by the Department of Retirement Systems (DRS). Idaho first responders may have the PERSI Choice 401(k) as well as other 457 plans. Be sure you know which accounts you're dealing with before starting any rollovers. Here are two helpful resources: Washington DRS (DCP information) Idaho PERSI A Note on Taxes and Required Minimum Distributions Even if you don’t pay a penalty, you still need to think about taxes. Every dollar you take from a traditional 457 counts as regular income for that year. If you're not careful with how much you withdraw, you could end up in a higher tax bracket, especially if your pension income is already high. This is one reason the bucket approach is helpful: you can control how much you withdraw from your 457 each year and keep your taxable income in a comfortable range. It’s also important to know that required minimum distributions from traditional 457 accounts begin at age 73 or 75, depending on when you were born. Beginning in 2024, Roth 457(b) accounts in governmental plans became exempt from RMDs under the SECURE 2.0 Act. This is another reason to think about whether Roth contributions or conversions are right for you. Talk With Us Before Rolling Your 457 The 457 plan is a powerful tool, and rolling it into an IRA without careful thought means losing the feature that makes it so valuable for retirees. At Five Pine Wealth Management, we help many first responders and public employees in Washington and Idaho. We know the ins and outs of WA LEOFF Plan 2, Idaho PERSI, deferred compensation plans, and the unique challenges of retiring earlier than most people. If you're within 10 years of retirement, or if you're already retired and want to make sure your money is set up the right way, we'd be happy to help. Call us at 877.333.1015 or email info@fivepinewealth.com. Before making a decision about your 457 rollover, let’s make sure your retirement accounts are working together as they should be. Frequently Asked Questions (FAQs) Q: Does a 457 rollover to an IRA count as a taxable event? A: A direct rollover from a traditional 457 to a traditional IRA is not taxable. Q: Can I take money out of my 457 while I'm still working? A: Generally, no. 457 plans don't allow withdrawals while you're still employed, except for very limited exceptions (such as an unforeseeable emergency). The penalty-free access kicks in once you separate from service. Q: What happens to my 457 if I roll it into an IRA and then need money before age 59½?  A: You lose the 457's penalty-free protection. If you roll 457 funds into a traditional IRA, you lose the flexibility of penalty-free early withdrawals and become subject to a 10% early withdrawal penalty