Core Insights - Many Americans experience rising expenses in retirement, particularly after the age of 75, contrary to the common expectation of reduced costs [1] Group 1: Healthcare and Long-Term Care Costs - Fidelity estimates that a 65-year-old retiring in 2025 will need approximately $172,500 to cover healthcare costs throughout retirement, excluding long-term care [2] - The average annual cost of a single room in a skilled nursing facility is $125,000, with men typically requiring care for an average of 2.2 years and women for 3.7 years. Long-term care costs are increasing by 5% annually [5] - Medicare does not cover long-term care expenses, which include nursing homes and assisted living [4] Group 2: Home Modifications and Support Services - Home modifications for aging in place, such as ramps and stair lifts, can be costly, often running into tens of thousands of dollars [7] - A part-time home health aide can cost over $60,000 per year, and many adults over 50 underestimate the costs associated with aging in place [6][7] - An AARP survey indicates that 75% of adults over 50 wish to age in place, with 71% likely to install accessibility features [7] Group 3: Taxes and Medicare Surcharges - Retirees must begin taking Required Minimum Distributions (RMDs) from tax-deferred accounts at age 73, which can increase taxable income and potentially raise Medicare premiums through IRMAA [9]