Cintas Retirees Face Rising Health Care Costs: What You Need to Know

'With rising premiums, shifting federal programs, and mounting medical debt, Cintas employees must take a more deliberate approach to budgeting for health care in retirement to help avoid financial pitfalls that could derail long-term plans.' – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.

'As health care policy continues to evolve, Cintas employees should regularly revisit their retirement strategies to account for potential coverage gaps and unexpected medical expenses that could strain fixed budgets.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article we will discuss:

  1. How rising health care premiums and shrinking federal support may affect pre-Medicare retirees.

  2. The impact of medical debt, weakened consumer protections, and changing credit rules on retirement outcomes.

  3. Adjustments to Medicaid and government health care programs that could disrupt early retirement plans.

Health Care Costs Continue to Climb for Retirees

The following article has been revised to reflect recent changes in health care policy and economics for individuals with longstanding corporate careers. Cintas retirees and employees preparing for retirement are experiencing higher medical expenses, tighter household budgets, and new health care regulations—an especially relevant concern for those managing fixed incomes or long-term savings goals.

Premiums Rising, Coverage Shrinking

One key factor driving up costs is the anticipated end of Affordable Care Act (ACA) premium subsidies. If these subsidies expire, annual out-of-pocket premiums could increase by an average of $1,247—a 75% jump. 1  This would affect Cintas retirees relying on ACA plans prior to Medicare eligibility. Additionally, the One Big Beautiful Bill Act (OBBBA), passed in July 2025, calls for nearly $1 trillion in cuts to federal health care spending, with Medicaid bearing the brunt over the next ten years. 2

These reductions could result in up to 10.9 million Americans losing health care coverage by 2034, according to the Congressional Budget Office (CBO). 3

Eroding Consumer Protections

Policy changes are also exposing Cintas retirees to greater financial stress. A federal ruling overturned a consumer-friendly rule that prevented medical debts over $500 from appearing on credit reports. 4  As a result, credit scores for millions could be affected—an issue that carries implications for mortgages, employment applications, and other financial decisions during retirement transitions.

The Weight of Medical Debt

Across the country, medical debt remains a persistent challenge: 5

  • - 40% of adults report having dental or medical debt.

  • - 1 in 6 borrowed money or used credit cards to pay off medical bills.

  • - Over 20 million owe $250 or more; 14 million owe over $1,000; and 3 million owe more than $10,000.

  • - Adults aged 50–64 carry more debt than those 65–79 due to delayed Medicare access.

These statistics underscore the pressure on Cintas employees who retire before reaching Medicare eligibility.

Health Decisions at Risk

According to Tyson Mavar, a financial advisor with Wealth Enhancement, 'Credit scores may not be affected for those who hold medical debt, potentially resulting in delayed treatment.' This concern is amplified for Cintas retirees who may have limited health care coverage and rising expenses.

While some households cope with medical debt by cutting back on food and housing, depleting savings, or borrowing more, these approaches only serve to contribute to poorer health and higher stress.

Government Program Adjustments

Medicaid changes under OBBBA bring added burdens, particularly for early retirees in rural areas. Adjustments include stricter eligibility verification, new work requirements, and increased co-pays of up to $35 per visit for those near the poverty line. These revisions may impact millions of rural Americans and bring added stress to rural health care facilities that are already stretched thin.

A $50 billion Rural Hospital Transformation Fund was announced, but it is expected to address just 37% of anticipated losses and is set to expire by 2032. 6

Why It Matters for Cintas Families

Recent health care changes are reshaping retirement planning. Even though Cintas offers a range of employee benefits and retirement options, not all workers transition into Medicare or employer-based retiree coverage without gaps. According to Fidelity, a 65-year-old individual retiring in 2025 may need to spend $172,500 health care throughout retirement—not including long-term care. 7

Future policy shifts could add thousands more to that estimate. Keeping an eye on health care policy and evaluating benefit elections are now essential components of retirement planning.

The Bottom Line

Navigating today’s health care system is like taking a road trip with higher tolls, fewer exits, and less reliable maps. Cintas employees near or in retirement are encountering a shifting landscape of costs, coverage, and legal rules. If these developments are overlooked, retirement plans may be exposed to financial disruptions that are difficult to recover from.

Being proactive with coverage reviews, medical budgeting, and credit management can help retirees steer clear of costly missteps and adapt to an increasingly complex health care environment.

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Sources:

1. Business Insider. “ Millions of Americans could pay up to $1,247 more for Affordable Care Act health insurance next year ,' by Juliana Kaplan, 23 July 2025.

2. The Guardian. “ Democrats Use New Tactic to Highlight Trump’s Gutting of Medicaid ,” by Stephanie Kirchgaessner, 27 July 2025.

3. USA Today. ' Neary 11 million Americians would lose insurance under Trump's tax bill, analysis says ,' by Ken Alltucker, 4 June 2025. 

4. Medicare Rights Center. ' Federal Court Reverses Federal Medical Debt Protections ,' by Julie Carter, 31 July 2025. 

5. Peterson-KFF, Health System Tracker. ' The burden of medical debt in the United States ,' by S. Rakshit, M. Rae, G. Claxton, K. Amin, and C. Cox, 12 Feb. 2024. 

6. KFF. ' A Closer Look at the $50 Billion Rural Health Fund in the New Reconciliation Law ,' by Zachary Levinson and Tricia Neuman, 4 Aug. 2025. 

7. Fidelity. ' How to plan for rising health care costs ,' Fidelity Viewpoints, 12 Aug. 2024. 

What is the purpose of the Cintas 401(k) Savings Plan?

The Cintas 401(k) Savings Plan is designed to help employees save for retirement by allowing them to contribute a portion of their salary on a tax-deferred basis.

How can Cintas employees enroll in the 401(k) Savings Plan?

Cintas employees can enroll in the 401(k) Savings Plan through the company’s benefits portal or by contacting the HR department for assistance.

What types of contributions can Cintas employees make to the 401(k) Savings Plan?

Cintas employees can make pre-tax contributions, Roth (after-tax) contributions, and may also be eligible for employer matching contributions.

Is there a company match for contributions made to the Cintas 401(k) Savings Plan?

Yes, Cintas offers a company match on employee contributions, which helps employees save more for retirement.

What is the maximum contribution limit for the Cintas 401(k) Savings Plan?

The maximum contribution limit for the Cintas 401(k) Savings Plan is determined by IRS regulations, which can change annually. Employees should check the latest guidelines for the current limit.

When can Cintas employees start contributing to the 401(k) Savings Plan?

Cintas employees can typically start contributing to the 401(k) Savings Plan after completing their eligibility period, which is outlined in the employee handbook.

Can Cintas employees change their contribution percentage at any time?

Yes, Cintas employees can change their contribution percentage at any time through the benefits portal, subject to certain restrictions.

What investment options are available in the Cintas 401(k) Savings Plan?

The Cintas 401(k) Savings Plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to suit different risk tolerances.

How often can Cintas employees review their investment choices in the 401(k) Savings Plan?

Cintas employees can review and adjust their investment choices in the 401(k) Savings Plan at any time, allowing them to align their investments with their retirement goals.

Are there any fees associated with the Cintas 401(k) Savings Plan?

Yes, there may be fees associated with managing the Cintas 401(k) Savings Plan, including administrative fees and investment fund expenses. Employees can review the fee structure in the plan documents.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Cintas offers a competitive benefits package that includes a pension plan and a 401(k) plan for its employees. The Cintas pension plan, named the "Cintas Retirement Plan," is available to employees who meet specific years of service and age qualifications, typically requiring several years of service and reaching a certain age threshold. The pension formula used in the Cintas Retirement Plan is based on years of service and final average pay. For the 401(k) plan, Cintas offers the "Partners' Plan," which includes a company match for employee contributions. Employees must be active and have completed at least 1,000 hours of service during the fiscal year to be eligible for the company match. The 401(k) plan allows employees to contribute pre-tax dollars, and Cintas provides additional catch-up contributions for employees aged 50 and above
ERISA Settlement: In 2023, Cintas settled a class-action lawsuit for $4 million, addressing allegations of excessive 401(k) plan fees and mismanagement. The settlement includes non-monetary relief, such as conducting a record-keeping review within five years. This is important due to current economic, investment, and political environments impacting employee retirement plans. 401(k) Plan Management: The company faced criticism for high-priced, actively-managed investment options and excessive recordkeeping fees, which led to a significant financial burden on plan participants. This news highlights the necessity for vigilance in managing employee benefits amidst fluctuating economic and political conditions
2022 Stock Options and RSUs Cintas Corporation offers stock options to its employees as part of its long-term incentive plan. The stock options, denoted as CTSO, typically vest over a four-year period. Employees are granted the option to purchase shares at a predetermined price, incentivizing long-term employment and performance. Restricted Stock Units (RSUs), referred to as CTRSU, are also awarded to employees, converting into shares upon vesting. Eligibility for these stock options and RSUs is determined by employee rank and performance metrics. 2023 Stock Options and RSUs In 2023, Cintas Corporation continued to provide stock options (CTSO) and RSUs (CTRSU) with slight modifications to the vesting schedule to align better with market practices. The RSUs vest over a three-year period, with one-third of the units vesting each year. Both the stock options and RSUs are designed to retain key talent and align employees' interests with shareholders. 2024 Stock Options and RSUs For 2024, Cintas Corporation has introduced performance-based RSUs (PCTRSU) alongside the existing stock options (CTSO) and RSUs (CTRSU). These performance-based RSUs vest based on the achievement of specific financial targets over a three-year period. This addition aims to enhance motivation by linking rewards more directly to the company's financial success. Eligibility remains based on job level and individual performance.
Cintas offers a comprehensive range of health benefits to its employees, aimed at promoting overall wellness and providing financial protection. Key benefits include medical, dental, and vision coverage, as well as health savings accounts (HSAs). The company emphasizes preventive care through initiatives like biometric screenings and the LiveWell program, which offers premium discounts for healthy behaviors. Notably, Cintas provides competitive pay and retirement plans alongside these health benefits, making it a rewarding workplace. Recent updates include adjustments in premium rates and expanded eligibility for wellness programs​

*Please see disclaimer for more information

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