Ohio National Mutual Retirees Face Rising Health Care Costs: What You Need to Know

'With rising premiums, shifting federal programs, and mounting medical debt, Ohio National Mutual 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, Ohio National Mutual 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. Ohio National Mutual 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 Ohio National Mutual 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 Ohio National Mutual 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 Ohio National Mutual 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 Ohio National Mutual 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 Ohio National Mutual Families

Recent health care changes are reshaping retirement planning. Even though Ohio National Mutual 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. Ohio National Mutual 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 retirement plan options does Ohio State offer its employees, and how do these plans compare in terms of contribution rates and employer matching? Understanding the distinctions between the ARP Defined Contribution and OPERS Traditional Pension Plan is important for making informed retirement choices.

Retirement Plan Options: Ohio State offers several retirement plan options, including the ARP Defined Contribution, OPERS Member-Directed, OPERS Traditional Pension (Defined Benefit), and OPERS Combined Plan (Defined Benefit and Defined Contribution). Employees contribute 10% of their eligible compensation to these plans, and Ohio State contributes 14%. In the ARP, employees manage their investments, while OPERS plans involve a mixture of defined benefit formulas and employee contributions​(Ohio State_Retirement P…).

How does the vesting schedule work for contributions made to the various retirement plans at Ohio State? Employees should have a clear understanding of when they become fully vested in employer contributions and how this affects their retirement benefits.

Vesting Schedule: For the ARP plan, both employee and university contributions are immediately vested. In the OPERS Member-Directed plan, employee contributions are immediately vested, but university contributions are vested over five years. For the OPERS Traditional Pension and Combined plans, vesting occurs in stages: employees become 33% vested after 5 years and 67% vested after 10 years​(Ohio State_Retirement P…).

In what ways can Ohio State employees manage their retirement accounts following termination or retirement, including options for lump-sum distributions or rolling funds into other retirement vehicles? Exploring these options can help employees better plan their financial future post-employment.

Account Management Post-Employment: Upon termination or retirement, employees can either leave their balance with the provider, roll it over into another qualified account, or withdraw funds as lump sums, fixed-period payments, or annuities. OPERS also offers joint or multiple life annuities​(Ohio State_Retirement P…).

Can you elaborate on the investment choices available under the Ohio State ARP Defined Contribution plan, and how does the investment risk differ from that of the OPERS plans? It’s essential to assess how employees can maximize their retirement savings through sound investment strategies.

Investment Choices and Risk: In the ARP Defined Contribution and OPERS Member-Directed plans, employees choose from various investment options, bearing all the associated risks and fees. In contrast, OPERS manages the assets in the Traditional Pension and the DB portion of the Combined Plan, so employees assume no investment risk​(Ohio State_Retirement P…).

What criteria must be met for employees at Ohio State to qualify for disability benefits under the pension plans, and how are these benefits structured? Understanding the nuances of these benefits can be crucial for staff planning for unforeseen events.

Disability Benefits: Employees can qualify for disability benefits under OPERS after five years of service. Benefits are calculated based on service credits in the Traditional Pension and Combined Plans. The ARP plan offers no additional disability benefits beyond the vested account balance​(Ohio State_Retirement P…).

How does the interaction between Ohio State's retirement plans affect employees' eligibility for Social Security benefits, and what considerations should be taken into account? This is a significant aspect that can influence long-term retirement planning.

Interaction with Social Security: Participation in Ohio State's retirement plans may reduce Social Security benefits for eligible employees due to offset provisions. This can impact long-term retirement planning, so employees should consider this when making decisions​(Ohio State_Retirement P…).

What are the tax implications of withdrawing funds from Ohio State's retirement plans, and how can employees effectively plan for these taxes? Insights into the tax-deferred nature of contributions can aid in financial decision-making.

Tax Implications: Contributions to Ohio State’s retirement plans are made on a pre-tax basis, meaning federal and state taxes are deferred until the time of withdrawal. Early withdrawals (before age 59½) may incur additional tax penalties​(Ohio State_Retirement P…).

Are there any additional benefits or programs available to employees through Ohio State that can complement retirement savings, such as health care benefits after retirement? These additional offerings can significantly enhance overall retirement security.

Additional Benefits: Ohio State provides health care, disability, and survivor benefits to employees enrolled in the OPERS Traditional Pension and Combined Plans. Access to a Retiree Medical Account for healthcare expenses is available in some plans​(Ohio State_Retirement P…).

How can Ohio State employees get in touch with the Human Resources department to learn more about retirement plan options, contribution limits, and other benefits? It's crucial for employees to know the right channels to obtain help regarding their retirement planning.

Human Resources Contact: Employees can contact the Office of Human Resources or their selected ARP provider for more information on retirement plan options, contribution limits, and other benefits. Ohio State also provides resources on its HR website​(Ohio State_Retirement P…).

What changes, if any, are expected in Ohio State's retirement plans for the upcoming year, especially concerning contribution limits and other regulatory adjustments? Staying informed about potential changes can help employees proactively adjust their retirement savings strategies. These questions aim to provide a comprehensive understanding of retirement plans and associated benefits at Ohio State, facilitating employee engagement and informed decision-making.

Expected Plan Changes: Any changes to contribution limits or plan adjustments will likely be communicated through Ohio State’s HR department. It's essential for employees to stay updated through official HR channels to proactively adjust their retirement strategies​(Ohio State_Retirement P…).

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