MoneyRx for CRNAs
Go behind the scenes with host Brett Fellows, CFP®, as he explores the unique opportunities and challenges facing Certified Registered Nurse Anesthetists along the path to financial independence. In each episode, Brett shares expert insights and actionable advice, equipping you with the tools you need to take control of your financial destiny and retire on your terms.
MoneyRx for CRNAs
Once I Show Early Retirees This, Healthcare Becomes Easy
"I can't retire early because of healthcare." If this is the voice holding you back, this episode changes everything.
Healthcare costs terrify so many CRNAs approaching early retirement. You've saved enough money, you're burned out, and these are your good health years. But one fear keeps you working: what if healthcare costs blow up your plan?
In this episode, Brett reveals why healthcare shouldn't delay your early retirement and shows you the one number that simplifies everything. Once you know how MAGI (Modified Adjusted Gross Income) works, healthcare becomes predictable math instead of an expensive mystery.
We explore:
- The one number that controls your health insurance costs before Medicare.
- What counts as taxable income and what doesn't in retirement.
- Real-life case studies showing couples retiring before 65, spending six figures, and keeping healthcare affordable.
- How the healthcare subsidy cliff works and recent rule changes you need to know.
- Why being "qualified rich, cash poor" limits your healthcare options.
- The three biggest levers you can pull during the retirement gap years.
- A simple framework to decide if healthcare should keep you working or if you're more ready to retire than you think.
Two people can spend $100,000 per year, but one pays full price for healthcare while the other receives massive subsidies. Same lifestyle, completely different premiums. The difference? Understanding MAGI and structuring withdrawals correctly.
Whether you're in your late 50s or early 60s, this episode gives you the roadmap to make healthcare planning manageable and stop letting it delay the retirement you've earned.
#CRNAs #EarlyRetirement #HealthcarePlanning #MAGI #AffordableCareAct
Key Timestamps:
(0:45) Brett explains why healthcare shouldn't delay your retirement goals.
(2:55) Why the ACA cares about your reported income rather than savings.
(5:10) Breaking down taxable vs. tax-free money buckets for spending.
(7:10) Example of maintaining a six-figure lifestyle with high subsidies.
(10:35) How crossing the subsidy cliff "light switch" can cost thousands.
(11:50) Stress-testing a retirement portfolio against high premium estimates.
(14:15) The danger of maxing pre-tax accounts without tax diversification.
(16:05) Top three levers to pull during the early retirement gap.
(17:15) A practical checklist to evaluate your current retirement readiness.
(20:30) Closing thoughts on taking control of your healthcare math.
For more information and resources related to this episode, please visit the show notes.