We analyzed health insurance options across plan types to find the best coverage for retirees ages 60-65. Kaiser Permanente leads with a MoneyGeek score of 5 and $1,166 monthly rates for HMO coverage. Your plan type affects doctor access and costs: HMO and EPO plans require in-network care with lower premiums, while POS and PPO plans let you see out-of-network providers but cost more monthly.
Best Health Insurance for Seniors & Retirees (2026 Plan Year)
Kaiser Permanente offers the best health insurance for seniors, with Silver HMO plans starting at $1,166 monthly.
Discover the best health insurance for seniors and retirees under 65.

Updated: December 4, 2025
Advertising & Editorial Disclosure
Kaiser Permanente offers the best health insurance for seniors under 65 with Silver HMO plans at $1,166 monthly, saving 12% versus national averages.
PPO plans from Oscar cost $1,242 monthly but let you see any doctor without referrals and still cover out-of-network care.
COBRA continuation, marketplace plans with subsidies and Medicaid bridge the coverage gap until you qualify for Medicare at 65.
Best Health Insurance for Seniors
Best HMO | Kaiser Permanente | $1,166 | $7,500 | $3,800 |
Best EPO | Medica | $1,285 | $8,500 | $3,700 |
Best POS | Blue Cross Blue Shield | $1,529 | $6,062 | $2,330 |
Best PPO | Oscar | $1,242 | $5,925 | $3,402 |
These rates are for a 60 year old buying a Marketplace Silver-tier plan. Your actual rates depend on multiple factors.
Best HMO Health Insurance for Seniors: Kaiser Permanente

Avg. Monthly Premium
$1,166Out-of-Pocket Maximum
$7,500Deductible
$3,800
- pros
Top Quality Rating System scores with perfect 5/5 ratings
Strong customer satisfaction and low complaint rates
Integrated care model with coordinated electronic records
Nonprofit structure focuses on care quality over profits
consAvailable in only eight states and Washington, D.C.
Must use Kaiser's network of doctors and facilities
Moving requires finding new coverage
Kaiser Permanente earns the top spot for HMO plans with a MoneyGeek score of 93 of 100. The nonprofit health system delivers affordable coverage through an integrated model where your doctors, hospitals and insurance work together under one roof. Monthly premiums run $1,166 with a $7,500 out-of-pocket maximum.
Care runs through a closed HMO network. Pick a primary care physician who coordinates everything and refers you to specialists within Kaiser's system. Your providers share electronic health records, cutting down on duplicate tests and keeping everyone on the same page about your treatment.
Kaiser's integrated approach shines in quality ratings. The plan earned perfect 5-star scores across all Quality Rating System categories and received two of only five 5-star NCQA ratings nationwide. Its nonprofit structure means profits go back into better facilities and care quality.
Best EPO Health Insurance for Seniors: Medica

Avg. Monthly Premium
$1,285Out-of-Pocket Maximum
$8,500Deductible
$3,700
- pros
Direct specialist access eliminates referral delays and paperwork
Low primary care costs ($5 copay) make regular checkups affordable
Insulin cost cap protects against price increases
Nonprofit model invests savings into better coverage and service
consZero out-of-network coverage except true emergencies
Available only in Upper Midwest states
Medica leads EPO coverage for seniors under 65 with perfect 5 out of 5 scores across affordability, customer experience and denial rates in MoneyGeek's analysis. You'll skip the referral hassle when seeing specialists while staying within the network. Monthly premiums average $1,285 with an $8,500 out-of-pocket maximum.
Primary care visits cost just $5, and you'll pay nothing for preventive services. Specialist access without referrals means faster care when you need it. Prescription coverage starts at $10 for generic drugs, with insulin capped at $35 per prescription regardless of list price.
Medica's nonprofit structure keeps the focus on member value rather than investor returns. Its Upper Midwest presence means established provider relationships and care coordination that larger national insurers can't always match.
Best POS Health Insurance for Seniors: Blue Cross Blue Shield

Avg. Monthly Premium
$1,529Out-of-Pocket Maximum
$6,062Deductible
$2,330
- pros
Zero-cost generic drugs eliminate monthly pharmacy expenses
Earn $400 through Blue Rewards for you and your spouse combined
Out-of-network coverage protects you when traveling or if your doctor leaves the network
consService area limited to Maryland, Northern Virginia and Washington, D.C., so moving means finding new coverage
Monthly premium runs higher than comparable HMO options
Blue Cross Blue Shield leads POS coverage for seniors under 65 with perfect 5 out of 5 scores across affordability, customer experience and denial rates in MoneyGeek's analysis. The Point-of-Service structure gives you something HMOs can't—out-of-network coverage that actually pays when you need care outside the network. Monthly premiums average $1,529 with a $6,062 out-of-pocket maximum.
You'll skip referrals entirely, seeing specialists directly for a $50 copay. Primary care costs just $25, and generic drugs come free. The Blue Rewards program sweetens the deal: complete a health screening with your doctor, and you and your spouse each earn $100 toward future medical expenses.
Out-of-network flexibility means you're covered even when your doctor doesn't participate in the network. You'll pay more (30% coinsurance versus 20% in-network), but you won't face the total loss of benefits that HMO members experience outside their network.
Best PPO Health Insurance for Retirees: Oscar

Avg. Monthly Premium
$1,242Out-of-Pocket Maximum
$5,925Deductible
$3,402
- pros
Out-of-network coverage lets you see specialists your network doesn't have without losing all benefits
$3 generic drugs mean your regular prescriptions won't strain your monthly budget
Dedicated Care Team helps you find affordable care instead of forcing you through phone trees
$0 Virtual Urgent Care keeps you out of expensive emergency rooms for minor issues
cons50% coinsurance for out-of-network care makes that PPO flexibility cost you thousands
18-state availability means you can't get Oscar if you live in most of the country
Oscar earns a perfect five out of five across all MoneyGeek ratings, including affordability, customer experience, coverage quality and denial rate. This makes it the top PPO choice for seniors under 65. At $1,242 monthly with a $5,925 out-of-pocket maximum, you get true PPO flexibility without needing referrals for specialists.
Primary care visits cost just $25, and generic drugs are only $3. Oscar's Care Team gives you dedicated support through the app, while $0 Virtual Urgent Care means you can talk to a doctor from home. The company's digital-first approach makes managing your health simple, with everything from finding doctors to refilling prescriptions handled through one intuitive app.
Best Health Insurance for Seniors by Metal Level
Your monthly premium and out-of-pocket costs move in opposite directions across metal tiers.
Bronze plans cost $1,361 monthly and work if you rarely see a doctor. You'll pay more when you actually need care. Silver plans run $1,420 monthly and qualify you for cost-sharing subsidies if eligible. Gold plans at $1,524 monthly cover more of your bills upfront, so they're worth it if you have regular prescriptions or ongoing treatments.
| Catastrophic | Blue Cross Blue Shield | $1,122 | $10,600 | $10,600 |
| Expanded Bronze | Ambetter | $1,148 | $7,133 | $5,873 |
| Bronze | Ambetter | $1,361 | $7,250 | $7,250 |
| Silver | Ambetter | $1,420 | $7,895 | $5,860 |
| Gold | Ambetter | $1,524 | $7,272 | $1,057 |
| Platinum | Blue Cross Blue Shield | $2,939 | $3,900 | $0 |
Note that Catastrophic plans are only available in some areas and are limited to a specific population. Generally, Catastrophic plans are only available to people under 30. However, older adults can purchase them if they do not have any other choices that cost less than 8.09% of their monthly income.
Low premiums often result in high deductibles, which may not be ideal for seniors who need to visit the doctor regularly. Instead, seniors may want to opt for a policy with a higher premium, lower deductible and better coverage. This way, cost-sharing can begin sooner, benefiting people frequently seeking care.
Best Health Insurance by State for Retirees
Finding quality health insurance at 60 means balancing monthly costs with comprehensive coverage. The three best health insurance providers among all states for 60-year-olds are:
- Wellcare Health: $832 per month
- Anthem: $1,024 per month
- Molina Healthcare: $1,105 per month
Your actual premium depends on your state, tobacco use, income level and household size. The best plan matches your expected health care needs with your budget. The table below shows each state's top-ranked health insurance plan for a typical 60-year-old, including monthly premiums and maximum out-of-pocket costs:
| Blue Cross Blue Shield | $1,321 | $6,816 | $3,098 |
How Much Does Health Insurance Cost for Retirees?
Monthly premiums for 60-year-olds range from $1,401 to $1,675 depending on your plan type and network size. Your actual premium varies based on your state, age, tobacco use and income. Below we've added the average cost for seniors by each plan type:
| POS | $1,401 | $16,816 |
| HMO | $1,419 | $17,031 |
| EPO | $1,422 | $17,069 |
| PPO | $1,675 | $20,103 |
How to Bridge Health Insurance Until Medicare
Retiring before 65 creates a health insurance gap since Medicare doesn't start until then. Getting health insurance for medical expenses during this period could cost thousands out of pocket without insurance. Several options can bridge this gap, including COBRA continuation, marketplace plans with potential subsidies, Medicaid for qualifying income levels and short-term policies for temporary needs.
- 1Employer-Sponsored Coverage Through Your Spouse
You can join your working spouse's employer health plan if they have coverage. Premiums will increase when you add yourself, but this option provides comprehensive benefits. Contact their HR department to understand costs and enrollment deadlines. Coverage remains active as long as your spouse stays employed with benefits.
- 2COBRA Continuation Coverage
The Consolidated Omnibus Budget Reconciliation Act (COBRA) lets you keep your employer's health plan after retirement for 18 to 36 months. You'll pay the full premium plus a 2% administrative fee. Apply within 60 days of losing your job-based insurance.
- 3Marketplace Health Plans
The Health Insurance Marketplace offers comprehensive coverage that meets Affordable Care Act standards. Losing employer insurance qualifies you for a special enrollment period outside the usual November-January window. You may be eligible for premium tax credits if your household income falls between 100% and 400% of the federal poverty level, which can reduce monthly costs by hundreds of dollars.
- 4Short-Term Health Plans
Short-term plans offer temporary insurance for up to 12 months in most states. Monthly premiums run lower than comprehensive plans, but these policies exclude pre-existing conditions and preventive care. Your insurance company can deny coverage based on your medical history. Consider this option only if you're healthy and need brief coverage between other insurance types.
- 5Medicaid Coverage
Medicaid is an affordable health insurance option for low-income individuals and early retirees, if your income qualifies. Income limits vary by state from 138% to 215% of the federal poverty level. Assets aren't counted in most states that expanded Medicaid. Apply through your state's Medicaid office or the Healthcare.gov marketplace, which will route your application to the appropriate program
Ensure you are getting the best rate for your insurance. Compare quotes from the top insurance companies.
How to Find the Best Health Insurance for Seniors
Finding the right health insurance before 65 takes work, but it's worth it. You'll want coverage that fits your medical needs without draining your savings. Compare plans from multiple insurers and check what your doctors accept. Your health conditions, prescriptions and budget all shape your best choice.
Visit HealthCare.gov during open enrollment (November 1 through January 15) to see your options. Plans come in four metal tiers: Bronze, Silver, Gold and Platinum. Silver plans work well for early retirees because they qualify for cost-sharing reductions if you meet income requirements. You can decrease your premiums by choosing a higher deductible, but only if you can afford that expense when you need care.
Monthly premiums don't tell the whole story. You'll also pay deductibles, out-of-pocket maximums, copays and coinsurance rates. A cheaper premium means higher costs when you use your coverage. All plans must cover essential benefits like preventive care and prescriptions, but specifics vary widely between insurers.
Call your doctors' offices and ask which plans they accept before you enroll. Out-of-network care can cost more, and some plans won't cover it. HMO plans require you to stay in-network and get referrals for specialists, while PPO plans charge higher rates for out-of-network visits. Make sure your prescriptions are covered at copays you can afford.
Your household income affects how much you'll pay for marketplace coverage. Premium tax credits lower your monthly costs. Cost-sharing reductions cut your deductibles and copays if you buy a Silver-tier plan. Check the most affordable health insurance options based on your income at HealthCare.gov.
Bottom Line
Kaiser Permanente's Silver HMO plans offer the best health insurance for seniors under 65 at $1,166 monthly. Need more flexibility? PPO plans cost $1,242 but cover out-of-network doctors. Bridge your coverage gap with COBRA, marketplace plans or Medicaid until Medicare starts at 65.
Best Health Insurance Seniors: FAQ
Finding health insurance for retirees under 65 will help you stay protected. Review our answers to frequently asked questions on bridging the gap between retirement and Medicare eligibility:
What is the best health insurance for retirees under 65?
The best health insurance for early retirees depends on a number of factors. These include when they retire and how long they expect to be without coverage, as well as their medical needs, financial status and available options.
What's the cheapest health insurance for seniors?
In most states, a Bronze plan is the cheapest option available to seniors, costing an average of $1,361 per month for 60-year-olds. However, this plan offers limited coverage and may not be enough for your medical needs, depending on how frequently you require access to health care.
Can you get Medicare before age 65?
Generally, you cannot get Medicare if you are younger than 65, with exceptions for certain unique circumstances (like a diagnosis of end-stage renal disease). In the meantime, you can supplement your health insurance with other options, such as an employer-based health benefit, a private marketplace plan, Medicaid, COBRA or short-term insurance.
How much does health insurance cost for early retirees?
Health insurance costs an average of $1,419 per month for a 60-year-old on a Silver HMO plan, but other options, like if you qualify for subsidies or cost-sharing reductions, may make it more affordable.
How We Ranked the Best Health Insurance Companies for Seniors
Finding affordable health insurance as a senior under 65 is challenging. You're paying peak premiums before Medicare kicks in. We designed our research to identify which insurers offer the best value for 60-year-olds bridging the coverage gap until Medicare eligibility.
We compared health insurance companies by analyzing three key factors that matter most to early retirees:
Affordability score (60%): This category carries the most weight since healthcare costs directly impact your retirement budget. We evaluate three cost factors that roll up into your overall affordability score:
- Monthly premium: The provider with the lowest average monthly cost scores highest since premiums are your most predictable healthcare expense.
- Deductible: The amount you pay before your insurance covers costs. Providers with the lowest average deductible score highest.
- Maximum out-of-pocket: The MOOP caps what you'll pay annually beyond premiums. Lower MOOPs score better since unexpected medical costs can derail retirement plans.
Quality score (30%): We evaluated plan performance using the Quality Rating System, a 5-star rating that measures medical care, member experience and plan administration. Providers with higher scores rank better.
Denial rate score (10%): Lower denial rates mean fewer fights to get covered services paid. Insurers denying fewer claims score highest.
How We Score Different Plan Types
We normalized provider scores for each plan category to ensure fair comparisons. When analyzing HMO, PPO, EPO or POS plans, we curve scores so the top-performing insurer in that category receives a 5 out of 5, with other providers scored proportionally. This means our best HMO recommendation earned the highest HMO score, while our best PPO earned the highest PPO score. Each plan type is evaluated independently since they serve different needs and cost structures.
Our Sample Profile
All quoted premiums reflect rates for a 60-year-old buyer. We analyzed Bronze, Expanded Bronze, Silver, Gold, and Platinum plans to cover the full range of coverage options early retirees consider. Bronze plans offer the lowest monthly costs but the highest deductibles, while Platinum plans cost more monthly but cover more expenses.
Why This Approach Works for Seniors
Your priorities differ from those of younger buyers. You need predictable costs as you transition from employment income to retirement savings. You want insurers that pay claims reliably when you need care. And you need coverage that bridges just a few years until Medicare starts at 65, making short-term affordability important alongside comprehensive benefits.
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About Mark Fitzpatrick

Mark Fitzpatrick, a Licensed Property and Casualty Insurance Producer, is MoneyGeek's resident Personal Finance Expert. With over five years of experience analyzing the insurance market, he conducts original research and creates tailored content for all types of buyers. His insights have been featured in publications like CNBC, NBC News and Mashable.
Fitzpatrick holds a master’s degree in economics and international relations from Johns Hopkins University and a bachelor’s degree from Boston College. He's also a five-time Jeopardy champion!
He writes about economics and insurance, breaking down complex topics so people know what they're buying.
sources
- HealthCare.gov. "Affordable Care Act (ACA)." Accessed December 3, 2025.
- American Council on Aging. "State Specific Medicaid Eligibility Requirements." Accessed December 3, 2025.
- U.S. Department of Labor. "Continuation of Health Coverage (COBRA)." Accessed December 3, 2025.


