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Medicare vs. Social Security: How Much of Your COLA Will You Actually Keep?

The raise shows up in the gross. The truth shows up in the net.

Hi, Pri here,

Let me tell you something many people only notice too late…

Your Social Security benefit goes up. And almost in the same breath, your Medicare costs go up too. Which leaves the question that rarely gets asked: when everything settles, how much did you actually gain?

These two have to be looked at together, never apart. Because Medicare premiums — especially Part B and Part D — are often deducted straight from your Social Security check. So when those costs rise, they quietly eat into the raise before the money ever reaches your budget.

And current projections point to higher Medicare costs for 2027 — which makes this conversation more important, not less.

Here’s the trap: looking only at the gross Social Security increase paints a misleading picture of your real situation. A check that rises a few percent can arrive in your pocket noticeably smaller once healthcare takes its share. This is why retirement planning has to think in terms of net income — what actually remains — and not just the benefit amount.

Let me put it simply: if Social Security goes up, but Medicare premiums and other healthcare costs also rise, your monthly budget may not improve as much as the headline suggests.

Healthcare, after all, is one of the expenses every retiree needs to watch closely — it rarely asks permission before it climbs.

So the reflection I’ll leave you with is this:

“A retirement income increase only matters if it increases your ability to pay for the life you actually live.”

Planning for retirement was never only about how much money comes in.

It’s about how much you actually get to keep — and use.

With intention, Pri ✨

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