I always planned to retire at 70, but I'm 60 and my health is not what I thought it would be. Is waiting 10 more years a big mistake?

I always planned to retire at 70, but I'm 60 and my health is not what I thought it would be. Is waiting 10 more years a big mistake?


July 8, 2026 | Carl Wyndham

I always planned to retire at 70, but I'm 60 and my health is not what I thought it would be. Is waiting 10 more years a big mistake?


Waiting Until 70 Sounds Smart

Retiring at 70 can be a strong financial plan, because Social Security benefits rise when you delay past full retirement age. For someone who is 60 in 2026, full retirement age is generally 67 if they were born in 1960 or later. Waiting until 70 can mean a larger monthly check, but it also means giving up years of payments and years of time.

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Health Changes The Math

A retirement plan built at 45 can look very different at 60. Health can affect how long you can work, how much you enjoy retirement, and how much medical care you may need. The question is not whether retiring at 70 is good or bad. The real question is whether it still fits your body, your job, and your household finances.

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Early Retirement Is Common

Many people do not retire exactly when they planned. EBRI’s 2024 Retirement Confidence Survey found that 49% of retirees left the workforce earlier than expected. Among those early retirees, 31% said a health problem or disability was a reason. That means a backup plan at 60 is not pessimistic.

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Social Security Rewards Patience

Social Security says benefits increase the longer you wait to claim, up to age 70. Delayed retirement credits can make waiting attractive if you expect a long retirement. The benefit is monthly, permanent, and inflation-adjusted through Social Security cost-of-living adjustments. Still, a bigger future check is only useful if the waiting period is realistic.

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Claiming Early Has A Cost

You can claim Social Security as early as 62, but the monthly benefit is permanently reduced. For people born in 1960 or later, full retirement age is 67. Claiming before that age can lock in a lower payment for life. That is why the decision should be made with actual numbers from your Social Security account, not a rough rule of thumb.

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Age 70 Is Not Magic

Age 70 is the latest point at which delaying Social Security increases retirement benefits. After that, there is no added Social Security reward for waiting. That makes 70 a ceiling, not a moral achievement. If your health is declining, the best plan may be one that balances money with usable time.

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Medicare Starts At 65

Medicare is generally available at 65 for people who qualify by age. If you retire before then and lose job-based coverage, HealthCare.gov says you can use the Marketplace to buy a plan. Losing job-based coverage can qualify you for a Special Enrollment Period. That bridge from 60 to 65 can be one of the biggest early-retirement costs.

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Do Not Miss Medicare Timing

Social Security warns that most people should sign up for Medicare when they are first eligible, typically at 65. Waiting can create coverage gaps or late enrollment penalties unless you have qualifying employer coverage. This matters even if you delay Social Security until 70. Medicare timing and Social Security timing are related, but they are not the same decision.

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COBRA Can Help Temporarily

COBRA can let some workers and families keep job-based health coverage for a limited time after job loss, reduced hours, or other qualifying events. The Department of Labor describes it as temporary continuation coverage. COBRA can be useful, but it is not always cheap. A 60-year-old considering retirement should price COBRA, Marketplace coverage, and any spouse’s plan before leaving work.

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Health Care Costs Keep Rising

Fidelity estimated that a 65-year-old retiring in 2025 could spend an average of $172,500 on health care and medical expenses throughout retirement. That figure is not a reason to panic, but it is a reason to plan. It also does not make work at 70 automatically safer. Poor health can make continued work expensive in a different way.

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Long-Term Care Is A Separate Risk

The Administration for Community Living says someone turning 65 today has almost a 70% chance of needing some type of long-term care services and supports. It also says one-third of today’s 65-year-olds may never need long-term care support. That range is why planning matters. You do not need to assume the worst, but you should know how care would be paid for.

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Your Job Matters

A desk job, a flexible consulting role, and a physically demanding job are not the same retirement problem. Health issues can make some work impossible long before age 70. They can also make part-time work more realistic than full-time work. The right answer may be a phased retirement, not an all-or-nothing exit.

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Run A Retirement-At-60 Budget

Start with your fixed monthly costs, including housing, utilities, insurance, food, debt payments, and transportation. Then add health insurance costs until Medicare starts. Add a separate line for deductibles, prescriptions, dental care, vision care, and out-of-pocket costs. If the budget only works with perfect health, it is too fragile.

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Price The Five-Year Gap

The gap from 60 to 65 can be harder than the gap from 65 to 70 because Medicare has not started yet. Marketplace coverage may be available, but premiums and subsidies depend on income and household size. COBRA may preserve familiar coverage for a limited time. Retiree health benefits from an employer can change the whole calculation.

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Check Your Retirement Accounts

At 60, many people can access retirement accounts without the 10% early distribution penalty that applies before age 59½. The IRS says early IRA withdrawals before 59½ may face an additional 10% tax unless an exception applies. Regular income tax can still apply to traditional IRA and 401(k) withdrawals. That means withdrawals need a tax plan, not just a cash-flow plan.

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Use Catch-Up Years Carefully

The IRS allows people age 50 or older to make catch-up contributions to many workplace retirement plans if the plan permits them. In 2026, the regular elective deferral limit for many plans is $24,500, with catch-up contributions up to $8,000 for many eligible workers. These final working years can still improve your position. They are most valuable if your health allows you to keep earning without burning out.

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Remember Required Minimum Distributions

The IRS says required minimum distributions generally begin at age 73 for many retirement account owners. That means delaying retirement does not delay taxes forever. Large pre-tax balances can create bigger taxable distributions later. A planner may recommend Roth conversions or controlled withdrawals in lower-income years.

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Consider A Smaller Step Down

Retirement does not have to mean quitting everything at once. Some people move to part-time work, consulting, seasonal work, or a lower-stress role. That can preserve income while reducing the strain that made full-time work unrealistic. It can also help delay Social Security without forcing you to work at the same pace until 70.

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Think About Your Spouse

If you are married, Social Security timing can affect more than your own monthly check. A higher benefit can matter for a surviving spouse if that spouse later receives a survivor benefit based on your record. That makes delay more attractive for some higher earners. Health, age difference, and household savings all matter in that decision.

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Build A Break-Even View

Waiting for a larger Social Security check usually requires living long enough for the higher monthly payments to make up for the payments you skipped. That break-even point varies by benefit amount, claiming age, taxes, and personal circumstances. Poor health can make the break-even calculation less favorable. Strong family longevity can make waiting more attractive.

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Do Not Ignore Quality Of Life

Retirement planning is not only about maximizing lifetime dollars. If your health is already worse than expected, your most active retirement years may be earlier than you assumed. Waiting until 70 can protect future income, but it can also spend a decade of time. A good plan values both solvency and lived life.

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Make A Medical Reality Check

Ask your doctor what your condition may mean for work capacity over the next five to ten years. This is not about asking for financial advice from a doctor. It is about understanding whether your old work timeline is medically realistic. Retirement decisions are better when health assumptions are specific.

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Protect Disability Options

If health makes work difficult, look at disability coverage before quitting. Employer disability insurance, private disability policies, Social Security Disability Insurance, and workplace accommodations may be relevant depending on your situation. Quitting first can sometimes reduce options. Get advice before turning a health problem into a permanent income problem.

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Stress Test Three Scenarios

Model retirement at 60, 65, and 70. For each version, estimate health insurance, Social Security timing, retirement withdrawals, taxes, and housing costs. Then add a bad-year scenario with higher medical expenses or lower investment returns. The best plan is the one that survives real life, not the one that looks best on a spreadsheet.

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Get Personalized Advice

A fee-only fiduciary financial planner can help compare claiming strategies, tax timing, insurance costs, and portfolio withdrawals. A CPA can help with tax consequences from IRA or 401(k) withdrawals. A benefits specialist or HR department can explain employer health coverage, COBRA, and retiree benefits. These conversations are worth having before you resign.

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Waiting Could Be Smart

Waiting until 70 can still be smart if your job is manageable, your health is stable, and your household needs the larger Social Security benefit. It can also be smart if you have a younger spouse who may rely on your higher benefit later. The key is that waiting should be a choice, not a default. A plan that ignores your health is not conservative.

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Retiring Earlier Could Also Be Smart

Retiring before 70 can be wise if work is damaging your health, your budget works, and you have a credible health insurance bridge. It can also be wise if you would rather use your healthier years now than chase a larger future check. The decision should be based on numbers, medical reality, and household priorities. At 60, the biggest mistake is not retiring early or late.

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