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Health insurance accounts for about 8% of total employee compensation on average.

Overall, around 75% of employees are offered health insurance, and most eligible workers enroll.

Access varies by wage level, with higher-wage employees more frequently offered employer-sponsored coverage.

Among those offered coverage, enrollment rates are higher for higher-wage workers than lower-wage workers.

Differences in access are more common in lower-paying occupations, including many service-related roles.

How Health Insurance Access Differs by Income

A $150K Roth conversion at age 64 is an example that could increase Medicare Part B and Part D premiums under the 2-year lookback rule.
In some cases, higher income from a conversion may lead to IRMAA adjustments and increased Medicare costs for that year.
Estimated additional costs can vary depending on income brackets and overall tax situation.
However, the strategy may still be beneficial by reducing future required minimum distributions and long-term taxes.
The key takeaway is that income timing and planning can significantly influence Medicare-related costs in retirement.