According to a report released Tuesday, the retirement health tab can run between $64,000 and $122,000 for a 65-year-old man whose former employer pays his insurance premiums, and between $86,000 and $140,000 for a woman of the same age. For retirees who don't have access to an employer-offered plan, the costs - mostly for prescription drugs - run even higher.

"Given the magnitude of money people will need in retirement, they need to prepare for this now," said Paul Fronstin, director of health research and education programs at the Employee Benefit Research Institute. "They can't wait for a year or two before retirement to start saving," he added.

EBRI, a Washington, D.C.-based public policy group, calculated the likelihood that retirees would be able to afford their health bills. It sorted retirees into three categories: covered by Medicare with premiums paid by a former employer's health plan; covered by Medicare and in a former employer's plan but receiving no subsidy; covered by Medicare and with purchased supplemental insurance.

According to Fronstin, there are about 9 million retirees who supplement Medicare with employer-sponsored health plans. That's nearly 22% of the 42 million people currently benefiting from Medicare.

Fronstin, one of the authors of the report, said saving for health care costs in retirement is a more urgent issue than most people believe. He believes that employers will phase out health care benefits to retired employees and that Medicare will become less generous.

He also said many employees mistakenly believe that they will have employee-sponsored health benefits when they retire.

"They're thinking it's going to be there for them when it's not," Fronstin said.

The report broke down its findings based on the amount of risk retirees are willing to take in having enough money to cover medical bills. At the high-risk level, retirees have a 50% chance of having enough money; the medium risk, a 75% chance; and the low risk, a 90% chance.

65-year-old man, premium covered by former employer needs:

• $64,000 (high risk)
• $96,000 (medium risk)
• $122,000 (low risk)

65-year-old woman, premium covered by former employer needs:

• $86,000 (high risk)
• $112,000 (medium risk)
• $140,000 (low risk)

Couple, premiums subsidized by former employer needs:

• $154,000 (high risk)
• $198,000 (medium risk)
• $235,000 (low risk)

65-year-old man, premiums not covered by former employer needs:

• $102,000 (high risk)
• $154,000 (medium risk)
• $196,000 (low risk)

65-year-old woman, premiums not covered by former employer needs:

• $137,000 (high risk)
• $179,000 (medium risk)
• $224,000 (low risk)

Couple, premiums not subsidized by a former employer needs:

• $246,000 (high risk)
• $317,000 (medium risk)
• $376,000 (low risk)

For retirees who don't have access to a former employer's insurance and rely on Medicare, the main cost is for medication. According to the report, a 65-year-old man would need anywhere from $79,000 to $331,000 in savings depending on his drug needs and risk level. For a woman, the range is $108,000 to $390,000.

As high as these estimates are, the report does not include daily living expenses or nursing home costs. And nursing homes can take a big toll on retirees' bank accounts.

According to current data from Metropolitan Life Insurance Co., it costs an average of $77,745 a year for a private room in a nursing home. The price for a spot at an assisted living community is $35,628 a year and care at a facility for Alzheimer's and dementia patients is $51,240.

Fronstin said people must get realistic about how much they need to save. "Understand what it's going to take to cover these expenses," he said. "Don't be in denial about whether you are going to have benefits through a former employer in the future."