They may be among the affluent, but preretirees—those aged 50 and up—cite health care costs in retirement as a top fear.

According to an annual survey from the Nationwide Retirement Institute, 69 percent of affluent preretirees—those with an annual household income of $150,000 or more—are afraid that their health care costs will escalate beyond their control.

Despite that, it’s not a fear they’re talking about: 52 percent say they haven’t addressed the subject with anyone—not spouse, not children, and not their financial advisor.

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