Far too many Americans are counting on Medicare to pay for an unrealistically high portion of their escalating health care costs in retirement. And, too many pre-retirees are either ignoring or underestimating the advice they could be receiving from a financial advisor.

Those are the main takeaways from a recently released Nationwide Financial survey of 1,250 Americans with more than $250,000 in household assets. Conducted by Harris Interactive, the survey found that 38% of those nearing retirement have not discussed their retirement plans at all with a financial advisor.

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