Medicare Updates 2026

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 Key Changes for 2026Costs & Premiums

• Part B Premium: Standard premium rises to $202.90 (up $17.90).
• Part B Deductible: Annual deductible increases to $283.
• Part D Out-of-Pocket: A new $2,100 cap on yearly drug costs takes effect.
• Income-Related Premiums (IRMAA): Higher income thresholds for surcharges are expected.

Prescription Drugs (Part D)

• Negotiated Prices: Lower prices for 10 key drugs (e.g., Eliquis, Jardiance).
• Medicare Prescription Payment Plan (MPPP): Auto-enrollment for 2025 participants.

Medicare Advantage (Part C) & Part D Plans

• Fewer Options: Some plans may reduce PPO options and increase HMOs.
• Increased Costs: Some beneficiaries might see higher hospital copays or new premiums in Advantage plans.

Original Medicare (Parts A & B)

• Prior Authorization Pilot: A new WISeR Model starts in six states for specific services.

Expanded Benefits

• Preventive Care: Continued focus on no-cost preventive services, including some mental health check-ups.

What to Do

• Review Your Plan: Carefully check your Annual Notice of Change (ANOC) in the fall.
• Compare Costs: Use Medicare's Plan Finder to compare costs for your specific drugs and needs.