Senior Citizens Will Pay a Lot More for Medicare in 2026
Medicare Part B premiums rise to $202.90, a near 10% increase, while Medicare Advantage plans drop 10%, affecting over 2 million beneficiaries nationwide.
- CMS announced that the standard Medicare Part B premium will be $2,000 million, up nearly 10%, with open enrollment from October 15–December 7 for 2026 coverage.
- Policy shifts and market trends have driven premium growth through rising medical costs, more baby boomers entering Medicare, insurer exits, and the Inflation Reduction Act shifting drug costs onto insurers.
- Oliver Wyman found offerings will drop 10% to 3,373 plans, affecting just over 2 million people, with insurers cutting options in at least 100 counties and leaving traditional Medicare in eight Vermont counties.
- Under new rules, Medicare Part D will implement a $2,000 annual out-of-pocket cap in 2026, and enrollees who hit the cap can have copays drop to $0 as Medicare and plans cover the rest.
- Use the Medicare Plan Finder to compare plans, consider the Medicare Prescription Payment Plan, which spreads costs into about $166 monthly, and seek Extra Help if income is below $1,903 individual or $2,575 couple.
53 Articles
53 Articles
State of Medicare heading into 2026: Your complete guide to new laws and avoiding surprise bills | News Channel 3-12
Quality HD // Shutterstock Prescription drug costs have long been one of the biggest financial burdens for Americans, but relief may be on the horizon for many. Starting in 2026, Medicare will fully implement a $2,000 annual cap on out-of-pocket drug spending. This is a landmark change baked within the Inflation Reduction Act, potentially offering reprieve to millions around the country. However, this new rule comes with certain nuances, inclu…
State of Medicare heading into 2026: Your complete guide to new laws and avoiding surprise bills
Quality HD // Shutterstock Prescription drug costs have long been one of the biggest financial burdens for Americans, but relief may be on the horizon for many. Starting in 2026, Medicare will fully implement a $2,000 annual cap on out-of-pocket drug spending. This is a landmark change baked within the Inflation Reduction Act, potentially offering reprieve to millions around the country. However, this new rule comes with certain nuances, inclu…
State of Medicare heading into 2026: Your complete guide to new laws and avoiding surprise bills
Quality HD // Shutterstock Prescription drug costs have long been one of the biggest financial burdens for Americans, but relief may be on the horizon for many. Starting in 2026, Medicare will fully implement a $2,000 annual cap on out-of-pocket drug spending. This is a landmark change baked within the Inflation Reduction Act, potentially offering reprieve to millions around the country. However, this new rule comes with certain nuances, inclu…
State of Medicare heading into 2026: Your complete guide to new laws and avoiding surprise bills
Quality HD // Shutterstock Prescription drug costs have long been one of the biggest financial burdens for Americans, but relief may be on the horizon for many. Starting in 2026, Medicare will fully implement a $2,000 annual cap on out-of-pocket drug spending. This is a landmark change baked within the Inflation Reduction Act, potentially offering reprieve to millions around the country. However, this new rule comes with certain nuances, inclu…
State of Medicare heading into 2026: Your complete guide to new laws and avoiding surprise bills
Quality HD // Shutterstock Prescription drug costs have long been one of the biggest financial burdens for Americans, but relief may be on the horizon for many. Starting in 2026, Medicare will fully implement a $2,000 annual cap on out-of-pocket drug spending. This is a landmark change baked within the Inflation Reduction Act, potentially offering reprieve to millions around the country. However, this new rule comes with certain nuances, inclu…
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