Summary
Starting next month, Medicare will make several changes affecting costs and coverage for seniors. These changes include higher monthly premiums, deductible increases, and caps on prescription drug costs.
Key Facts
- Medicare monthly premiums will rise to $202.90 per person in 2026.
- The Part B deductible will increase to $283.
- The out-of-pocket limit for Part D prescription drugs will increase to $2,100.
- Some prescription drugs will cost less due to Medicare-negotiated prices, potentially saving $1.5 billion in 2026.
- The limit for out-of-pocket expenses in prescription drug plans will rise from $2,000 to $2,100 starting January 1, 2026.
- Medicare recipients in monthly prescription drug payment plans will be automatically reenrolled unless they opt out.
- A pilot program using AI for prior authorization in six states will start on January 1st and is set to run until December 2031.
