Every year, there are changes to Medicare, Medicare Advantage plans (Part C), & Standalone Prescription Drug plans (Part D). These changes affect every Medicare beneficiary.
In addition to these changes, the providers, facilities, or pharmacies you use may choose to terminate their contracts with certain plans, which means they will no longer accept your insurance. The private insurers who offer Part C & D may also change their formularies for drugs, meaning you may have a higher co-pay, a lower co-pay, or your medication(s) may not be covered at all. These changes occur every year, making it essential to review your coverage and make adjustments as necessary to ensure you have the best available insurance to fit your needs that is available in your area.
Right now, the project changes for 2026 are as follows:
- Part B Premium - $206.50 per month
- Part B Deductible - $288.00 annual
- Part D Drug Cost Cap - $2,100 (once you hit this amount out-of-pocket, your medications are fully covered for the remainder of the year)
- Part D Deductible - $615 (some plans have lower deductibles than others - this is the max deductible allowed for medications)
- Negotiated pricing for some medications (this could mean higher or lower co-pays for your medications)
What do you need to do? Between October 15th & December 7th:
- Review your current coverage for changes and compare it to other plan options available to you.
- Compare costs between plans (premiums (if applicable), medications, co-pays, coinsurance, deductibles (if applicable), etc.
- Check drug coverage thoroughly to ensure your medications are covered.
- Make a new plan selection, if needed
Please feel free to reach out to me if you need assistance. I am here to help answer any questions you may have
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