{"id":428557,"date":"2026-01-25T07:15:10","date_gmt":"2026-01-25T07:15:10","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/428557\/"},"modified":"2026-01-25T07:15:10","modified_gmt":"2026-01-25T07:15:10","slug":"8-medicare-changes-every-enrollee-should-know-about-in-2026-2","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/428557\/","title":{"rendered":"8 Medicare Changes Every Enrollee Should Know About in 2026"},"content":{"rendered":"<p>Key Points<\/p>\n<p>Some Medicare costs are going up &#8212; which is no suprise.<\/p>\n<p>Some costs, though, including some prescription drug costs, are going down.<\/p>\n<p>Original Medicare is testing prior authorizations, too.<\/p>\n<p>According to the folks at Fidelity, a 65-year-old person who retired in 2025 could expect to spend $172,500, on average, on medical and healthcare expenses throughout their retirement. That doesn&#8217;t even include long-term care, over-the-counter medications, or most dental services. For a married couple, the average total is $345,000. It&#8217;s certainly no secret: H<a href=\"https:\/\/www.fool.com\/retirement\/healthcare-in-retirement\/?utm_source=AolDailyFinance&amp;utm_medium=feed&amp;utm_campaign=article&amp;referring_guid=0335124f-5da2-476b-8320-cb11b49d48dd\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:ealthcare costs in retirement;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\">ealthcare costs in retirement<\/a> can be staggering.<\/p>\n<p>Fortunately, once we turn 65, we can get a lot of healthcare coverage from <a href=\"https:\/\/www.fool.com\/terms\/m\/medicare\/?utm_source=AolDailyFinance&amp;utm_medium=feed&amp;utm_campaign=article&amp;referring_guid=0335124f-5da2-476b-8320-cb11b49d48dd\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:Medicare;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\">Medicare<\/a>. It&#8217;s not that simple, though. You need to <a href=\"https:\/\/www.aol.com\/finance\/every-retiree-know-medicare-vs-093800556.html\" data-ylk=\"slk:select the form of Medicare that will work best for you;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\" rel=\"nofollow noopener\" target=\"_blank\">select the form of Medicare that will work best for you<\/a> (that is, &#8220;original&#8221; Medicare or a Medicare Advantage plan) and to consider supplemental policies, too.<\/p>\n<p>Where to invest $1,000 right now? Our analyst team just revealed what they believe are the 10 best stocks to buy right now. <a href=\"https:\/\/api.fool.com\/infotron\/infotrack\/click?apikey=35527423-a535-4519-a07f-20014582e03e&amp;impression=63de80f8-cba7-415d-a68a-ee42e42a20a3&amp;url=https%3A%2F%2Fwww.fool.com%2Fmms%2Fmark%2Fe-sa-bbn-bn%3Faid%3D8867%26source%3Disaeditxt0001096%26ftm_cam%3Dsa-bbn-evergreen%26ftm_veh%3Dtop_incontent_pitch_feed_partner%26ftm_pit%3D17547&amp;utm_source=AolDailyFinance&amp;utm_medium=feed&amp;utm_campaign=article&amp;referring_guid=0335124f-5da2-476b-8320-cb11b49d48dd\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:Continue \u00bb;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\">Continue \u00bb<\/a><\/p>\n<p><img alt=\"A grown child with a parent are seated, smiling and holding hands.\" loading=\"lazy\" width=\"700\" height=\"466\" decoding=\"async\" data-nimg=\"1\" class=\"standard-img w-full w-full h-auto\" style=\"color:transparent\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2026\/01\/8ac3f98ef8fa3fd0c2de9f59e4a0c431.jpeg\"\/><\/p>\n<p>A grown child with a parent are seated, smiling and holding hands.<\/p>\n<p class=\"\">Image source: Getty Images.<\/p>\n<p>It&#8217;s also important to understand that Medicare changes over time. Here, then, are eight recent changes to Medicare to know about in 2026.<\/p>\n<p>1. Costs are rising<\/p>\n<p>This won&#8217;t surprise many people, but as they do just about every year, Medicare premiums are increasing in 2026. Most folks who pay the standard premium price will be paying $202.90 per month, up about 10% from 2025 levels. (Higher-income folks pay steeper premiums.)<\/p>\n<p>If, like many people, your Medicare premiums are taken out of your <a href=\"https:\/\/www.fool.com\/retirement\/social-security\/?utm_source=AolDailyFinance&amp;utm_medium=feed&amp;utm_campaign=article&amp;referring_guid=0335124f-5da2-476b-8320-cb11b49d48dd\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:Social Security benefits;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\">Social Security benefits<\/a>, you&#8217;ll see them shrink accordingly, or, at least, you&#8217;ll receive a smaller bump from the annual <a href=\"https:\/\/www.fool.com\/retirement\/social-security\/colas\/?utm_source=AolDailyFinance&amp;utm_medium=feed&amp;utm_campaign=article&amp;referring_guid=0335124f-5da2-476b-8320-cb11b49d48dd\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:Social Security COLA;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\">Social Security COLA<\/a> &#8212; which was 2.8% for 2026.<\/p>\n<p>2. Prescription coverage costs are rising, too<\/p>\n<p>If you have prescription drug coverage via a Medicare Part D plan, you&#8217;ll be dealing with a higher deductible in 2026 as well as a higher out-of-pocket spending cap. The standard deductible is rising to $615 in 2026 from $590 in 2025 &#8212; a 4% jump.<\/p>\n<p>The out-of-pocket spending cap, meanwhile, is increasing by 5%, from $2,000 in 2025 to $2,100 in 2026. If you think that&#8217;s annoying, know that until recently, <a href=\"https:\/\/www.aol.com\/finance\/first-time-history-medicare-rule-122400924.html\" data-ylk=\"slk:there was no cap at all;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\" rel=\"nofollow noopener\" target=\"_blank\">there was no cap at all<\/a> on out-of-pocket spending in Part D. Note, too, that the increases are tied to <a href=\"https:\/\/www.fool.com\/investing\/how-to-invest\/inflation\/?utm_source=AolDailyFinance&amp;utm_medium=feed&amp;utm_campaign=article&amp;referring_guid=0335124f-5da2-476b-8320-cb11b49d48dd\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:inflation;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\">inflation<\/a>.<\/p>\n<p>3. You may need prior authorizations<\/p>\n<p>If you&#8217;re in a Medicare Advantage plan, you&#8217;ll likely be required to get a &#8220;prior authorization&#8221; before certain treatments, procedures, equipment, etc. will be covered. This has not been the case for original Medicare &#8212; it was simply up to doctors to prescribe whatever they deemed necessary.<\/p>\n<p>But now, original Medicare is looking into <a href=\"https:\/\/www.aol.com\/finance\/could-ais-role-medicare-decisions-090000571.html\" data-ylk=\"slk:requiring prior authorizations;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\" rel=\"nofollow noopener\" target=\"_blank\">requiring prior authorizations<\/a> and is testing it for six years in Arizona, New Jersey, Ohio, Oklahoma, Texas, and Washington. It&#8217;s using <a href=\"https:\/\/www.fool.com\/terms\/a\/artificial-intelligence\/?utm_source=AolDailyFinance&amp;utm_medium=feed&amp;utm_campaign=article&amp;referring_guid=0335124f-5da2-476b-8320-cb11b49d48dd\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:artificial intelligence;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\">artificial intelligence<\/a> (AI) in this testing, too.<\/p>\n<p>4. Some costs are shrinking<\/p>\n<p>The news isn&#8217;t all bad. The Biden administration won some cost reductions for some prescription drugs, and the Trump administration has done so, as well. Of particular interest to many might be that <a href=\"https:\/\/www.aol.com\/finance\/medicare-just-cut-price-wegovy-143000836.html\" data-ylk=\"slk:certain medications used for weight loss;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\" rel=\"nofollow noopener\" target=\"_blank\">certain medications used for weight loss<\/a>, including GLP-1 drugs, are seeing their costs fall &#8212; in 2026 and\/or 2027.<\/p>\n<p>5. Medicare Advantage coverage is shrinking<\/p>\n<p>While original Medicare doesn&#8217;t cover hearing, eye, and dental health, Medicare Advantage plans generally do, and they often feature other coverage, too, such as for chronically ill members. In 2026, <a href=\"https:\/\/www.aol.com\/finance\/medicare-advantage-officially-exclude-items-085000493.html\" data-ylk=\"slk:some of that is being eliminated,;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\" rel=\"nofollow noopener\" target=\"_blank\">some of that is being eliminated, <\/a>such as cosmetic procedures and cannabis products.<\/p>\n<p>6. The Medicare Prescription Payment Plan gets auto-renewed<\/p>\n<p>If you make use of the Medicare Prescription Payment Plan (MPPP), which allows you to spread the cost of your prescriptions over a year instead of paying in full when you pick up each installment, this is for you: Instead of having to reenroll in this program each year, you&#8217;ll now be automatically reenrolled, and it will be on you to opt out, if you want to. This should be a plus for most folks using the plan.<\/p>\n<p>7. Insulin costs are capped<\/p>\n<p>Insulin costs were shrunk considerably beginning in 2023, and those caps are now going to apply each year. Medicare enrollees will enjoy a cap of $35 for each one-month supply of insulin product &#8212; and they won&#8217;t have to pay a deductible for it, either.<\/p>\n<p>8. Free vaccines<\/p>\n<p>Medicare offers free vaccines, updating its list regularly. Adult vaccines covered are ones recommended by the Centers for Disease Control and Prevention&#8217;s (CDC) Advisory Committee on Immunization Practices. Vaccines and who should get which ones when have been in the news a lot lately, with the CDC changing some of its recommendations, particularly for children. So it&#8217;s a good idea to double-check your Medicare coverage to see which vaccines are currently covered.<\/p>\n<p>These are most of the major changes to Medicare for 2026. If you&#8217;re a retiree or are nearing retirement, it&#8217;s not a bad idea to keep tabs on further changes, as some could have a big impact on your finances.<\/p>\n<p>Be sure to have <a href=\"https:\/\/www.fool.com\/retirement\/complete-guide\/?utm_source=AolDailyFinance&amp;utm_medium=feed&amp;utm_campaign=article&amp;referring_guid=0335124f-5da2-476b-8320-cb11b49d48dd\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:a solid retirement plan;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\">a solid retirement plan<\/a> in place, too.<\/p>\n<p>The $23,760 Social Security bonus most retirees completely overlook<\/p>\n<p>If you&#8217;re like most Americans, you&#8217;re a few years (or more) behind on your retirement savings. But a handful of little-known <a href=\"https:\/\/api.fool.com\/infotron\/infotrack\/click?apikey=35527423-a535-4519-a07f-20014582e03e&amp;impression=9572e972-ee58-4ddb-b200-b91559a5deb5&amp;url=https%3A%2F%2Fwww.fool.com%2Fmms%2Fmark%2Fe-sa-social-security%2F%3Faid%3D10953%26source%3Disaeditxt0010931%26ftm_cam%3Dsa-bbn-retirement%26ftm_veh%3Darticle_pitch_feed_partners%26ftm_pit%3D15161&amp;utm_source=AolDailyFinance&amp;utm_medium=feed&amp;utm_campaign=article&amp;referring_guid=0335124f-5da2-476b-8320-cb11b49d48dd\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:&quot;Social Security secrets&quot;;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\">&#8220;Social Security secrets&#8221;<\/a> could help ensure a boost in your retirement income.<\/p>\n<p>One easy trick could pay you as much as $23,760 more&#8230; each year! Once you learn how to maximize your Social Security benefits, we think you could retire confidently with the peace of mind we&#8217;re all after. Join Stock Advisor to learn more about these strategies.<\/p>\n<p><a href=\"https:\/\/api.fool.com\/infotron\/infotrack\/click?apikey=35527423-a535-4519-a07f-20014582e03e&amp;impression=9572e972-ee58-4ddb-b200-b91559a5deb5&amp;url=https%3A%2F%2Fwww.fool.com%2Fmms%2Fmark%2Fe-sa-social-security%2F%3Faid%3D10953%26source%3Disaeditxt0010931%26ftm_cam%3Dsa-bbn-retirement%26ryr-ss-intro-report%26ftm_veh%3Darticle_pitch_feed_partners%26ftm_pit%3D15161&amp;utm_source=AolDailyFinance&amp;utm_medium=feed&amp;utm_campaign=article&amp;referring_guid=0335124f-5da2-476b-8320-cb11b49d48dd\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:View the &quot;Social Security secrets&quot; \u00bb;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\">View the &#8220;Social Security secrets&#8221; \u00bb<\/a><\/p>\n<p>The Motley Fool has a <a href=\"https:\/\/www.fool.com\/legal\/fool-disclosure-policy\/\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:disclosure policy;elm:context_link;itc:0;sec:content-canvas\" class=\"link rapid-noclick-resp\">disclosure policy<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"Key Points Some Medicare costs are going up &#8212; which is no suprise. Some costs, though, including some&hellip;\n","protected":false},"author":2,"featured_media":400672,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[97,252,253,1342,203632,123609,733],"class_list":["post-428557","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-health","tag-health-care","tag-healthcare","tag-medicare","tag-medicare-advantage-plan","tag-prescription-drug-costs","tag-social-security"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/428557","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=428557"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/428557\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/400672"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=428557"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=428557"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=428557"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}