Medicare Open Enrollment 2026 | Major Changes for 2026

You are currently in the middle of the Medicare Open Enrollment Period for 2026 coverage. Urgent Deadline: You have until December 7, 2025, to make changes to your plan.

Here are the confirmed details, dates, and new costs for 2026 coverage.


1. Key Dates for 2026 Coverage

  • October 15 – December 7, 2025 (Current Window): The Annual Election Period (AEP). You can join, switch, or drop a Medicare Advantage or Medicare Part D prescription drug plan.

  • January 1, 2026: The date your new coverage begins.

  • January 1 – March 31, 2026: Medicare Advantage Open Enrollment Period. If you are already in a Medicare Advantage plan, you can switch to a different Advantage plan or return to Original Medicare during this time.


2. Major Changes for 2026

Several significant financial changes go into effect this year, particularly for prescription drugs.

Cost / Limit2026 AmountChange from 2025
Part D Out-of-Pocket Cap$2,100Increased (from $2,000). Once you spend this amount on covered drugs, you pay $0 for the rest of the year.
Part B Standard Premium$202.90 / monthIncreased (up $17.90 from $185.00).
Part B Deductible$283 / yearIncreased (up $26).
Part D Max Deductible$615 / yearIncreased (up $25).

Important Note on “Donut Hole”: The “donut hole” (coverage gap) was officially eliminated in 2025. For 2026, the structure remains simplified: you pay your deductible/copays until you hit the $2,100 cap, after which you pay nothing for covered drugs.

Also Read : medicare.gov/plan-compare 2026


3. What You Should Do Before December 7

Since the deadline is less than two weeks away, you should take these steps immediately:

  1. Check your Annual Notice of Change (ANOC): You should have received this by mail in late September. It lists exactly how your specific plan is changing for 2026.

  2. Verify your prescriptions: Formularies (drug lists) change every year. Ensure your specific medications are still covered and see which “tier” they fall into for 2026.

  3. Check your doctors: Confirm your preferred doctors and hospitals are still in-network for 2026, especially if you are in a Medicare Advantage (HMO or PPO) plan.

  4. Watch for Plan Exits: Some insurance carriers have reduced their service areas for 2026. If your plan is being discontinued, you need to pick a new one, or you may be automatically returned to Original Medicare.


4. How to Compare Plans

  • Visit Medicare.gov: Use the “Find a Plan” tool to enter your zip code and drugs. It will sort plans by “Total Yearly Cost” (premiums + drug costs).

  • Call 1-800-MEDICARE: Available 24/7 for assistance.

  • Contact SHIP: The State Health Insurance Assistance Program (SHIP) offers free, unbiased, one-on-one counseling.

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