If you’re on Medicare (or helping someone who is), 2026 is bringing some changes you’ll definitely want to pay attention to. And since we’re right in the middle of open enrollment, October 15 through December 7, now is the perfect time to look at what’s coming and make sure you’re on the best plan for next year.

Let’s break everything down in plain, simple English so you can feel confident about your choices.

Why This Year Matters More Than Usual

Experts are warning that many people on Medicare will face higher costs and fewer benefits in 2026. That means comparing plans isn’t just a “nice idea”, it’s pretty important.

As one expert puts it, “Millions of Medicare beneficiaries will face higher out-of-pocket costs and reduced benefits in 2026.”
Translation: If you don’t compare your options, you could end up paying more than you need to.

On top of that, the ongoing government shutdown is creating some uncertainty, especially around things like processed claims and telehealth services.

So yes, this is a good year to do your homework.

1. Monthly Costs Are Changing (Some Up, Some Down)

Let’s start with premiums, because that’s what most people feel first.

Part B is getting more expensive.

The standard Part B premium is expected to rise from $185 to $206.
That’s a 12% jump, and it’s higher than the increase in Social Security benefits. So for many people, that means a smaller monthly check.

But not everything is going up.

Some costs are actually going down:

• Medicare Advantage plans with drug coverage is going down from $16 to $14.

• The cost of the standalone Part D plans have dropped from $38 to $34. 

• Medicare Advantage drug coverage will also drop from $13 to $11.

Telehealth may shrink.

Some of the telehealth expansions that made care easier during the last few years expired in October. If Congress doesn’t renew them, people who rely on virtual visits may have to switch back to in-person care.

2. Medicare Costs for Deductibles & Out-of-Pocket Costs Are Also Shifting in 2026

A few costs are decreasing, but others are on the rise. Here’s the highlight reel:

A little good news:

• Medicare Advantage out-of-pocket max is dropping; $9,350 → $9,250

But several expenses are climbing:

• Part D drug out-of-pocket cap: $2,000 → $2,100

• Part B deductible: $257 → $288

• Part D deductible max: $590 → $615

Insulin will still be capped at $35/month, and most vaccines will continue to be covered.

3. Prescription Drug Coverage: Fewer Plans, Possible Savings

There will be fewer standalone Part D plans in 2026. The plans will now be 360, down from 464. That means fewer choices, especially if you depend on specific medications.

On the bright side, Medicare will keep negotiating drug prices on certain high-use prescriptions, which could lead to significant savings, up to 79% off for some drugs.

Plus, if you’re using the payment-smoothing option for prescriptions, you’ll stay automatically enrolled unless you opt out.

Still, drug tiers and coverage can change, so reviewing your plan is essential.

What You Should Do Right Now

Believe it or not, 70% of Medicare recipients do not compare plans during open enrollment. But with so many changes this year, staying on last year’s plan could cost you.

Here’s what to do:

• Check your “Annual Notice of Change” letter

• Compare your plan against others

• Look closely at your prescription list

• Review your doctors and preferred pharmacies

• Use a licensed agent or comparison tool if you need help

A little time now could save you hundreds, or even thousands, over the next year.

Ready to Make Sure You’re on the Best Plan?

If all this feels overwhelming (and trust me, you’re not alone), you don’t have to figure it out on your own. Brian can walk you through your options, answer your questions, and help you choose the plan that actually fits your needs and budget for 2026.