January 20, 2026
5 Biggest Changes to Medicare in 2026
Significant updates are coming to Medicare in 2026, primarily affecting prescription drug costs and plan regulations. The Part D out-of-pocket maximum will rise to $2,100, while a federal negotiation program will slash prices for ten specific high-cost medications. Residents in six states will encounter a new prior authorization pilot program for certain medical services to combat potential fraud. Additionally, the government is introducing a special election period for those who selected a Medicare Advantage plan based on inaccurate online directory data. Overall, beneficiaries should prepare for higher standard premiums and deductibles despite these targeted savings and new consumer protections.
