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How are Medicare benefits changing for 2026?
Changes to 2025 Medicare coverage include a $2,000 cap on Part D out-of-pocket costs, small reductions in the average premium for Medicare Advantage and Part D plans, increases for Medicare Part B and Part A premiums and cost-sharing, and adjustments to income-related premium surcharges for Part B and Part D.
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What is the income-related monthly adjusted amount (IRMAA)?
For 2025, high-income beneficiaries – earning over $106,000 a year – pay an IRMAA surcharge that’s added to their Part B and Part D premiums and determined by income from their income tax returns two years prior.
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In-depth analysis of issues that impact Medicare

Medicare Heads Up: March 13, 2020 photo

Medicare Heads Up: March 13, 2020

March 13, 2020 – In this edition: Medicare Advantage plans must loosen coverage rules in response to coronavirus crisis; insurers respond to pressure by… Read more

Medicare Heads Up: February 21, 2020 photo

Medicare Heads Up: February 21, 2020

February 21, 2020 – In this edition: Trump Administration proposes changes to Medicare Part A enrollment; Tax-deductible contributions to medical spending… Read more

Medicare Heads Up: February 7, 2020 photo

Medicare Heads Up: February 7, 2020

February 7, 2020 – In this edition: Acupuncture for chronic back pain now covered by Medicare; Medicare enrollees still face significant out-of-pocket costs… Read more

Medicare Heads Up: January 24, 2020 photo

Medicare Heads Up: January 24, 2020

January 24, 2020 – Headlines in this week's edition: Some Medicare Part D enrollees find themselves without coverage; Medicare beneficiaries not using covered… Read more

Medicare Heads Up: January 10, 2020 photo

Medicare Heads Up: January 10, 2020

January 10, 2020 – In this edition Medicare Advantage plans to offer hospice coverage in pilot program Bipartisan legislation aims to extend Medicare drug… Read more

Medicare Heads Up: December 20, 2019 photo

Medicare Heads Up: December 20, 2019

December 20, 2019 – In this edition of Medicare Heads Up: Medicare open enrollment extended due to extreme weather; Justice Department files suit against CVS… Read more

Medicare Heads Up: December 13, 2019 photo

Medicare Heads Up: December 13, 2019

December 13, 2019 – In this edition of Medicare Heads Up: Consumer advocates raise flags over transparency of Advantage plans; Medicare open enrollment ends… Read more

Medicare Heads Up: December 6, 2019 photo

Medicare Heads Up: December 6, 2019

December 6, 2019 – Headlines in this week's Medicare Heads Up: open enrollment is ending this week, but you still have options; most beneficiaries didn't… Read more

Medicare Heads Up: November 22, 2019 photo

Medicare Heads Up: November 22, 2019

November 22, 2019 – In this edition of Medicare Heads Up: Medicare will start covering treatment of opioid use disorder in 2020; Medicare Advantage searches… Read more

Medicare Heads Up: November 15, 2019 photo

Medicare Heads Up: November 15, 2019

November 15, 2019 – In this week's edition of Medicare Heads Up: Medicare Part B premiums and Part A deductibles will increase in 2020; Aetna launches… Read more