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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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Home > FAQs > Medicare Part D

Frequently-asked questions by tag

Does the Medicare Part D ‘donut hole’ still exist? photo

Does the Medicare Part D ‘donut hole’ still exist?

December 16, 2025 – As of 2025, the Medicare Part D “donut hole” no longer exists – meaning there is no longer a coverage gap during which Part D… Read more

How will my Medicare prescription drug costs in 2026 compare with 2025? photo

How will my Medicare prescription drug costs in 2026 compare with 2025?

December 5, 2025 – Changes to Medicare prescription drug coverage taking effect in 2026 include an increase to the Part D out-of-pocket limit and to the… Read more

Is Medicare’s coverage as good as my employer-sponsored insurance? photo

Is Medicare’s coverage as good as my employer-sponsored insurance?

December 1, 2025 – If you enrolled only in Original Medicare, you would almost certainly notice gaps in coverage that you didn't have under your… Read more

What does Medicare not cover? photo

What does Medicare not cover?

November 25, 2025 – There are many things that Original Medicare (Parts A and B) does not cover. This includes routine care of the feet, orthopedic shoes, some… Read more

Do I need to sign up for Medicare at 65 if I’m still working? photo

Do I need to sign up for Medicare at 65 if I’m still working?

November 21, 2025 – Medicare eligibility begins at age 65, and signing up on time can help you avoid premium surcharges. But if you’re working at 65, you get… Read more

How can I be sure that my Medicare prescription drug plan will cover my expenses? photo

How can I be sure that my Medicare prescription drug plan will cover my expenses?

September 16, 2025 – Generally, a prescription written by your doctor will be covered under your Medicare prescription drug plan if you make sure your doctor is… Read more

Which Medicare Part D prescription drug plan should I choose? photo

Which Medicare Part D prescription drug plan should I choose?

September 15, 2025 – Factors to consider when choosing your part D coverage include the total cost (premium plus out-of-pocket costs) and whether you prefer… Read more

Can I still make changes to my Medicare coverage for 2025? photo

Can I still make changes to my Medicare coverage for 2025?

September 2, 2025 – Even after Open Enrollment has ended, some people may find that they can enroll in Medicare or make changes to their coverage due to their… Read more

Is Medicare open enrollment for everyone? photo

Is Medicare open enrollment for everyone?

August 27, 2025 – Medicare open enrollment is a great opportunity to make changes to your coverage that can save you money and time. But open enrollment… Read more

When is the best time to enroll in Medicare? photo

When is the best time to enroll in Medicare?

August 16, 2025 – Assuming you're becoming eligible for Medicare due to age, the best time to enroll in Medicare is during a seven-month enrollment period… Read more