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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.

expedited appeal

What is an expedited appeal?

expedited appeal infographic

What is an expedited appeal?

A Medicare enrollee who’s been denied coverage for a claim may challenge that denial in an expedited appeal if the patient’s life or health is in serious jeopardy. Typically, an expedited appeal is resolved within 72 hours.