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How are Medicare benefits changing for 2026?
Learn how premiums, out-of-pocket costs and income-related surcharges are changing for 2026 Medicare coverage.
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What is the income-related monthly adjusted amount (IRMAA)?
For 2026, Medicare beneficiaries who earn over $109,000 a year and who are enrolled in Medicare Part B and/or Medicare Part D – pay the income-related monthly adjusted amount (IRMAA), which is a surcharge added to the Part B and Part D premiums.

initial enrollment period (IEP)

What is Medicare's IEP?

initial enrollment period (IEP) infographic

What is Medicare's initial enrollment period?

Medicare’s initial enrollment period (IEP) is the enrollment window when Americans become eligible for Medicare. The period includes the three months prior to the month you qualify for Medicare, plus the month of your eligibility, plus the three months after your Medicare eligibility starts – a total of seven months.

For reference, the month of your eligibility will typically be the month you turn 65 (or the month before that, if your birthday is the first of the month), but it can also be your 25th month of receiving Social Security Disability benefits,1 or the month you become eligible for Medicare due to ALS or ESRD.

During the IEP, Americans can enroll in Medicare Part A and Part B (together known as Original Medicare), and Part D prescription drug coverage. If you’re eligible for Original Medicare, you have the option of enrolling in Medicare Advantage (Medicare Part C). Here’s how to enroll in the various Medicare plans.

You’ll have an IEP if you’re newly eligible for Medicare for any reason, and get a second IEP if you qualify for Medicare for a second reason. This can happen, for instance, if you first qualify because of a disability and then re-qualify at age 65, or if you’re age 65 or older and develop End Stage Renal Disease (ESRD). If you owe a Medicare Part B or Part D late-enrollment penalty, this will be erased when you re-qualify for Medicare, assuming you enroll during your new initial enrollment period.2

Footnotes

  1. Original Medicare (Part A and B) Eligibility and Enrollment” Centers for Medicare & Medicaid Services. Accessed Dec. 10, 2024 
  2. ESRD Medicare for people also eligible due to age or disability” Medicare Rights, Medicare Interactive. Accessed Dec. 10, 2024