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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.

special needs plan (SNP)

What is a Medicare SNP?

special needs plan (SNP) infographic

What is a Medicare special needs plan (SNP)?

A Medicare special needs plan (SNP) is a type of Medicare Advantage plan that provides all of the health care and services of Medicare Part A and Medicare Part B to people who require special care for chronic illnesses, care management of multiple diseases, and focused care management. Most SNPs simply coordinate care between Medicare and Medicaid, but do not integrate the patient’s coverage into one plan.

There are three types of Special Needs Plans, designed for three different populations:

D-SNPs account for the large majority of all SNP enrollees. As of 2023, there were 5.7 million people enrolled in SNPs, and nearly 5.2 million of them were in D-SNPs.1

 

 

Footnotes

  1. Medicare Advantage in 2023: Enrollment Update and Key Trends” KFF. August 9, 2023.