Medicare in 2027: Part B premium, Part D cap and open enrollment

Each numbered claim is a statement we checked against the sources listed with it. Tap a number in the text to see its sources in place.

1. [1]

   Medicare Open Enrollment for 2027 coverage runs from 15 October to 7 December 2026, and people who keep their current coverage generally do not need to re-enroll. confirmedas of 2026-09-28

   • Medicare Advantage and Medicare Prescription Drug Programs Expected to Remain Stable in 2027 · U.S. Centers for Medicare & Medicaid Services · 2026-09-28 · Also: "People who want to keep their current Medicare coverage generally do not need to re-enroll." (retrieved 2026-10-11)
2. [2]

   CMS announced on 14 November 2025 that the standard Medicare Part B premium is $202.90 a month in 2026, up $17.90 from $185.00 in 2025, and the Part B deductible is $283. confirmedas of 2025-11-14

   • 2026 Medicare Parts A & B Premiums and Deductibles · U.S. Centers for Medicare & Medicaid Services · 2025-11-14 · Opening: "On November 14, 2025, the Centers for Medicare & Medicaid Services (CMS) released the 2026 premiums" (retrieved 2026-10-11)
3. [3]

   The 2026 Medicare Trustees Report (9 June 2026) estimated the 2027 Part B premium at $209.50 a month; Part B financing rates had been set only through 31 December 2026, so CMS has yet to announce the actual 2027 premium. confirmedas of 2026-06-09· forecast

   • 2026 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds · Boards of Trustees, Medicare Trust Funds (CMS Office of the Actuary) · 2026-06-09 · Section III.C (Part B 10-year estimates); "Part B financing rates have been set only through December 31, 2026." (retrieved 2026-10-11)
4. [4]

   Under the standard Part D benefit, the annual out-of-pocket threshold rises from $2,100 in 2026 to $2,400 in 2027, and the maximum deductible from $615 to $700. confirmedas of 2026-04-06

   • Announcement of Calendar Year (CY) 2027 Medicare Advantage Capitation Rates and Part C and Part D Payment Policies · U.S. Centers for Medicare & Medicaid Services · 2026-04-06 · Table V-6, p. 100: "Deductible: $700 ... Out-of-Pocket Threshold: $2,400" (retrieved 2026-10-11)
5. [5]

   In the second cycle Medicare reached agreement on all 15 selected Part D drugs, including Ozempic and Wegovy; the prices take effect on 1 January 2027, and CMS estimated they would have saved about $8.5 billion (about 36% lower net spending) had they applied in 2024. confirmedas of 2026-01-27

   • CMS Announces Selection of Drugs for Third Cycle of Medicare Drug Price Negotiation Program, Including First-Ever Part B Drugs · U.S. Centers for Medicare & Medicaid Services · 2026-01-27 · Also: "saved an estimated $8.5 billion in net covered prescription drug costs ... approximately 36% lower net spending" (retrieved 2026-10-11)
6. [6]

   CMS is the federal agency that provides health coverage to more than 160 million people through Medicare, Medicaid, the Children's Health Insurance Program and the Health Insurance Marketplace. confirmedas of 2026-10-11

   • About CMS · U.S. Centers for Medicare & Medicaid Services (retrieved 2026-10-11)
7. [7]

   Medicare Savings Programs may help eligible people with limited income pay Medicare premiums and cost sharing, Extra Help lowers Part D costs, and beneficiaries can compare plans with the Medicare Plan Finder or 1-800-MEDICARE. confirmedas of 2026-09-28

   • Medicare Advantage and Medicare Prescription Drug Programs Expected to Remain Stable in 2027 · U.S. Centers for Medicare & Medicaid Services · 2026-09-28 · Medicare Open Enrollment Resources (also Extra Help, Plan Finder and 1-800-MEDICARE) (retrieved 2026-10-11)
8. [8]

   Medicare Part A covers inpatient hospital, skilled nursing, hospice and some home health care; Part B covers physician services, outpatient hospital services and medical equipment; Part D is the outpatient prescription drug benefit. confirmedas of 2026-10-11

   • 2026 Medicare Parts A & B Premiums and Deductibles · U.S. Centers for Medicare & Medicaid Services · 2025-11-14 · Also: "Medicare Part B covers physicians’ services, outpatient hospital services, certain home health services, durable medical equipment" (retrieved 2026-10-11)
   • Key Facts About Medicare Drug Price Negotiation · KFF · 2026-03-11 (retrieved 2026-10-11)
9. [9]

   The Medicare Part A inpatient hospital deductible is $1,736 per benefit period in 2026, and about 99% of beneficiaries pay no Part A premium. confirmedas of 2025-11-14

   • 2026 Medicare Parts A & B Premiums and Deductibles · U.S. Centers for Medicare & Medicaid Services · 2025-11-14 · Also: "Approximately 99% of Medicare beneficiaries do not have a Part A premium"; the deductible covers the first 60 days in a benefit period (retrieved 2026-10-11)
10. [10]

    The Medicare Hospital Insurance (Part A) trust fund is projected to be depleted in the second quarter of 2033, one quarter earlier than in the previous report, after which income would cover 89% of scheduled benefits. confirmedas of 2026-06-09· forecast

    • 2026 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds · Boards of Trustees, Medicare Trust Funds (CMS Office of the Actuary) · 2026-06-09 (retrieved 2026-10-11)
11. [11]

    CMS projects the average total monthly premium for stand-alone Part D drug plans will rise from $35.09 in 2026 to $36 in 2027. confirmedas of 2026-09-28· forecast

    • Medicare Advantage and Medicare Prescription Drug Programs Expected to Remain Stable in 2027 · U.S. Centers for Medicare & Medicaid Services · 2026-09-28 (retrieved 2026-10-11)
12. [12]

    CMS projects the weighted average monthly Medicare Advantage premium will fall from $14.37 in 2026 to $12.00 in 2027 (16.5%), with about 34 million enrollees, roughly 47.4% of Medicare. confirmedas of 2026-09-28· forecast

    • Medicare Advantage and Medicare Prescription Drug Programs Expected to Remain Stable in 2027 · U.S. Centers for Medicare & Medicaid Services · 2026-09-28 · Also: "enrollment in MA is estimated to be 34 million in 2027, representing approximately 47.4% of all people enrolled in Medicare." (retrieved 2026-10-11)
13. [13]

    CMS is ending the voluntary Part D Premium Stabilization Demonstration at the end of 2026; the 2027 base beneficiary premium is $41.33. confirmedas of 2026-07-28

    • Medicare Part D 2027 National Average Monthly Bid Amount Information · U.S. Centers for Medicare & Medicaid Services · 2026-07-28 · Also: "For 2027, the base beneficiary premium will be $41.33." (retrieved 2026-10-11)
14. [14]

    Medicare's negotiated prices for the first 10 Part D drugs, including Eliquis, Jardiance, Xarelto, Januvia, Farxiga, Entresto, Enbrel, Imbruvica, Stelara and Fiasp/NovoLog, took effect on 1 January 2026. confirmedas of 2026-03-11

    • Key Facts About Medicare Drug Price Negotiation · KFF · 2026-03-11 · Selected Drugs for Implementation Year 2026 (retrieved 2026-10-11)
    • Medicare Drug Price Negotiation Program: Negotiated Prices for Initial Price Applicability Year 2026 · U.S. Centers for Medicare & Medicaid Services · 2024-08-15 · Fact sheet lists negotiated prices for 10 drugs covered under Medicare Part D (retrieved 2026-10-11)
15. [15]

    Under the Medicare Drug Price Negotiation Program, CMS set a negotiated 30-day price of $274 for Ozempic, Rybelsus and Wegovy, against a 2024 list price of $959, effective 1 January 2027. confirmedas of 2025-11-25

    • Medicare Drug Price Negotiation Program: Negotiated Prices for Initial Price Applicability Year 2027 (fact sheet) · Centers for Medicare & Medicaid Services · 2025-11-25 · Q&A and price table (Ozempic; Rybelsus; Wegovy, list price $959) (retrieved 2026-10-10)
16. [16]

    CMS's Medicare GLP-1 Bridge, a time-limited demonstration, gives eligible Part D enrollees certain GLP-1 medicines for $50 a month from 1 July 2026 through 31 December 2027. confirmedas of 2026-05-06

    • Coming Soon: CMS to Provide $50 Monthly Access to GLP-1 Medications for Medicare Beneficiaries · Centers for Medicare & Medicaid Services · 2026-05-06 · Press release (program dates and $50 monthly supply) (retrieved 2026-10-10)
17. [17]

    CMS estimated Medicare beneficiaries will save $685 million in out-of-pocket costs when the second-round prices take effect in 2027. confirmedas of 2026-03-11· forecast

    • Key Facts About Medicare Drug Price Negotiation · KFF · 2026-03-11 (retrieved 2026-10-11)
    • Medicare Drug Price Negotiation Program: Negotiated Prices for Initial Price Applicability Year 2027 (fact sheet) · U.S. Centers for Medicare & Medicaid Services · Projected Savings for People with Medicare Part D Coverage: "When the negotiated prices go into effect in 2027" (retrieved 2026-10-11)