What to know about a major Medicare spending increase of nearly 10% in 2026

Medicare 2026 premiums

The big news in Medicare for 2026 is the announcement of a nearly 10% increase in Medicare 2026 premiums—that is, the standard monthly premium for Part B will increase from $185 to $202.90. This represents a year-over-year increase of approximately $17.90 and is estimated to be approximately 9.7% in percentage terms. This increase also affects the Part B monthly deductible, annual deductible, and certain other costs.

💰 Medicare 2026 Premium Hike – Key Highlights
📈 Nearly 10% increase for 2026
💵 Part B premium: $185 → $202.90
➕ Increase of $17.90 per month
📊 Year-over-year jump ≈ 9.7%
🧾 Affects Part B deductible too
💡 Other costs & annual deductibles also impacted

Why spending is rising—the reasons, in brief: Increases in healthcare costs, hospital and doctor fees, and spending on drugs/pediatric equipment (certain specialty services) are the primary drivers, along with increased Medicare spending and utilization. Some policy changes (such as revisions to payment rules) have moderated the overall impact, but otherwise, the increase would have been much greater. These factors have been analyzed by various health policy organizations.

How it will affect you: People with fixed incomes (like retirees who rely on Social Security) will definitely see a significant impact on their monthly budgets — Part B premiums are deducted directly from their Social Security checks, so the maximum benefit COLA (Cost-of-Living Adjustment) won’t fully cover it. The SSA has projected a 2.8% COLA for 2026; even then, premium increases could partially or completely offset that increase for many beneficiaries.

🧾 How the 2026 Medicare Hike Will Affect You
👵 Fixed-income retirees hit the hardest
💸 Part B premium deducted from Social Security checks
📉 Monthly budgets will tighten for many seniors
📊 SSA projects 2.8% COLA for 2026
⚠️ Premium hike may cancel part of the COLA increase
❗ Some beneficiaries may see almost no net gain

Some other technical changes and figures to keep in mind: The Part B annual deductible also increases to $283 in 2026, and the Part A (hospital) deductible also increases, both of which could increase total inpatient costs. Additional surcharges (IRMAA) also apply to high-income earners—so some high-income beneficiaries may face a higher burden.

Now — What You Can Do (Practical Tips)

  • Be sure to check the plans available during your annual Open Enrollment (often October–December)—compare Original Medicare vs. Medicare Advantage and Part D options in relation to Medicare 2026 premiums.
  • If your medications are expensive, carefully examine Part D options and formulary; sometimes switching to a different Part D plan can reduce annual costs.
  • Consider a Medigap (supplemental) policy if you want more predictable coverage—but carefully evaluate premiums versus coverage.
  • If your income is low, explore “Extra Help” or Medicaid eligibility options—many states have assistance programs.
  • Include Part B premiums and rising deductibles when budgeting for the year to avoid unexpected expenses at the end of the month.
🧭 What You Can Do – Practical Medicare Tips
📅 Compare plans during Open Enrollment (Oct–Dec)
💊 Review Part D options if medications are costly
🧾 Switching Part D plans may cut yearly costs
🛡️ Consider Medigap for predictable coverage
🔍 Compare Medigap premiums vs. benefits carefully
🤝 Low income? Explore Extra Help & Medicaid options
💵 Add Part B premiums/deductibles to your budget

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Why it’s important to know: Research and official announcements have shown that this acceleration (nearly 10%) in Medicare 2026 premiums could cause a budget crisis for some beneficiaries, while for others it will simply be an adjustment. By being informed, you can significantly reduce the impact by making informed choices and accessing available assistance programs.

In conclusion – Key points (with elements)

  • Part B’s standard premium is set at $202.90 in 2026 — a nearly 10% increase.
  • The SSA’s COLA is 2.8%; some of this increase will be offset by premium increases.
  • Deductible and Part A expenses also increase, so overall out-of-pocket expenses may be higher.
📌 Medicare 2026 – Key Takeaways
💰 Part B premium set at $202.90 for 2026
📈 Nearly 10% increase from last year
📊 SSA COLA for 2026 is 2.8%
⚠️ Premium hike may offset part of COLA raise
🧾 Part B deductible & Part A costs also rising
💸 Total out-of-pocket expenses may increase