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Medicare Open Enrollment 2026
One-on-One Medicare Consultations:
One-on-One Medicare Consultations: One-on-One appointments are available with RSS Social Worker Gigi Estevez and Medicare Consultant, Caitlin Stiene-Forese.
To Schedule an appointment: call 718.884.5900 or go to the Main Office
For 2026, the standard monthly Medicare Part B premium is projected to be $206.50, an increase of $21.50 from 2025. The Part B deductible is expected to increase to $288. Please note this is an estimate for Part B, Medicare will release the official amounts in early November.
- The maximum Part D deductible for prescription drugs will rise to $615. Additionally, there are new initiatives like the $2,100 cap on out-of-pocket drug costs and the option to spread these costs throughout the year.
- Medicare Part B
- Standard monthly premium: Projected to be $206.50 (an 11.6%
- increase from the $185 in 2025).
- Deductible: Expected rise to $288 (a 12% increase from $257).
- Medicare Part D (Prescription Drug Coverage)
- Maximum deductible: Will increase from $590 to $615.
- Out-of-pocket cap: A $2,100 cap on out-of-pocket costs for covered drugs will be in place.
- Prescription Payment Plan: Individuals can opt to spread their out-of-pocket drug costs over the entire year, rather than paying a large sum at once.
- Other 2026 changes
- IRMAA (Income-Related Monthly Adjustment Amount): Higher-income earners may see increased surcharges on their Part B and Part D premiums.
- Medicare Advantage: The Chronic Care Management benefits will have tighter rules.
- Drug prices: Prices for 10 high-cost drugs will be negotiated by Medicare, with more price cuts expected in the future.
- Insulin: A $35 monthly cap on insulin costs will continue
- For Bronx Residents on Medicare Advantage plan: Many plans in Bronx County are showing reductions in ancillary benefits such as OTC, Dental, Vision and hearing. A good amount of plans will have higher co-pays on many medical services including a medical deductible and/or added monthly premium. Please review your annual notice of changes, the insurance company mails this document out in early October. For Bronx Residents on a Medigap Plan and Standalone drug plan: Many members are experiencing rate increases at approx. 20-25% for 2026. Standalone Part D plans are expected to increase in copays/coinsurance for select brand name drugs, with a slight increase in Part D premium. There are less standalone drug plan options for 2026. There were 12 standalone drug plan options in 2025, there are now 10 standalone drug plan options. Please review your Part D annual notice of changes which were sent out in early October.
