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The 2025 Health Insurance Open Enrollment (or annual enrollment) for Medicare spans October 15, 2025, to December 7, 2025.[1]
Context
This open enrollment period was called by the advocacy group 65 Incorporated "the most important in Medicare's 60-year-history".[2] Enrollment is complicated by a range of factors: anti-inflation measures mandated by the One Big Beautiful Bill,[3][4][5] rising health care costs,[6] declining profits,[citation needed] and a projected decline in the number of Medicare Advantage clients (the most in 15 years), Insurance providers have changed their business models and thoroughly reconfigured their plans; some companies have pulled out of certain markets entirely.[7][8][9] E.g., UnitedHealth, Humana, and Aetna have withdrawn from hundreds of counties, and some states from their Medicare Advantage plans.[10][11]
In the absence of Medicare Advantage plans, they default to Original Medicare, which does not cover prescription drugs.[12] However, between 8 and 12 Medicare Part D stand-alone prescription drug plans will be on offer in 2026, varying by state.[3] All plans include a $2,100 maximum on out-of-pocket costs for covered drugs, a $100 increase from 2025.[13] A key feature of each plan is whether important local care providers (hospitals, doctors, ...) are included.[14][15]
Medicare trustees estimate that Part B (physicians' services) premiums are estimated to increase by $21.50 to $206.50 in 2026.[2][16]
See also
References
- ^ Choi, Jisoo (Oct 15, 2025). "Medicare Open Enrollment Begins Today".
- ^ a b https://thehill.com/policy/healthcare/5562031-medicare-open-enrollment-guide/
- ^ a b "A Current Snapshot of the Medicare Part D Prescription Drug Benefit". Oct 7, 2025.
- ^ Luhby, Tami (Jul 21, 2025). "10 million more people will be uninsured because of Trump's mega-package, CBO forecasts | CNN Politics". CNN.
- ^ Haeder, Simon F. (Jul 15, 2025). "How 17M Americans enrolled in Medicaid and ACA plans could lose their health insurance by 2034". The Conversation.
- ^ Cowles, Charlotte (Oct 23, 2025). "Get Ready to Pay Even More for Health Insurance". The Cut.
- ^ "36,000 Mainers' Medicare Advantage plans will be canceled next year". Oct 17, 2025.
- ^ Mathews, Anna Wilde (Oct 15, 2025). "Big Changes Are Coming for 2026 Medicare Plans. What You Need to Know". The Wall Street Journal.
- ^ "Medicare Enrollment 2026: Five Things to Examine in Your Plan". WSJ.
- ^ "New Report Sharpens Doubt About Medicare Advantage As Open Enrollment Begins - National Memo". www.nationalmemo.com.
- ^ "@kff.org on Bluesky".
- ^ https://thehill.com/policy/healthcare/5562031-medicare-open-enrollment-guide/?email=467cb6399cb7df64551775e431052b43a775c749&emaila=12a6d4d069cd56cfddaa391c24eb7042&emailb=054528e7403871c79f668e49dd3c44b1ec00c7f611bf9388f76bb2324d6ca5f3&utm_source=Sailthru&utm_medium=email&utm_campaign=10.20.25%20Health%20Care%20JC
- ^ Jones, JARED WELSH Edward (Oct 15, 2025). "Making the most of Medicare open enrollment". Idaho Press.
- ^ "What to watch out for in your 2026 Medicare Advantage plan".
- ^ "7 Changes You'll See Coming to Medicare in 2026". AARP.
- ^ "MSN". www.msn.com.
