Medicare & You 2026

Highlights for 2026.  Attached PDF provides the complete handbook for download.

Capping what you pay for prescription drugs    If you have Medicare drug coverage (Part D), your yearly out-of-pocket Part D drugs will be capped at $2,100 in 2026. Once you reach this cap, you won’t have to pay a copayment or coinsurance for covered Part D drugs for the rest of the calendar year (page 83).

More drug cost savings for you   Learn how Medicare prescription drug prices are changing in 2026 (page 81).

Meeting your health care needs   Medicare now pays for Advanced Primary Care Management services each month where your doctor or other health care provider coordinates and tailors care to your needs. Providers that offer these services must give you 24/7 access to your care team or provider and more (page 31).

Early detection matters    Medicare covers a wide range of colorectal cancer screenings, including computed tomography (CT) colonography. Getting screened is an important part of cancer prevention and early detection (page 36).

Help Medicare fight fraud and cut waste    Protect yourself from fraud and medical identity theft by checking your Medicare Summary Notices (MSNs), and your receipts and statements, for errors or services you didn’t get. If you think your Medicare Number has been used fraudulently, call 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048 (pages 105–106). Go digital with Medicare You can get Medicare resources at your fingertips! Start by logging into (or creating) your secure Medicare.gov account. There, you can manage your prescriptions, get your Medicare Summary Notices (MSNs) electronically, switch to the electronic version of this handbook, and more. You can also sign up for emails on the latest Medicare news. There’s never been a better to time to switch from paper to digital.