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What to watch out for in your 2026 Medicare Advantage plan
Yahoo Financeยท2025-10-18 12:30

Core Insights - Medicare Advantage plans are increasingly popular among eligible beneficiaries, with over half enrolled since 2023, driven by additional perks not available in traditional Medicare [2][5] - Significant changes are expected in 2026, including reduced benefits, higher premiums, and a limited selection of plans, which may affect millions of enrollees [7][15] Enrollment and Coverage Changes - The open enrollment period for Medicare Advantage runs until December 7, allowing beneficiaries to modify their coverage for the upcoming year [6] - In 2026, the average Medicare beneficiary will have 39 plan options, down from 42 in 2025, indicating a trend towards fewer available plans [14] Cost Implications - The average monthly premium for Medicare Advantage plans is projected to decrease from $16.40 in 2025 to $14.00 in 2026, but some plans may increase costs and out-of-pocket maximums [18][19] - Medicare Advantage plans will have a maximum out-of-pocket limit of $9,250 for in-network services and $14,750 for combined in- and out-of-network services in 2026 [20] Benefit Reductions - Some Medicare Advantage plans are expected to cut dental and vision coverage and increase co-pays for specialist visits in 2026 [21] - A pilot project providing extra benefits for low-income beneficiaries may be discontinued, affecting those with chronic illnesses [24][25] Provider Network Changes - The network of doctors and healthcare providers for Medicare Advantage plans is subject to change, which may lead to challenges in accessing preferred providers [3][7] - New reporting rules will allow consumers to see more details about supplemental benefits and provider networks, although past inaccuracies in directories have been noted [10][11]