Core Insights - Millions of older Americans will experience a significant reduction in their Social Security cost-of-living adjustment (COLA) due to rising Medicare Part B premiums, which will reach $202.90 per month in 2026, the highest level recorded [1][2] - The 10% increase in Part B premiums, amounting to $17.90, far exceeds the 2.8% COLA increase, effectively absorbing about one-third of the additional income for retirees [2][3] - The Centers for Medicare & Medicaid Services (CMS) attributes the premium increase to projected price changes and increased utilization, with further increases mitigated by new spending rules on wound-care products [3][4] Summary by Sections Medicare Part B Premiums - The standard Part B premium will rise to $202.90 per month in 2026, marking the first time it exceeds $200 [1] - The increase of $17.90 represents a 10% jump from the current rate of $185 [2] Impact on Social Security COLA - The 2.8% COLA increase translates to an additional $56 per month for the average retiree, but the increase in Part B premiums will absorb a significant portion of this adjustment [2][3] Factors Driving Premium Increases - CMS cites projected price changes and increased utilization as primary drivers for the premium hike [3] - Spending on skin substitutes has surged from $256 million in 2019 to over $10 billion by 2024, prompting new rules that are expected to reduce spending by 90% [4] Income-Related Premium Adjustments - Approximately 8% of Medicare beneficiaries will face income-related monthly adjustment amounts, leading to higher premiums for high-income individuals [4][5] - Individuals earning above $109,000 and couples filing jointly above $218,000 will pay more than the standard premium [5]