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Medicare Open Enrollment Starts With Higher 2026 Costs, Fewer Options, Network Disruptions

Some advisers recommend delaying final selections until information stabilizes during the federal shutdown.

Overview

  • The Oct. 15–Dec. 7 enrollment window is underway and CMS says mission‑critical updates will continue, though callers to 1‑800‑MEDICARE and users of Plan Finder may encounter delays.
  • Official estimates point to higher 2026 costs, including a Medicare Part B premium of about $206.50 and a higher Part D out‑of‑pocket cap of $2,100, with some plans allowed larger Part D premium hikes and rising deductibles.
  • Major carriers are retrenching and narrowing provider networks, highlighted by UnitedHealthcare’s contract termination with Johns Hopkins that leaves most Hopkins providers out of network for UHC Medicare Advantage members.
  • Experts urge beneficiaries to read Annual Notices of Change, verify formularies and tiers for all medications, and confirm doctor and hospital participation because plan networks and benefits are shifting.
  • Advisers note you can make changes up to Dec. 7 for Jan. 1 effect and use the Jan. 1–Mar. 31 Medicare Advantage switch window, with some recommending waiting to finalize choices until information access improves.