For most of this year, Providence Health Plan’s Medicare Advantage members had reason to think they would be spared. When the Oregon nonprofit said in May that it was leaving most of the insurance business, it carved out its Medicare Advantage book and said it was negotiating to hand those members to a national carrier…

For anyone on expensive prescriptions, Medicare now has a firm ceiling on what a year of covered drugs can cost. The Part D out-of-pocket maximum rises to $2,100 in 2026, up from $2,000 in 2025. Reach it, and your plan pays 100 percent of your covered drugs for the rest of the year. It is…

A Medicare Advantage plan comes with a promise most people rarely test: a hard ceiling on what a bad health year can cost you. What fewer members realize is that the ceiling has two heights, and which one applies depends on whether your care stays inside the plan’s network. When a hospital drops out of…

There is a specific group of people for whom this number means something immediately: the 626,000 Medicare Part D enrollees who filled a Breo Ellipta prescription in a single year, most of them managing COPD or asthma. Starting January 1, 2027, Medicare’s negotiated price for a 30-day supply of that inhaler is $67. The 2024…

Every fall, before open enrollment opens, your Medicare drug plan mails you an Annual Notice of Change. Most people skim it. This year, if you are in a standalone prescription drug plan rather than a Medicare Advantage plan with drug coverage, the premium line is worth a slower read, because a federal support that has…

If you carry a UnitedHealthcare Medicare Advantage card in Minnesota, this change will most likely reach you at a scheduling desk. You call to book a follow-up for next spring, you read off the name printed on the card, and the answer is that the appointment cannot be made. M Health Fairview has put the…

Take the Humana card out of your wallet and read the plan name printed on it. The full name is what matters here, not just the word “Humana,” because Ohio State has published a list of sixteen specific Humana plans and the list is the whole story. On October 1, 2026, every plan on it…

If you get your Medicare coverage through a Humana Advantage plan, the mail this fall could carry a decision that reshapes your 2027. Humana has confirmed it will exit Medicare Advantage plans covering roughly 600,000 members next year, and affected households are expected to start receiving notification letters in September. A dropped plan is not…

There is a Medicare program that can slash what a senior pays for prescription drugs, and Social Security estimates it is worth about $5,900 a year to those who qualify. It is called Extra Help, and despite that hefty value, many people who are eligible never sign up, often because they have never heard of…

If you carry a UnitedHealthcare Medicare Advantage plan and get your care at NewYork-Presbyterian, a coverage change could land on your doorstep at the start of next month. The hospital system and the insurer have kept current coverage in place through August 31, 2026 while they try to reach a new contract, but if they…