Category: Medicare
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Medicare hospital coverage costs $311 or $565 a month for anyone short of 40 work credits
Most people never see a bill for Medicare’s hospital coverage. Decades of payroll taxes already paid for it by the time they turn 65. But for anyone who spent large stretches of a working life outside covered employment, Medicare Part A now comes with a real monthly charge, and the amount depends entirely on a…
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Original Medicare sets no yearly ceiling on what a patient pays, and hospital coverage stops entirely after day 150
Original Medicare has no yearly ceiling on what a patient pays out of pocket, and for someone facing a long hospital stay, the bill does not level off with time in the bed — it climbs in stages. A short admission can cost far less than a marathon one, and past a certain point, Original…
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Medicare’s switching window opens October 15 and closes December 7
People on Medicare get one set window each fall to rework their coverage for the year ahead, and a plan chosen once and left alone can quietly turn expensive if premiums rise or a pharmacy drops out of the network. This year’s window opens October 15 and runs through December 7, and the choice made…
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Medicare’s 2027 base drug-plan premium is $41.33 only because a legal cap blocked $94.06
Medicare’s Part D base beneficiary premium for 2027 will be $41.33, according to the annual bid announcement the Centers for Medicare & Medicaid Services released July 28, 2026. That figure matters less for what it is than for what it replaced: the same statutory formula that produced $41.33 also produced a second, higher result —…
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Medicare pays insurers $13.4 billion in bonuses this year, and UnitedHealth takes $3.9 billion
Medicare will send $13.4 billion in quality bonus payments to Medicare Advantage insurers in 2026, according to an analysis published by KFF, the nonpartisan health policy research organization. That is up from $12.7 billion in 2025 and more than four times the $3.0 billion the program cost a decade earlier, in 2015. The bonuses arrive…
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Humana holds 20 percent of Medicare Advantage members but collects 11 percent of the bonus money
Humana is the second-largest company selling Medicare Advantage plans, covering about one in five of the program’s enrollees nationwide. That kind of footprint would normally translate into a proportional cut of the extra federal dollars Medicare hands out each year to reward higher-quality plans. In 2026, it has not worked out that way. Humana holds…
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Seniors without obesity-drug coverage have paid $50 a month since July, and 500,000 of them saved $216 million
Millions of older Americans who take GLP-1 medications for obesity are now paying a flat $50 a month for the drugs, under a Medicare demonstration that started July 1, 2026. The Trump administration says the program has already produced a nine-figure savings total for seniors who previously had no coverage for these medicines, some of…
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The count of health systems dropping Medicare Advantage this year has climbed from 25 to 28
Becker’s Hospital Review runs a tracker that follows hospitals and health systems ending some or all of their Medicare Advantage contracts, and the number on it keeps climbing. Earlier this month it stood at 25 systems. As of August 31, it reads 28. This isn’t a one-time report — it’s a page Becker’s rewrites in…
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Presbyterian is ending most Medicare Advantage plans for 30,000 New Mexicans after a $59 million loss
Presbyterian Health Plan members in New Mexico are getting two different messages about their Medicare Advantage coverage, and the timing is what matters most. Nothing changes before January 2027 — same doctors, same drug coverage, same premiums for the rest of this year. But starting with the 2027 plan year, Presbyterian is dropping most of…
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A North Carolina medical center left Blue Cross Medicare Advantage in July and leaves UnitedHealthcare at year-end
If you get your care from CarolinaEast Medical Center in New Bern, North Carolina, and you’re on a Medicare Advantage plan, the hospital building and your own doctor’s office are no longer treated the same way by your insurance card. One lost its in-network status two months ago. The other is on a countdown that…
