Frequently Asked Questions

Do the new negotiated drug prices apply if I have a Medicare Advantage plan?
Yes. The maximum fair prices negotiated under the Inflation Reduction Act apply to the Medicare program universally. Whether you have a standalone Part D prescription drug plan alongside Original Medicare, or you have prescription drug coverage bundled into a Medicare Advantage (Part C) plan, you will benefit from the negotiated prices for those specific medications.

Can I switch from Medicare Advantage back to Original Medicare if I don’t like the new rules?
You can drop your Medicare Advantage plan and return to Original Medicare during the Annual Enrollment Period (Oct 15 – Dec 7) or the Medicare Advantage Open Enrollment Period (Jan 1 – March 31). However, be aware that in most states, returning to Original Medicare means you must pass medical underwriting to purchase a Medigap policy. If you have pre-existing conditions, a Medigap insurer could deny you coverage or charge you exorbitant premiums.

Will my Part B premium go up in 2026?
Historically, Part B premiums rise slightly each year to keep pace with healthcare inflation and the rising costs of medical services. While the exact standard premium is announced in the fall prior to the new year, you should budget for an incremental increase. Your specific premium may jump more significantly if your income two years prior crossed into a higher IRMAA bracket.

How do I opt into the prescription payment smoothing plan?
You must contact your specific Part D or Medicare Advantage plan sponsor to opt in. This can usually be done through your plan’s online portal, by calling the customer service number on the back of your insurance card, or by filling out an election form provided by the insurer. You can opt in prior to the start of the plan year or at any point during the year.