Frequently Asked Questions About Medicare Changes in 2027

How much will Medicare Part B cost per month in 2027?

The standard Medicare Part B premium is projected at $209.50 per month for 2027, an increase of $6.60 from 2026. High-income beneficiaries may pay additional IRMAA surcharges ranging from $83.70 to $502.60 monthly based on 2025 taxable income.

How does the $2,400 Part D out-of-pocket cap work?

The Part D prescription spending cap limits your total out-of-pocket costs for covered formulary medications to $2,400 in 2027. Once your spending reaches this limit, you enter catastrophic coverage and pay $0 for covered prescriptions for the rest of the year.

Which medications have lower prices under Medicare negotiation in 2027?

Starting January 1, 2027, 15 high-spend medications receive negotiated Maximum Fair Prices. Key drugs include Ozempic, Wegovy, Trelegy Ellipta, Xtandi, Pomalyst, and Ibrance, providing substantial direct savings at the pharmacy counter.

Can I appeal my 2027 Medicare IRMAA surcharge?

Yes, you can appeal an IRMAA determination by filing Form SSA-44 with the Social Security Administration. You must prove a qualifying life-changing event occurred, such as retirement, work reduction, divorce, or loss of income-producing property.