
Newsletter: Medicare AEP is almost here—Here’s what’s changing in 2026 and how to prepare
Final 2026 plan details available October 1
AEP runs October 15 – December 7
The Medicare Annual Enrollment Period (AEP) is October 15–December 7. It’s the best time to compare plans and make sure your coverage still fits your health and budget for 2026.
What’s changing in 2026 (at a glance)
- Part D annual out‑of‑pocket cap rises to $2,100 (from $2,000 in 2025) under the Inflation Reduction Act’s redesign. Once you hit the cap, you pay $0 for covered Part D drugs for the rest of the year.
- Standard Part D deductible increases to $615 (up from $590 in 2025). Your exact costs depend on the plan you choose and your medications.
- VBID model ends after 2025, which may change how some “extra” non‑medical benefits are structured in certain Medicare Advantage (MA) plans. Plans can still use SSBCI to offer targeted benefits for qualifying chronic conditions.
- Plan details for 2026 are released October 1. That’s when you’ll be able to see and compare next year’s plan costs and benefits.
Tip: Your Annual Notice of Change (ANOC) arrives in September. Review it to see how your current plan will change next year.
Why compare plans during AEP?
Even if you like your current plan, costs, benefits, drug formularies, and provider networks can change every year. Comparing plans helps you:
- Control prescription costs: With the new Part D cap and deductible levels, the right plan choice can lower your total drug spend.
- Check your doctors & pharmacies: Make sure your preferred providers and pharmacy remain in‑network. (Networks can shift year to year.)
- Confirm extra benefits you value: Dental, vision, hearing, OTC allowances, rides, meals, and other supports can change – especially as VBID sunsets and plans reconfigure benefits for 2026.
- Avoid surprises on January 1: Your ANOC outlines change; if costs rise or benefits drop, you can switch during AEP.
Why work with a Medicare broker?
A trusted broker helps you save time and money by doing the heavy lifting for you:
- Side‑by‑side comparisons based on your meds, doctors, and budget – so you see your total expected costs, not just premiums.
- Unbiased guidance focused on your needs (not one company’s).
- One meeting, many plans: Skip multiple calls and websites; we compare options with you in one session.
- Enrollment made easy: We handle the paperwork and deadlines – accurately and on time.
- Year‑round support: If your needs change mid‑year, we’re here to help with plan questions and coverage issues.
Good to know: 2026 plan information can be marketed to consumers starting October 1. We’ll be ready to walk you through the details as soon as plans are released.
How to get ready (bring this list)
- Your current medications (names and dosages)
- Your preferred doctors and hospital
- Your favorite pharmacy (or mail‑order preference)
- Your 2025 costs (if handy), including copays/coinsurance
- Any benefits you must have (e.g., dental, vision, hearing)
Ready to compare plans? Call us at 1-888-720-0874
Not connected with or endorsed by the U.S. government or the federal Medicare program. Plan availability and benefits vary by ZIP code and county. Enrollment in any plan depends on contract renewal. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer. Please contact Medicare.gov or 1‑800‑MEDICARE to get information on all of your options.