Learn about the key changes to Medicare prescription drug coverage in 2026, including a new out-of-pocket cap, insulin cost ...

CMS has launched the BALANCE Model, a five-year test to lower costs & expand Medicare access to GLP-1 weight-loss drugs while ...

Out-of-pocket costs: An out-of-pocket cost is the amount a person must pay for medical care when Medicare does not pay the total cost or offer coverage. These costs can include deductibles, ...

The Centers for Medicare & Medicaid Services Dec. 23 introduced a new drug pricing model, BALANCE, for Medicare Part D and ...

Medicare, the federal health insurance program designed primarily for adults age 65 and older, can seem like an alphabet soup of parts. Medicare Part A and Part B, also known as “original Medicare,” ...

This year, OPM allowed FEHB plans to begin offering Part D coverage to Medicare-eligible enrollees. To be included, the Part D plan must provide prescription drug coverage that, when combined with an ...

The Inflation Reduction of Act of 2022 included improvements to Medicare Part D, and some have already been enacted—$35 insulin, no more member cost share in the catastrophic phase of coverage, and ...

Discover the major changes to Medicare Part D for 2026, including lower prices for 10 key drugs, a new out-of-pocket cap of ...

Each year, Medicare beneficiaries are given the opportunity to select a new plan for the upcoming year during the Open Enrollment Period. This year, Open Enrollment begins on October 15 and will run ...

After spending $2,000 out-of-pocket on prescription drugs in 2025, Medicare Part D beneficiaries enter the catastrophic coverage phase, where they pay nothing for covered prescriptions for the rest of ...