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, ...

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

Source: Faith Leonard and Gretchen Jacobson, “What Does the Decline in Medicare Part D Plan Availability Mean for ...

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 ...

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. Creditable means that the employer plan is expected to pay on ...

A Medicare Part D plan has secured the top ranking for 2026, recognized for its low deductible, which significantly reduces out-of-pocket expenses for beneficiaries. This achievement underscores the ...

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 ...

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. It is the last bullet point that’s creating issues. During ...

Medicare plans are replacing brand-name buprenorphine-naloxone film with its generic equivalents, resulting in a decrease in out-of-pocket cost faced by enrollees with opioid use disorder. Objectives: ...

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 ...