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Medicare open enrollment begins : What to expect for 2027

Medicare open enrollment begins Thursday and runs until Dec. 7, letting people choose between traditional Medicare, Medicare Advantage and prescription drug plans, with 2027 changes taking effect Jan. 1. The Part D out-of-pocket cap will rise to $2,400 from $2,100, the standard deductible will increase from $615 to $700, and a temporary Part D premium subsidy will end. New negotiated prices will apply to 15 drugs, including Ozempic, Rybelsus and Wegovy, and CMS projects a $685 million effect on prescription drug coverage in 2027. Some Medicare Advantage plans are leaving areas or scaling back benefits, while Social Security recipients will receive a 3.6% cost-of-living increase, and the administration plans one-time $90 payments for more than 20 million Part B enrollees.

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