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How are Medicare benefits changing for 2026?
Changes to 2025 Medicare coverage include a $2,000 cap on Part D out-of-pocket costs, small reductions in the average premium for Medicare Advantage and Part D plans, increases for Medicare Part B and Part A premiums and cost-sharing, and adjustments to income-related premium surcharges for Part B and Part D.
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What is the income-related monthly adjusted amount (IRMAA)?
For 2025, high-income beneficiaries – earning over $106,000 a year – pay an IRMAA surcharge that’s added to their Part B and Part D premiums and determined by income from their income tax returns two years prior.

special election period

What is a special election period?

special election period infographic

What is a special election period?

A special election period, also known as a special enrollment period, is a period during which Medicare beneficiaries can change their Medicare Advantage or Part D coverage outside of the normal annual open enrollment period and after their initial enrollment period has ended.

A special election period will be triggered by a qualifying event, which can include a move from the area covered by a recipient’s existing Medicare plan, loss of other coverage, a violation of policy terms by a plan provider or other reasons approved by the Centers for Medicare and Medicaid Services.

There are special election periods for Medigap as well (known as “guaranteed issue rights”), but they’re more limited, and Medigap does not have an annual open enrollment period.

Learn more in our full overview of special enrollment periods that apply to various types of Medicare coverage.