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 ...

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

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 ...

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 ...