Goodsurance

Costs & IRMAA

2027 Medicare Plan Change Notices Are Landing in Mailboxes Now, With Two Key Part D Cost Thresholds Rising

Members should expect their Annual Notice of Change by September 30, and two drug-benefit benchmarks inside those letters are higher for 2027: the standard deductible ceiling rises to 700 dollars and the annual out-of-pocket spending cap rises to 2,400 dollars.

By the Goodsurance editorial teamSeptember 24, 2026

Medicare Advantage and standalone prescription drug plan members should be receiving their Annual Notice of Change this week. Plans are required to deliver the notice by September 30. The letter specifies every change to premiums, deductibles, copays, covered drugs, and provider networks scheduled to take effect January 1, 2027.

Two cost thresholds in the Part D prescription drug benefit are higher for 2027. The ceiling on the standard deductible a Medicare drug plan may charge rises to 700 dollars, up from 615 dollars in 2026. The annual out-of-pocket spending cap for covered drugs rises to 2,400 dollars, up from 2,100 dollars in 2026. Once a member's spending reaches the cap, the plan covers the full cost of covered drugs for the rest of the year.

Your 2027 Medicare plan change letter is due by September 30. Two numbers to watch: the Part D deductible ceiling rises to 700 dollars and the out-of-pocket cap rises to 2,400 dollars.

Not every plan charges the maximum deductible, and not every plan will show a premium increase. The notice reflects each member's specific current plan and lists only that plan's changes. Members should read the letter carefully and compare it against competing plans before deciding whether to stay or switch.

Beyond cost-sharing figures, the letters may also reflect formulary changes, pharmacy network adjustments, and updated rules for accessing specific medications.

Annual enrollment, the period when most members can join, switch, or drop a Medicare Advantage plan or drug plan, runs October 15 through December 7, 2026. Members who have not received their notice by October 1 are advised to contact their plan directly to request one.

In plain words

If you have a Medicare drug plan or a Medicare Advantage plan, a letter should arrive in your mailbox soon. It must be sent to you by September 30. The letter shows every change your plan is making for 2027. Two drug cost limits are going up. The highest deductible a plan can charge rises to 700 dollars. The most you can pay out of pocket for covered drugs in a year rises to 2,400 dollars. Once you reach that limit, you pay nothing more for covered drugs for the rest of that year. Read your letter carefully. Not every plan charges the highest amount. Compare your options before enrollment closes on December 7.

Source: Medicare.gov
Read at the source →

More news

Other stories on what is moving in Medicare.

Costs & IRMAA

Three Compounding Forces Are Likely to Push Medicare Part D Premiums Higher for 2027

Rising drug spending, a new cap that shifted more cost from patients to insurers, and the end of a federal stabilization subsidy are all bearing down on Part D premiums heading into the 2027 enrollment season. Analysts say beneficiaries should compare plans rather than renew automatically.

September 23, 2026

Costs & IRMAA

Medigap Plan G Premiums Are Rising Faster Than Usual, With Some Rates Up More Than 26 Percent in 2026

With open enrollment weeks away, rate filings show Plan G increases of 12 to 26 percent or more for major carriers, leaving beneficiaries weighing fewer low-cost switching options.

September 22, 2026

Costs & IRMAA

CMS Posts Preliminary 2027 Medicare Lab Payment Rates, Projects 1 Billion Dollars in Annual Savings

New draft rates would cut what Medicare pays for most laboratory tests by an average of about 16 percent starting in 2027, with a public comment window open through late October.

September 22, 2026

Costs & IRMAA

Medicare Advantage Drug Deductibles Tripled in Two Years, KFF Data Shows

The share of Medicare Advantage drug plan enrollees who face a prescription drug deductible climbed from 23 percent in 2024 to 82 percent in 2026, and the average deductible rose from 64 dollars to 371 dollars over the same period.

September 20, 2026

Costs & IRMAA

Medicare Rehab Hospital Rules Change October 1, Requiring All Therapy to Begin Within 36 Hours of Admission

The FY 2027 inpatient rehabilitation facility rule takes effect in 13 days, extending the 36-hour therapy-start deadline to all prescribed treatments, not just some. Medicare payments to these facilities rise by 2.3 percent, and a rural payment adjustment is fully eliminated for certain facilities.

September 18, 2026

Costs & IRMAA

Medicare Advisory Panel Meets Today and Tomorrow to Help Set 2027 Payment Rates for New Diagnostic Lab Tests

The Advisory Panel on Clinical Diagnostic Laboratory Tests convenes today to recommend whether new lab tests with no market pricing data should be crosswalked to an existing Medicare rate or gapfilled. CMS plans to post proposed payment determinations in late September, with final rates taking effect January 1, 2027.

September 15, 2026