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Medicare Medicare A & B

Medicare & You 2027

Each September, Medicare beneficiaries receive by mail the official US government Medicare handbook for the upcoming year.

A Medicare beneficiary should read the official Medicare & You 2027 handbook to navigate significant shifts in out-of-pocket costs, prescription drug rules, and benefit flexibilities taking effect for the 2027 plan year.

For example… Prescription Drug Cost Caps: The handbook, on pages 85 and 87, outlines the updated Part D annual out-of-pocket prescription drug spending cap, which rises to $2,400 for 2027, alongside details on how to use the ongoing Medicare Prescription Payment Plan to spread costs over the year.

New Coverage and Care Options: Page 92 includes details on newly expanded access criteria for specific weight-management medications (like GLP-1 drugs)

IRMAA: Medicare uses the modified adjusted gross income reported on your IRS tax return from 2 years ago to determine if you’ll pay an extra charge, called the Income-Related Monthly Adjustment Amount (IRMAA). For 2027, if your modified adjusted gross income for 2025 was above $111,000 if you file individually or $222,000 if you’re married and file jointly, then you may pay an IRMAA. Check out page 86 for more details.

Section 11 is County Specific: This is where you will find listings of Part C Medicare Advantage and Part D Prescription Drug Plans offered in your county. for 2027.

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Part C Medicare Advantage

What is Medicare Advantage?

  • Medicare Part C is also known as Medicare Advantage (MA)
  • MA plans are approved by Medicare and run by private insurance companies as an alternative to Original Medicare.
  • CMS (Medicare) pays these private insurers to manage your Medicare Parts A and B benefits and pay your claims on behalf of CMS.
  • MA plans must have the same or better benefits than Original Medicare.
  • Some plans may include additional supplemental benefits such as dental, eyewear, fitness and wellness coverage that go beyond what what Original Medicare offers. These additional benefits vary so please refer to the plan’s Summary of Benefits for details.
  • Many MA plans also include Part D prescription drug benefits. These are MAPD plans.
  • All MA plans contract with a network of providers, hospitals and vendors. Generally, your copay and cost sharing responsibility is lower when using an “in-network” provider when compared to one not contracted with your plan.
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