Part D subsidies ending one year early.

[rogerj22]

End of 2026. Expect premium increases and pharmacy increases. Bye Bye to those $0 premiums.

https://www.npr.org/2026/07/29/nx-s1-5912039/the-trump-administrations-move-to-end-subsidies-for-med...

[GailL1]

Ending this year or next - no big deal -

Many people lost the O premium plans last year since no all insurers participated in the subsidies - it was optional and many even dropped out this year since the premiums did not surge like they thought could happen.

Seems to me for what we got from this Part D Redesign - where the insurance companies and the drug manufacturer picked up the majority of the cost increases for the benefits - a few dollars more is not gonna break most people - plus there is now the True Out of Pocket Cap - which will rise but remember this is not just made jp of what YOU pay in but what ALL Payer pay in which is for your benefit.

[cat0w]

My suggestion is to check your Medicare Advantage plans for the area you live in.

[rogerj22]

This will affect mostly the 25 million on traditional Medicare with a separate free standing Part D  drug plan.  Not so much  MA plans.

[GailL1]

Will NOT affect anybody on the MAPD plans -

KFF.org - 07/29/2026 - CMS’s Decision to End Temporary Subsidies to Medicare’s Stand-Alone Drug Plan... 

from the link ~ 

“Even with these subsidies in place, however, the average monthly PDP premium in 2026 is more than 4 times higher than the average premium for drug coverage in Medicare Advantage plans ($36 vs. $8), with MA-PD sponsors able to use rebates to buy down drug coverage premiums.

And while the subsidies provided to PDP sponsors under the temporary demonstration may have helped cushion the impact of IRA-related cost increases, they didn’t address broader cost pressuresfacing Part D plan sponsors associated with rising drug prices and increasing use of GLP-1s and expensive specialty drugs. These cost pressures are likely to continue in 2027 and beyond.”

Insurance - I pay for you and you pay for me - a Symbiotic relationship

Thanks from all of those who are now getting a much better deal for their med - including the new GLP-1 med for specific conditions.

Me - well, I am waiting around for the new drug that is gonna make us all younger.  🤓     It is coming!  

[tgabecker]

why didn’t AARP lobby against this program before the 2027 sunset. Why do we pay dues for your lobbying arm when the corrupt administration pulls stunts like this. Be bold ! Denounce MAHA! Since when is Trump worried about giving money to drug companies!  He continues to do this with corrupt Advantage plans.

[GailL1]

What would they be lobbying for?  a 1-year reprieve for a few bucks when we got so much more from the Redesign of part D-

Maybe you, like me,  didn’t get any direct benefits from the redesign or at least not yet, guess any thing could change but I do not mind paying a bit more for those who need higher priced meds and we can all help them out with this redesign.

You do know that this was all done with out too much more money being piled into the program - the insurers and the drug manufactures - too up most of the cost - Medicare Part D only had a 10% added.

KFF.org 04/20/2023 - Changes to Medicare Part D in 2024 and 2025 Under the Inflation Reduction Act a... 

Boy how soon we forget -

[rogerj22]

You're trusting Oz and his "maybe a $10 increase" press release. When the ANOC  letter arrives in September if past is prologue it will more likely be a 35% or 40% increase or some plans may just pull out of the state altogether. In my zip there is one other $29 plan (for 2026 and the next jumps to $96/month. They are trying to push us into MA one step at a time. I am resisting as long as I can, the thought of needing approval from AI for a treatment makes me nauseous.

[GailL1]

@rogerj22 

I am relying on the how the program was 1st set up under the guidance of the IRA in this regards.

• We have already seen the higher deductibles ✔️
• We have already seen the TrooP amount which increases with time ✔️
• We have already seen the increases in premiums in some of the 0 premium plans ✔️
• We have already seen the exit of freestanding Part D insurers who did not want to play ball in certain areas with the plan ✔️
• We have already heard the moaning and groaning of other insurers on the added amounts that they are having to cover ✔️
• And the moaning and groaning of beneficiaries having to pay higher premiums for their plans beginning in 2025.✔️

But FOR THE GREATER GOOD, we now have a program that helps out those with really high drug cost and puts a limit on what we all have to spend yearly for meds under a standalone Part D.  

All of those things were bound happen because of the way the program was designed by the IRA - so are you saying, you would rather go back to the way it was before???

Yes the demonstration is ending (1-year early)

The TRooP will continue to rise - 

The national base beneficiary premiums still has the 6% cap- the base premium for which premiums are calculated for the next year.

Your premium for 2027 will be a compilation of all the cost - and remember the addition of these GLP-1 drugs for certain approved conditions will also be in the mix. Until those cost decrease in the marketplace - I foresee that being sooner rather than later.  A sure sign of how competition works.

If it gets to where insurers are not playing ball any longer especially in certain areas we will have to create a different plan or go back to the old one because they are apart of the system as it stands today.

Nice thing about Prescription drug coverage - you have to have a plan to help out the program as a whole but you don’t actually have to use it if you can find your meds at some cheaper, acceptable place.

If we adopt this plan we can get rid of Medicare Advantage plans altogether

US Senate - Finance - June 2026 - MEDICARE COST CAP ACT 

Then the medica;/drug coverage could be all in one place with a Medicare Cost Cap probably for each - 

.

[rogerj22]

You're trusting Oz and his "maybe a $10 increase" press release. When the ANOC  letter arrives in September if past is prologue it will more likely be a 35% or 40% increase or some plans may just pull out of the state altogether. In my zip there is one other $29 plan (for 2026) and the next jumps to $96/month. They are trying to push us into MA one step at a time. I am resisting as long as I can, the thought of needing approval from AI for a treatment makes me nauseous.

[rogerj22]

Crickets from AARP since last Tuesday's announcement by Oz.