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What’s changing in 2027

The changes most likely to affect what you pay next year, while you can still switch plans.

Medicare

  • The yearly drug cap rises to $2,400

    Medicare drug plans cap what you pay for covered drugs at $2,400 in 2027, up from $2,100. The most a plan can charge as a deductible rises to $700.

    Check your drugs on 2026 plans
  • Lower negotiated prices on 15 more drugs

    Medicare’s negotiated prices take effect January 1 for drugs including Ozempic, Wegovy, and Rybelsus, Trelegy Ellipta, Xtandi, Ibrance, Pomalyst, Ofev, Linzess, Calquence, Austedo, Xifaxan, and Vraylar. If your plan charges a percentage of the price, your share drops. The first 10 negotiated drugs, including Eliquis and Jardiance, stay lower too.

  • The GLP-1 Bridge continues through 2027

    People with Medicare drug coverage who qualify can keep getting Wegovy or Zepbound for weight loss for $50 a month through December 31, 2027.

    Who qualifies
  • Telehealth from home stays covered through 2027

    Medicare’s telehealth flexibilities were extended through December 31, 2027, so you can keep seeing doctors by video from home.

  • Premiums and deductibles for 2027 come out in the fall

    CMS usually announces next year’s Part B premium and Part A and B deductibles in November. Until then, 2026 amounts are the best guide.

    See 2026 Medicare costs
  • Open enrollment ends December 7

    Compare plans now: drug lists, networks, and costs change every January. Medicare Advantage members get one more chance to switch from January 1 to March 31.

    Open enrollment checklist

From CMS’s 2027 rate announcement and negotiated drug prices, IRS Rev. Proc. 2026-26, and the 2025 federal budget law’s Medicaid provisions. Amounts and dates can change; check Medicare.gov, HealthCare.gov, or your state Medicaid agency.