Medicare Part D, which covers prescription drugs, is available either as a standalone Part D plan which works with Original Medicare, or included in the Medicare Advantage plan benefits package.  In addition to any plan premium, the Part D annual deductible in 2026 is $615. The maximum out-of-pocket cost is $2,100, which includes the deductible, copays [...]

Medicare’s Annual Election period, running from October 15 – December 7, 2025, provides an opportunity for people in Original Medicare with a Part D plan, or those in a Medicare Advantage Plan, to review their plan options for 2026 and make any changes to their coverage.  Beneficiaries with Original Medicare can switch Part D plans; those [...]

As part of the “unwinding” process following the end of the Public Health Emergency, the Centers for Medicare and Medicaid Services (CMS) had provided temporary easements related to Medicaid renewals.  Many of these easements have now expired on June 25, 2025.The following key updates, as outlined in GIS 25/MA 06, reflect the return to standard Medicaid renewal procedures:·       [...]

New Yorkers who have Non-MAGI Medicaid through the NYC Human Resources Administration (HRA) have had their coverage automatically recertified since 2020 because of special rules related to the public health emergency. At this time, HRA is requiring most people to respond to recertification notices or risk their Medicaid case closing.Medicaid coverage is authorized for 12 months. [...]