CMSProposed Rule

Medicare Program: Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program

HealthcareFinance & Banking

Summary

The federal government is proposing changes to how Medicare plans operate starting in 2027, affecting Medicare Advantage plans, prescription drug coverage, and other senior health insurance options. These changes aim to update rules for how insurance companies offer and manage these plans, which impacts millions of older Americans and people with disabilities who rely on Medicare.

Key Points

  • 1The rule updates policies for Medicare Advantage plans (private insurance alternatives to traditional Medicare) and prescription drug benefit programs for the year 2027
  • 2Changes may affect how much seniors pay for premiums, copays, and which doctors and drugs are covered by their plans
  • 3Insurance companies will need to follow new technical requirements when offering these plans to Medicare beneficiaries
  • 4The public has until January 27, 2026 to submit comments and feedback on the proposed changes before they become final
  • 5These rule changes affect approximately 28+ million Medicare Advantage enrollees and millions more in traditional Medicare using prescription drug plans

Key Dates

Published

November 28, 2025

Comment Deadline

January 27, 2026

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This summary is for informational purposes only. It may not capture all nuances of the regulation. Always refer to the official text for authoritative information.

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