As we approach open enrollment for 2026, it’s time to start thinking ahead, especially if you’re a Medicare beneficiary. Open enrollment is your opportunity to review your coverage and make sure your prescription drug plan still fits your needs for 2026.
Why Reviewing Your Prescription Drug Plan Is so Important
Open enrollment runs from October 15, 2025 through December 7, 2025, for changes that take effect on January 1, 2026. This period is especially important for anyone with Medicare. Whether you have an individual Medicare Part D prescription drug plan or you get your drug coverage through a Medicare Advantage plan, this year’s open enrollment leading into 2026 will bring some significant changes.
That means it’s time for a review. Look carefully at your plan’s formulary (prescription drugs and medication), as well as your costs, copays, and premiums, because all of these details are subject to change year to year.
Medicare Prescription Changes for 2026
On January 1, 2025, Medicare introduced a major enhancement to prescription drug coverage by capping the annual out-of-pocket maximum for prescription costs at $2,000. That update was designed to make medication more affordable, but it’s also leading to some big adjustments in plan options for 2026.
Because of those changes, it’s more important than ever to make sure your plan still covers the medications you rely on and remains the best fit for your needs.
Talk With an MBhealth Agent Before You Enroll
I know this can all sound confusing, but that’s exactly why it helps to have an experienced agent walk you through the details. Meeting with one of our agents during open enrollment is an important step to protect your healthcare options. At MBhealth Insurance Agency, we are here to help you review your doctors, networks, premiums, and prescription coverage.
You can call us at (314) 544-5400 or reach out via our website to get in touch. We’ll be happy to review your options with you.
