It’s official. The Medicare Part B 2026 Premium will eat up a large portion of the Social Security COLA

It’s official. Medicare spending will eat up a large increase in the Social Security cost of living for older Americans next year.

Standard monthly premium for Medicare Part B, which covers ambulatory care, physician services, durable medical equipment, and preventive services, in 2026. will be $202.90 on November 14th. reported the Centers for Medicare and Medicaid Services. That’s $17.90, or nearly 9.7 percent.

That’s less than the $21.50 increase Medicare trustees had previously projected, but still the second largest dollar increase in the program’s history after 2022. A gain of $21.60 and almost 3.5 times the 2.8 percent. social security next year. That means seniors’ living standards will likely fall again, experts said.

in 2024 poverty increased only among the elderly. In all other age groups, poverty decreased or remained the same.

“It’s likely that the public will perceive this Part B increase as taking up a large portion or even most of the COLA,” said Mary Johnson, an independent Social Security and Medicare policy analyst. “In other words, another continuation of ruthless spending is stretching consumer finances.”

The Social Security Administration reported that since January Social Security checks will increase by an average of $56 due to the 2.8% COLA. The $17.90 increase in Medicare Part B reduces the average monthly COLA increase to $38.10.

Such a large increase in Medicare Part B would likely result in a hold-no-harm provision for Social Security recipients with Social Security benefits of $640 or less, Johnson said.

Medicare’s hold harmless provision prevents Part B premium increases from being greater than the Social Security COLA. If the premium increase is more than the COLA, the rule prevents the recipient from paying the full increase. The portion of the increase that those beneficiaries do not pay is distributed among others not covered by the rule.

For people with Social Security benefits of $640 or less, A 2.8% COLA next year will mean just less than an $18 per month increase in their Social Security checks. Without the hold harmless rule, an increase in the Part B premium would result in the loss of the entire COLA.

According to government data, in 2022 only about 1.5% of Medicare beneficiaries had their Part B premiums limited by the hold harmless provision. Part B 2022 increased by $21.60 to $170.10, and the average monthly COLA increase increased Social Security checks by $92.

In 2017, when Medicare premiums jumped 10% or $12.20 to $134.00, well above the 0.3% or $5 average monthly COLA increase, 70% of Medicare Part B students paid less than the standard Part B premium because of the hold harmless provision.

Johnson said the hold harmless provision can protect seniors from rising Part B premiums, but other costs can also hurt.

“If individuals have other automatic deductibles, such as Medicare Advantage or Part D premiums, increasing those premiums could reduce Social Security benefits,” Johnson said.Optional Part D covers prescription drugs.

According to KFF, a non-profit, non-partisan research organization, some Part D plans will have premiums are increased by as much as $50, the maximum allowed under the Part D Premium Stabilization Demonstration Program.

“To complicate things, there are fewer individual Part D plans to choose from,” Johnson said. Total number of prescription drug plans as of 2024 halved, KFF reported.

CMS CEO Seema Verma talks about Medicare with Nora Commons Seniors at Monon Senior Apartments, Monday, 2018. October 22 CMS CEO Seema Verma talks about Medicare with local seniors

Those exempt from the harmless holding provision are:

In addition to higher premiums, higher annual deductibles next year will make health insurance for Medicare students even more expensive.

The annual pre-insurance deductible for all Medicare Part B beneficiaries will be $283 in 2026, down $26 from $257 in 2025, CMS said.

The Part B premium could have been higher, CMS said.

“Had the Trump administration not acted to reduce the unprecedented costs of skin substitutes, the Part B premium would have increased by approximately $11 per month,” CMS said. “However, changes finalized in the 2026 physician fee schedule final rule are expected to reduce spending on skin substitutes by 90% without impacting patient care.”

Skin substitutes are materials such as biological, synthetic, or biosynthetic products that mimic human skin and are used to cover and heal chronic wounds, such as diabetic foot ulcers. The Trump administration has reclassified these bandages so they are not taxed separately. CMS estimates that the change would reduce Medicare spending on these products by nearly 90% in calendar year 2026.

The Medicare Trustees also estimated earlier this year that the standard Part B monthly premium would increase by $21.50 to $206.50 in 2026. from $185 in 2025 That would be an increase of more than $17.90 to $202.90 in 2026.

Medora Lee is a money, markets and personal finance reporter for USA TODAY. You can reach her at mjlee@usatoday.com and sign up for our free Daily Money newsletter every Monday through Friday morning for personal finance tips and business news.

This article originally appeared on USA TODAY: Medicare Part B to Handle Most of Social Security Increase Next Year

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