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Medicare in 2027: What the 3.6% COLA, Part B premium, $90 rebate and drug plan changes mean for you

The short answer

Social Security benefits rise 3.6 percent in January 2027, about $75 a month for the average retired worker. CMS has not announced the 2027 Part B premium. The Medicare Trustees estimate $209.50, up from $202.90. KFF projects stand alone drug plan premiums rising 50 percent, to $51, if people do not switch. Medicare open enrollment ends December 7.

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How big is the 2027 Social Security increase, and when will I see it?

The Social Security Administration announced a 3.6 percent cost of living adjustment on October 14, 2026. It is based on the rise in the consumer price index for urban wage earners from the third quarter of 2025 to the third quarter of 2026.

Social Security Administration press release (October 14, 2026) and 2027 COLA fact sheet, with the 2026 rate from Cleveland.com
WhatDetail
The increase3.6 percent for 2027, compared with 2.8 percent in 2026.
Who gets itNearly 72 million Social Security beneficiaries starting in January 2027. About 7.3 million people on Supplemental Security Income see theirs on December 31, 2026.
Average retirement benefitSSA says the average retirement benefit rises by $75 a month. It puts the average retired worker's benefit at $2,095 before the increase and $2,170 after.
Your noticeOnline in your mySocial Security account starting in late November, with the 2027 Medicare premium amount in the Message Center. Without an online account, the notice arrives by mail in December. SSA says people without an account need to create one and enroll in paperless notices by November 18 to see the notice online.

What will the Part B premium be in 2027?

CMS has not announced it yet. The 2026 Medicare Trustees Report says the monthly Part B premium is $202.90 in 2026 and estimates $209.50 for 2027. SSA says the 2027 premium amount will be in your mySocial Security Message Center starting in late November.

Standard monthly Part B premium2025 and 2026 are the amounts CMS set. The 2027 bar is the Trustees' estimate and can change when CMS makes its announcement.
  • 2025$185.00
  • 2026$202.90
  • 2027 (Trustees estimate)$209.50

Source: CMS 2026 Medicare Parts A and B premiums and deductibles fact sheet (November 14, 2025); 2026 Medicare Trustees Report

That estimate would be a $6.60 increase, about 3.25 percent, after a $17.90 increase in 2026. CMS also set the 2026 Part B deductible at $283, up from $257, and the 2026 Part A inpatient hospital deductible at $1,736. The 2027 deductibles are not announced.

People with higher incomes pay more. For 2026, the extra income related charge begins above $109,000 of income for one person and $218,000 for a married couple filing jointly. SSA says it uses the most recent tax return the IRS provides. The 2027 thresholds are not announced.

Will the COLA cover a higher Part B premium?

Probably, for people with typical benefits, if the Trustees' estimate holds: an increase of about $6.60 a month is much smaller than an average retirement increase of $75. The hold harmless rule protects some people when the COLA is too small to cover the increase.

At a 3.6 percent COLA and a $6.60 increase, our arithmetic says the COLA would fall short only for monthly benefits below about $183. That is an estimate, because the premium is not final.

Medicare Interactive says the hold harmless rule does not protect people who are new to Medicare, people who pay the income related charge, and people in a Medicare Savings Program. A late enrollment penalty is not waived by the rule, and it is figured on the new, higher premium.

Who gets the $90 Medicare rebate?

CMS says it is making a one time $90 premium rebate available to 20.8 million people in Original Medicare Part B, to offset the October premium. People in Medicare Advantage are not eligible.

CMS Medicare Improvement Fund Premium Rebate FAQ (October 3, 2026)
QuestionCMS answer
Who is includedPeople in Original Medicare Part B. CMS lists three conditions: living in the United States, not receiving premium assistance from Medicaid and not paying an income related monthly adjustment amount.
How it arrivesMost people get a direct deposit from SSA, on or around October 8, followed by an email or a letter from the President in mid October. Others get a Treasury check later in October, mailed to the address registered with Medicare.
How to checkCall 1-800-MEDICARE (1-800-633-4227) to check eligibility. Call Social Security at 1-800-772-1213, starting October 15, 2026, to check the status of a payment.

The check carries the message “Medicare Improvement Fund Payment; $90 Payment to Offset October Premium.” Call the numbers above yourself rather than answering an unexpected message. The FTC says government agencies never call, email or text to ask for money or personal information.

What is happening to Medicare drug plan premiums in 2027?

CMS and KFF disagree on the size of the change for stand alone drug plans. KFF says its figure assumes people keep the plan they have now, and CMS does not say how its average is built, so we show both.

Average monthly premium, stand alone Part D plansCMS reports an average of $35.09 for 2026, shown here rounded. KFF's $51 assumes current enrollees do not switch plans.
  • 2026
  • 2027
  • CMS projection (September 28, 2026)2026: $352027: $36
  • KFF estimate if people keep their plan (October 30, 2026)2026: $342027: $51

Source: CMS press release (September 28, 2026) and KFF news release (October 30, 2026)

KFF's analysis also finds no zero premium stand alone drug plans for people without low income subsidies in 2027, which affects more than 4 million people who paid no premium for their plan in 2026. Average premiums for the eight national plans range from about $6 to $204 a month. The number of stand alone plans available to the average person falls from 11 to 9, and most people will face a drug deductible of several hundred dollars, up to $700 in 2027 compared with $615 in 2026.

CMS says drug coverage is returning to normal market conditions as a temporary premium program is discontinued, and says 93 percent of people without low income subsidies can get an enhanced plan for less than $6 a month. KFF notes that 56 percent of Part D enrollees were in Medicare Advantage drug plans in 2026, so a majority are not affected by stand alone plan premium changes. Those plans can use federal rebate dollars to lower drug premiums.

What is happening to Medicare Advantage premiums in 2027?

CMS projects that the weighted average monthly Medicare Advantage premium falls from $14.37 in 2026 to $12.00 in 2027, a 16.5 percent drop. Averages hide big differences between plans, so look up the plan you have.

CMS also says more than 99 percent of people have at least one Medicare Advantage plan, the national count of plans changes from 5,553 to about 5,532 and about eight in 10 members can stay in their plan at the same or a lower premium. Its enrollment estimate for 2027 is 34 million people.

What should I do before December 7?

Medicare open enrollment runs October 15 to December 7, 2026. A change you make by December 7 starts January 1, 2027. People who want to keep their current coverage generally do not need to re-enroll, but plan costs and drug lists change each year.

  • Find the Annual Notice of Change your plan mailed this fall and read what it says about your premium, deductible and drug list.
  • Look up each prescription in the 2027 plan, not last year's.
  • If you have a stand alone drug plan, compare at least three 2027 plans, because KFF found premiums moving in both directions.
Medicare dates from now through springDates from CMS, Social Security and Medicare.gov.
  1. Late November 2026Your COLA notice and 2027 Medicare premium amount appear in mySocial Security.
  2. December 7, 2026Medicare open enrollment ends. Changes start January 1.
  3. December 31, 2026Supplemental Security Income increases begin.
  4. January 2027The 3.6 percent Social Security increase begins.
  5. January 1 to March 31, 2027People in Medicare Advantage can make one change to another Medicare Advantage plan or to Original Medicare with a drug plan.

Source: Social Security Administration, CMS and Medicare.gov

How can an agent help with Medicare costs for 2027?

An agent can compare the Medicare plans we offer using your doctors and prescriptions, explain what your Annual Notice of Change means and find a plan that fits your budget before December 7. Have your Medicare card and a list of your prescriptions ready.

Health Insurance Solutions agents are licensed in 22 states and help by phone and online. Marketplace plans cost the same with or without an agent, so the comparison does not add to your premium.

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Common questions

How much is the 2027 Social Security COLA?

3.6 percent, announced by the Social Security Administration on October 14, 2026. SSA says the average retirement benefit rises by about $75 a month beginning in January 2027.

What will the Medicare Part B premium be in 2027?

CMS has not announced it. The 2026 Medicare Trustees Report estimates $209.50 a month, up from $202.90 in 2026. SSA says the 2027 premium amount will be in your mySocial Security Message Center starting in late November.

Who gets the $90 Medicare rebate?

CMS says 20.8 million people in Original Medicare Part B. It lists three conditions: living in the United States, not receiving premium assistance from Medicaid and not paying an income related monthly adjustment amount. People in Medicare Advantage are not eligible.

How do I check on my $90 Medicare rebate?

Call 1-800-MEDICARE (1-800-633-4227) to check eligibility, or Social Security at 1-800-772-1213 to check the status of a payment, starting October 15, 2026.

Are Medicare drug plan premiums going up in 2027?

KFF projects the average stand alone drug plan premium rises 50 percent, from $34 to $51, if current enrollees do not switch plans. CMS projects an increase of less than $1, from $35.09 to $36. KFF also finds no zero premium stand alone plans for people without low income subsidies.

When does Medicare open enrollment end?

December 7, 2026. A plan you pick by then starts January 1, 2027.

Sources

Rules change. Confirm dates and eligibility with your marketplace, your state Medicaid agency or Medicare before you enroll.

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