Traditional MedicareCoverageHigh impact
2025-11-20 - 2026 Medicare Parts A & B Premiums and Deductibles
Medicare/CMS·Coverage
Effective date
Jan 1, 2026
We identified it
Jan 12, 2026
Summary
Medicare Part A and B deductibles, coinsurance amounts, and premiums are increasing for 2026. Part A hospital deductible increases to $1,736 (+$60), Part B annual deductible increases to $283 (+$26), and various daily coinsurance rates for hospital stays and skilled nursing facilities are also rising.
Action Required
By January 1, 2026: Billing team must update patient financial responsibility calculations in billing system to reflect new Medicare deductibles and coinsurance amounts. Update Part A hospital deductible to $1,736, Part B annual deductible to $283, hospital daily coinsurance to $434 (days 61-90) and $868 (lifetime reserve days), and skilled nursing daily coinsurance to $217 (days 21-100). Front desk staff must inform patients of increased out-of-pocket costs during scheduling.