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HomeMedicare 2026MassachusettsBostonBoston Medicare in 2027: the Part D numbers CMS has set, and the ones still coming

Medicare 2026

Boston Medicare in 2027: the Part D numbers CMS has set, and the ones still coming

BOSTON — Fall 2026 is here, and with it the one window each year when most people with Medicare can change how their coverage works for next year. The Annual Enrollment Period runs October 15 through December 7, 2026, and any choice you make in that window takes effect January 1, 2027.

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What's new for 2027Boston, MA
Video: Eaktas06 Video by Eaktas06 on Pixabay

Key takeaways

  • The Part D out-of-pocket cap rises to **$2,400 in 2027**, up from $2,100 in 2026, and the Part D maximum deductible rises to **$700** from $615.
  • CMS has not yet published the 2027 Part B standard premium, deductible, or IRMAA brackets; those typically come out in November.
  • If you do nothing by Dec. 7, 2026, your current plan simply renews for 2027 if it is still offered — read your Annual Notice of Change to see what shifted.
  • Boston is in Suffolk County, where **52 Medicare Advantage plans from 11 carriers** are offered for 2026; the 2027 lineup includes some plans not returning, some new ones, and a few renamed.

CMS has already locked in some of the 2027 numbers that matter most for prescription drug coverage. Others — notably the Part B premium and the IRMAA income brackets — will not be official until later this fall. Here is what Boston residents can weigh now, and what to wait on.

What CMS has already confirmed for 2027

Three Part D numbers are set in stone for next year:

The coverage gap — the old "donut hole" — remains gone. Part D in 2027 still has three phases: deductible, initial coverage, and catastrophic (where you hit the cap). The optional Medicare Prescription Payment Plan, which lets you spread drug costs across the year in monthly bills instead of paying at the pharmacy counter, continues to be available.

What CMS has not announced yet

Two big pieces are still outstanding as of this writing:

For context only: in 2026, IRMAA surcharges begin above $109,000 in income for a single filer. The 2027 thresholds will shift, but we will not know by how much until CMS says so. Please don't rely on projections you may see online — wait for the official CMS announcement.

The Annual Notice of Change: your most important mail this fall

If you are already in a Medicare Advantage or Part D plan, your insurer must send you an Annual Notice of Change (ANOC) by the end of September. It spells out exactly how your plan is changing for 2027 — premium, deductible, copays, drug formulary, provider network, extra benefits, and whether the plan is being renamed, consolidated, or discontinued.

Read it. Compare the "2026" column to the "2027" column line by line. If something you rely on — a specific medication, a specialist, a dental benefit — has moved, that is your signal to shop during AEP.

If your plan is not being offered in 2027, your insurer will send a separate non-renewal notice and you will get a Special Enrollment Period to pick a new plan.

How Boston's local plan picture is moving

Boston is in Suffolk County, where the 2026 CMS Landscape file shows 52 Medicare Advantage plans offered by 11 carriers, all of them with drug coverage included. There are no stand-alone Part D plans listed for the county this year, which matters mainly for people on Original Medicare who want drug coverage — in that situation it is worth calling 1-800-MEDICARE or SHINE (the Massachusetts SHIP) to understand your options.

Across the Suffolk County lineup, the plan mix includes HMO, HMO-POS, and PPO options, along with 16 Special Needs Plans for people who qualify (for example, dual-eligibles with both Medicare and MassHealth). The carriers currently offering MA-PD plans in the area include Aetna (CVS Health), Blue Cross Blue Shield of Massachusetts, Commonwealth Care Alliance, eternalHealth, Fallon Health, Humana, Mass General Brigham Health Plan, Molina Healthcare of Massachusetts, Tufts Health Plan, and UnitedHealthcare. The table below lists every plan offered in the county.

For 2027, CMS data shows the Suffolk County lineup includes some turnover: 14 plans are not returning, 12 are new, and 3 have been renamed. We can tell you that change exists — your ANOC will tell you specifically whether yours is one of them.

What a Boston resident should do between now and Dec. 7

By the numbers

Medicare Part B premium, 2006–2026

The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.

$0$50$100$150$200200820122016202020242026

Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.

By the numbers

How people get Medicare in Suffolk County

42% are on Medicare Advantage
(MA penetration in Suffolk County)
42%
58%
Medicare Advantage Medicare Supplement (Medigap) Original Medicare only
U.S. average

MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.

Key dates

Medicare enrollment periods at a glance

  • Around your 65thInitial Enrollment PeriodA 7-month window around the month you turn 65 — your first chance to sign up.
  • October 15 – December 7Annual Enrollment PeriodAnyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan.
  • January 1 – March 31Medicare Advantage Open EnrollmentIf you're already in a Medicare Advantage plan, you can make one change.
  • January 1 – March 31General Enrollment PeriodFor people who missed their first chance to sign up for Part B.
  • VariesSpecial Enrollment PeriodTriggered by life events like moving or losing other coverage.

Dates are set by Medicare and apply nationwide. Confirm your personal windows at Medicare.gov or 1-800-MEDICARE.

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Medicare Advantage companies in Suffolk County

By local enrollment size · informational, not a ranking
CompanyLocal enrollmentPlans offeredLocal agentsAction
UnitedHealthcareNational—Yes
Point32health IncRegional—Yes
CaresourceRegional—Yes
Blue Cross and Blue Shield of Massachusetts IncRegional—Yes
Aetna (CVS Health)National—Yes
Molina Healthcare IncRegional—Yes
Enrollment data: CMS Medicare Advantage enrollment by company (county level). Figures shown are illustrative sample data pending the current CMS file. Listed by enrollment size, largest first — this is not a ranking, recommendation, or endorsement of any company or plan.

Provided by licensed insurance partners; MyMedicarePlans.org may be compensated. Not a ranking or endorsement of any plan.

Explore

When can you enroll? An interactive year

JFMAMJJASOND
October 15 – December 7 — anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.

Explore

The parts of Medicare

Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people pay no premium for Part A.

Good to know

Frequently asked questions

When exactly can I change my Medicare coverage for 2027?
The Annual Enrollment Period runs October 15 through December 7, 2026. Changes you make in that window take effect January 1, 2027. If you are in a Medicare Advantage plan, there is also a Medicare Advantage Open Enrollment Period from January 1 to March 31, 2027, when you can switch to a different Advantage plan or back to Original Medicare one time.
What is the Part D out-of-pocket cap in 2027?
$2,400. That is up from $2,100 in 2026. Once your out-of-pocket spending on covered Part D drugs reaches $2,400 in the calendar year, you pay nothing for covered drugs for the rest of 2027.
Why doesn't this article tell me the 2027 Part B premium?
Because CMS has not announced it yet. The 2027 Part B standard premium, deductible, and IRMAA income brackets are typically published in November. We are not going to estimate or quote a projection — the official numbers are the only ones you should plan around.
What happens if I don't do anything during AEP?
If your current plan is being offered again in 2027, you stay in it automatically with the changes listed in your Annual Notice of Change. If your plan is being discontinued, your insurer must notify you, and you will have a Special Enrollment Period to choose a new plan. ## Where to get personalized help For questions about your specific situation, use the sources that are free, official, and unbiased: **medicare.gov** — the Plan Finder tool lets you compare 2027 plans with your own drug list once it opens for AEP. **1-800-MEDICARE** (1-800-633-4227), available 24 hours a day, 7 days a week. **SHINE** — Massachusetts' State Health Insurance Assistance Program (SHIP), which offers free one-on-one counseling for Medicare beneficiaries. You can reach SHINE through MassOptions at 1-800-243-4636.
Sources & further reading
  • CMS — Medicare Part D program rules (medicare.gov)
  • CMS — Medicare enrollment periods (medicare.gov)
  • CMS — MA/Part D Landscape & Plan Finder data

For personalized answers, contact Medicare.gov, 1-800-MEDICARE, or your local SHIP.

Also for Boston

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This page was last updated: October 2026.

Medicare plans in your area changing for 2027 — check yoursCall