Medicare Cost Cap Act of 2026 aims to protect Medicare beneficiaries from high out-of-pocket costs and enhance programs for low-income beneficiaries.
The Medicare Cost Cap Act of 2026 amends the Social Security Act to introduce a cap on out-of-pocket expenditures for Medicare beneficiaries starting in 2028. It defines "out-of-pocket cost-sharing" to include coinsurance, deductibles, copayments, and other cost-sharing under Medicare Part A and B. If a beneficiary's out-of-pocket costs reach the annual limit, they will not be responsible for additional costs for that year.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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