Medicare Part B Cost in 2027: Projected at $209.50 a Month, and What Utahns Should Check Before Dec 7
The Medicare Part B cost in 2027 is projected at $209.50 a month, up $6.60 from $202.90 this year, according to the 2026 Medicare Trustees Report. That's $79.20 more over a full year, and Medicare's annual enrollment period ends December 7.
If you're one of the 484,788 Utahns on Medicare (CMS, February 2026), this is the stretch where small checks save real money. Plans change every January. Your drug might have moved to a different tier. Your doctor might have left a network. And the deadline doesn't move.
Here's what's confirmed, what's still a projection, and what to check before December 7. We're an independent agency in Farr West and Heber Valley, so this is a plain-English rundown, not a plan pitch.
What Will the Medicare Part B Cost Be in 2027?
The 2027 Part B premium is projected at $209.50 a month, but it isn't final. CMS usually announces the official number in late October or early November, so treat these as the Trustees' estimates until then.
- Part B premium: $202.90 in 2026, projected $209.50 in 2027 (up $6.60)
- Part B deductible: $283 in 2026, projected $292 in 2027 (up $9)
- Part D out-of-pocket cap: $2,100 in 2026, $2,400 in 2027 (set)
- Part D maximum deductible: $615 in 2026, up to $700 in 2027 (set)
The Part B numbers come from the Trustees Report. The Part D numbers are already set, per Kiplinger's 2027 Medicare rundown. If your income is higher, you may also pay an income-related monthly adjustment (IRMAA). For 2027, IRMAA is based on the income on your 2025 tax return.
This increase reaches you whichever way you're enrolled. Medicare Advantage members generally still pay the Part B premium, so the projected bump applies to Original Medicare and Medicare Advantage enrollees alike.
When Is Medicare Open Enrollment, and What Can You Change?
Medicare's annual enrollment period runs October 15 to December 7, 2026, and every change you make takes effect January 1, 2027. In that window you can switch between Original Medicare and a Medicare Advantage plan, move to a different Medicare Advantage plan, or join, drop or change a Part D drug plan.
Already on Medicare Advantage? You get a second shot. From January 1 to March 31, 2027, you can make one change: to another Medicare Advantage plan, or back to Original Medicare. Changes start the month after you submit them.
The core tradeoff hasn't changed. Original Medicare lets you see any doctor or hospital that accepts Medicare, usually paired with a separate drug plan and an optional Medigap policy. Medicare Advantage bundles your coverage into one plan with a provider network and its own out-of-pocket limit. Neither one is wrong. The right fit depends on your doctors, your prescriptions, and how much cost risk you can carry.
That second window matters here in Utah. As of February 2026, 55% of the state's Medicare population was enrolled in Medicare Advantage (CMS), and the average Utah beneficiary could choose from 25 Medicare Advantage plans in 2026 (KFF). More plans means more to compare.
If your plan is leaving the market, the non-renewal notice may open a special enrollment period. Call 1-800-MEDICARE or ask us to confirm what applies to you.
What Changes in Part D Drug Coverage for 2027?
Part D's out-of-pocket cap rises to $2,400 in 2027, up $300 from $2,100, and no plan can charge a deductible above $700. Your actual premium and copays still depend on the plan you pick.
Here's the other thing: the federal premium stabilization program, which lowered 2026 premiums by an estimated $16 per person, isn't being extended, according to Kiplinger's reporting on CMS's July announcement. How much your premium moves is plan-specific, so your Annual Notice of Change is the document to read.
Choices are thinning out too. The average Medicare beneficiary nationally could pick from 11 stand-alone drug plans in 2026, down from an average of 30 five years earlier (Kiplinger). Utah had 10 stand-alone Part D plans for sale in 2026 (CMS, via HealthInsurance.org).
There's a bright spot. Negotiated Medicare prices for 15 drugs start in 2027. A 30-day supply of Ozempic, Rybelsus or Wegovy is set at $274, compared with $959 in 2024 (Kiplinger). Your plan's terms still decide what you pay at the counter, so check every prescription against the 2027 formulary and confirm your pharmacy is in network.
Who Gets the $90 Part B Rebate, and Does It Cover the 2027 Increase?
The $90 rebate is a one-time payment for people on Original Medicare Part B who don't pay IRMAA and don't get Medicaid help with their premium. It doesn't cover the 2027 increase. The projected $6.60 monthly bump adds up to $79.20 over a year, so the rebate lines up with roughly one year of it, but it's a single payment and the premium stays higher.
Payments started around October 8 by direct deposit, with paper checks going out later in October. There's nothing to apply for. Medicare Advantage members don't qualify, and in Utah that's more than half of everyone on Medicare.
One warning. Medicare and Social Security will never ask for your bank information to claim the rebate. If someone does, hang up. To check on your payment, call 1-800-MEDICARE (1-800-633-4227).
What Does Missing a Medicare Deadline Cost?
Missing your initial Part B window adds 10% to your premium for each full 12-month period you could have signed up, and that penalty generally lasts as long as you have Part B (Medicare.gov). On the projected $209.50 premium, a single 10% penalty is $20.95 a month.
Part D works differently. The penalty is 1% of the national base beneficiary premium, which was $38.99 in 2026, for each month you went without drug coverage. That's about 39 cents per month of delay, and it's added for as long as you have a drug plan, even if you switch plans.
If you're turning 65, the clock starts earlier than most people expect. Your federal Medigap guaranteed-issue window is six months long and starts when you're 65 and enrolled in Part B (HealthInsurance.org). Outside it, federal rules don't give you a yearly Medigap enrollment period, which is why Utah's HB 258, covered below, is worth knowing about.
Where Can You Get Free Medicare Help in Utah?
Utah's Senior Health Insurance Program (SHIP) offers free one-on-one Medicare counseling in every Utah county. It's run by the Utah Insurance Department's Health Division with the Division of Aging and Adult Services. You can reach the Utah Insurance Department at (800) 439-3805, or call 1-800-MEDICARE.
Already have a Medigap plan? Utah's HB 258, effective May 7, 2025, gives Medigap enrollees a window every year, starting on their birthday and lasting 60 days, to switch to a comparable or lower-tier plan from the same insurer without medical underwriting. The bill doesn't define "comparable," so ask before you switch.
What Should You Check Before December 7?
Five checks cover most of what goes wrong at open enrollment, and each one takes minutes. Start with the Annual Notice of Change your plan sends each fall, since it spells out what's different next year.
- Your Annual Notice of Change: premium, deductible, copays and any benefit cuts for 2027
- Every prescription against the plan's 2027 formulary, including tier and any prior authorization
- Your doctors, hospital and pharmacy against the plan's network
- The plan's out-of-pocket limit, if you're on Medicare Advantage
- Total yearly cost across plans on Medicare Plan Finder, with premium, copays and drugs added up
Plans can change their drug lists and networks every January, and a drug that was covered this year can land on a higher tier or drop off entirely. Catching that in November costs nothing. Catching it in February can mean waiting until the next window, or burning your one Medicare Advantage change on a fix.
Frequently Asked Questions
How much will Medicare Part B cost in 2027?
Part B is projected to cost $209.50 a month in 2027, up $6.60 from $202.90 in 2026, per the 2026 Medicare Trustees Report. The official figure is expected from CMS in late October or early November.
When does Medicare open enrollment end in 2026?
Medicare's annual enrollment period ends December 7, 2026. Changes you make during the window take effect January 1, 2027.
Can I change my Medicare Advantage plan after December 7?
Yes, if you're already enrolled in Medicare Advantage. From January 1 to March 31, 2027, you can make one change, either to another Medicare Advantage plan or back to Original Medicare.
Did everyone on Medicare get the $90 Part B rebate?
No. The one-time $90 rebate goes to people on Original Medicare Part B who don't pay IRMAA and don't get Medicaid help with their Part B premium. Medicare Advantage members and people with Part A only aren't eligible.
What is the Medicare Part D out-of-pocket cap for 2027?
The Part D out-of-pocket cap is $2,400 in 2027, up from $2,100 in 2026. The maximum Part D deductible is $700.
The Bottom Line
The Medicare Part B cost in 2027 is projected at $209.50 a month, but the number that matters most before December 7 is your own. Run the five checks above, compare your total yearly cost, and make your move by the deadline.
That's it. It takes an afternoon, and it can save you a year of surprises.
Want a second set of eyes on your options before December 7? Call The Insurance Center at (801) 622-2626 or visit us in Farr West or Heber Valley.
We do not offer every plan available in your area. Currently we represent [INSERT NUMBER] organizations which offer [INSERT NUMBER] products in your area. Please contact 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
Sources
- Kiplinger: Medicare 2027 projections (Part B premium and deductible, from the 2026 Medicare Trustees Report)
- Kiplinger: Changes coming to Medicare in 2027 (Part D cap and deductible, drug pricing, plan counts)
- Kiplinger: Who qualifies for the $90 Part B rebate
- Medicare Rights Center: Medicare enrollment dates at a glance
- Medicare.gov: Avoid late enrollment penalties
- HealthInsurance.org: Medicare in Utah (CMS enrollment data, KFF plan counts)
- Utah Insurance Department: Seniors and SHIP
- Utah Legislature: HB 258 (2025), Medicare supplement open enrollment
About the Author: Jett Iverson is the Director of Marketing at The Insurance Center, an independent insurance agency serving Northern Utah since 1995. He works alongside licensed agents to help Utah families and businesses understand their coverage options and make confident insurance decisions.
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