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Last Updated on April 15, 2025

Medicare Advantage Payments to Rise in 2026 — What It Means for You

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The Centers for Medicare & Medicaid Services (CMS) have finalized their payment policies for 2026, and the results are clear: Medicare Advantage plans will see a 7.2% increase in payments, amounting to an additional $35 billion in funding.

At Medicare Advisors, we are proud to be recognized as New Jersey’s top Medicare insurance broker, and we’re here to help you make sense of what these changes mean for your health coverage.

What’s Driving the Increase?

  • A 9.0% increase due to rising per-person spending in Traditional Medicare.
  • An added 2.1% resulting from more intensive diagnosis coding documentation in Medicare Advantage.

These increases are slightly offset by policy adjustments to the risk model and other technical factors, but the overall trend remains positive for Medicare Advantage enrollees.

What Does This Mean for You?

With more money flowing into Medicare Advantage, 2026 is shaping up to offer better benefits, more choices, and stronger coverage options.

Let Medicare Advisors help you take advantage of the upcoming changes. Contact us today for a free consultation and explore the best 2026 plan options tailored to your needs.

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