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I’m receiving extra help with my Part D plan premium and cost sharing through the Low-income Subsidy Program. I received a notice that my current plan will no longer be offered next year. Now what do I do?

Sep 1, 2025

FAQs

If you qualify for the full premium subsidy for your Medicare prescription drug plan, are enrolled in traditional Medicare, and your current prescription drug plan will not be offered next year, you will be automatically reassigned by Medicare to a new prescription drug plan for coverage in the next year. But you won’t be reassigned automatically if your current plan is terminating and you chose your current plan. In that case, you will have to…

Final Prior Authorization Rules Look to Streamline the Process, but Issues Remain

May 2, 2024

Issue Brief

This brief examines the final CMS regulations governing prior authorization in Medicare Advantage, Marketplace, Medicaid, and other plans, how they might address some current consumer concerns, and some issues that remain.

National Health Spending Explorer

Jan 23, 2026

Interactive

The Health Spending Explorer on the Peterson-KFF Health System Tracker helps users examine five decades worth of numbers documenting expenditures by federal and local governments, private insurers, and individuals on 15 categories of health services, including hospitals, physician and clinic care, and prescription drugs.

Poll: Nearly Half of Adults Would Be Interested in Prescription Weight-Loss Drugs, But Enthusiasm Fades Based on Lack of Coverage and Risk of Regaining Weight

Aug 4, 2023

News Release

Nearly half (45%) of the public are at least somewhat interested in taking a prescription weight-loss drug, including many who say they only want to lose a little weight, though many people lose interest when presented with potential financial and medical drawbacks, the latest KFF Health Tracking Poll reveals.The poll gauges the public’s interest in using prescription drugs to lose weight as a relatively new class of drugs, initially approved to treat diabetes, is garnering…

ACA Marketplace Survey Feature Image - Website

Cost Concerns and Coverage Changes: A Follow-Up Survey of ACA Marketplace Enrollees

Mar 19, 2026

Poll Finding

This KFF survey is a follow-up survey of adults who had ACA Marketplace insurance in 2025. The survey examines the cost concerns and coverage changes that these 2025 Marketplace enrollees are experiencing following the expiration of the enhanced premium tax credits. The survey finds that half of returning enrollees say their health care costs are “a lot higher” and most expect to cut back on basic household expenses to afford coverage.

What are the Consequences of Health Care Debt Among Older Adults?

Jul 26, 2024

Issue Brief

Health care debt is a widespread problem in the United States. Medicare offers coverage for a range of health care services, including hospitalizations, physician visits, prescription drugs, and post-acute care, but Medicare beneficiaries generally pay out-of-pocket for their monthly premiums and deductibles, cost-sharing for Medicare-covered services, and the cost of services not covered by Medicare. This data note examines findings from the KFF Health Care Debt Survey to assess the prevalence, sources and consequences of…

I am age 60 and have been receiving Social Security disability insurance (SSDI) payments for two years. My Medicare coverage just started and I would like to get a Medicare supplement insurance policy....

Sep 1, 2025

FAQs

It depends on the state where you live. Some states require insurance companies to sell Medigap supplement policies to people under age 65, but not all states do. Insurance companies may still voluntarily sell Medigap policies to people under age 65, even in states that do not require insurance companies to sell Medigap policies to people under age 65. However, premiums may be much higher than premiums for people ages 65 and older. If you…

How Medicare Pays Medicare Advantage Plans: Issues and Policy Options

Nov 20, 2025

Issue Brief

This brief explains how Medicare Advantage payments are determined and provides an overview of policy options to change the Medicare Advantage payment system.

Explaining Cost-Sharing Reductions and Silver Loading in ACA Marketplaces

Jun 26, 2025

Policy Watch

The House of Representatives recently passed a budget reconciliation bill that would appropriate funding for cost-sharing reductions that insurers are required to provide to low-income enrollees in the Affordable Care Act marketplace. This policy watch explains what these cost-sharing reductions are, how they relate to federal spending, and what effect appropriating funding might have on premiums and the uninsured rate.

Health Costs Consume a Large Portion of Income for Millions of People with Medicare

Aug 21, 2025

Issue Brief

To document the affordability challenges posed by out-of-pocket health care costs for people with Medicare, this brief analyzes out-of-pocket health care costs as a share of Social Security income and total income, including other sources of income in addition to Social Security.

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