Medicare Changes for 2027: Premiums, Part D Caps and New Rules Explained
U.S. News & World Report featured Stefanie L. DeMario-Germershausen in its coverage of Medicare changes expected for 2027, including updates affecting premiums, prescription drug costs, eligibility and prior authorization requirements. The article outlines several developments beneficiaries should consider as they review their coverage during the 2026 annual enrollment period.
DeMario-Germershausen emphasizes the importance of reviewing existing coverage rather than allowing a plan to renew automatically, as beneficiaries may encounter changes to costs, formularies and coverage requirements. She also addresses new eligibility restrictions that may affect some lawfully present noncitizens beginning in January 2027, noting that those who could lose Medicare coverage should begin considering alternatives.
The coverage also highlights changes to prior authorization. DeMario-Germershausen explains that denials under a Medicare pilot program involving artificial intelligence must ultimately come from a licensed clinician. She advises beneficiaries to determine whether authorization is required before receiving services, retain denial letters and consider appealing denied coverage rather than treating an initial decision as final.
Angiuli & Gentile LLP continues its work helping individuals and families understand legal and planning issues affecting older adults and their care.
