Nobody enjoys hearing that costs are going up—especially when it comes to something as essential as health insurance. Unfortunately, 2026 is shaping up to be a year where many Americans will feel that pinch. Whether you’re on Medicare or covered through a private plan, premiums are projected to rise more than usual.
But here’s the good news: with the right planning, you can stay ahead of these changes and protect your financial goals.
What’s Happening with Medicare
If you’re enrolled in Medicare, you’ll likely notice higher costs next year. Medicare Part B (which covers things like doctor visits and outpatient care) is projected to increase to about $206.50 per month in 2026—an 11% jump.
Prescription drug coverage under Medicare Part D is also expected to rise, with the average monthly premium moving to around $39.
High-income households may also face additional surcharges, though the exact thresholds for 2026 will be finalized later this year.
What About Private Health Insurance?
For those under 65 or covered by an employer plan, premiums are also expected to rise. On average, Affordable Care Act (ACA) marketplace plans may see an increase of nearly 18%—and in some cases, even higher.
Even if you’re covered through work, higher costs often show up in other ways—like reduced benefits or higher deductibles.
Why Costs Are Going Up
Several factors are driving these increases:
- Higher demand for care. As the population ages, more people need more frequent medical services.
- New, expensive treatments. Breakthrough medications and therapies add pressure to insurance costs.
- Policy changes. Special tax credits that helped many families afford insurance are set to expire at the end of 2025, which will raise costs for millions of households.
What You Can Do
The reality is, premiums may rise no matter which plan you have. But here’s the advantage—you can plan ahead.
This is a good time to:
- Review your current health insurance coverage.
- Explore whether you qualify for cost-saving options.
- Factor higher healthcare costs into your broader financial plan.
By taking steps now, you’ll avoid surprises later and keep your long-term financial goals on track.
Let’s Plan Together
At Pantheon Wealth Planning, we help clients prepare for changes like these so they don’t derail your financial journey. If you’re concerned about rising health insurance premiums in 2026, let’s talk through your options and create a strategy that fits your life and legacy.