Medicare’s 2026 Cost Jump Strains Social Security Budgets

  For retirees on Social Security, one of the biggest expenses they face annually is healthcare. And the tough thing is that healthcare costs can be unavoidable to a large degree. If you need a hospital stay or certain medications,…

Published March 7, 2026, 7:49am ET · 3 min read

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For retirees on Social Security, one of the biggest expenses they face annually is healthcare. And the tough thing is that healthcare costs can be unavoidable to a large degree.

If you need a hospital stay or certain medications, you can’t easily say “no thanks.” So it’s important to budget for medical costs, especially if you get most or all of your retirement income from Social Security.

But in recent years, Social Security recipients have been clobbered by increasing healthcare costs. And this year is no exception.

Right now, Medicare premium hikes are hurting retirees left and right. And it’s not a problem that’s likely to go away anytime soon.

Medicare’s huge premium hike is battering retirees

Most Medicare enrollees do not pay a premium for Part A, which covers hospital care. But there’s a monthly premium to pay for Part B, which covers outpatient care.

This year, the standard monthly Part B premium rose from $185 to $202.90. And that $17.90 increase is hitting a lot of seniors hard.

In 2026, Social Security benefits got a 2.8% cost-of-living adjustment (COLA). For the average recipient, that should’ve amounted to an extra $56 per month.

But because the cost of Medicare Part B rose so drastically, Social Security recipients are basically losing one-third of their COLA to those premium hikes alone.

And it’s not just Medicare premiums that are more expensive this year. The annual deductible for Medicare Part B rose from $257 in 2025 to $283 in 2026.

That may not seem like such a big deal. But remember, on top of premium hikes and higher deductibles, many seniors on Social Security may be looking at larger healthcare bills based on changes to their specific Medicare Advantage or Part D drug plans. And again, a lot of those costs may be non-negotiable.

Don’t be too reliant on Social Security

Because healthcare costs, including Medicare, have a tendency to rise from year to year, it’s best to have income outside of Social Security to pay for them.

The reality is that healthcare cost increases tend to outpace the program’s annual COLAs. So the best way to keep up is to have other income to rely on.

That income could come from savings, a part-time job, or something else. But it’s important to recognize that when it comes to rising healthcare costs, Social Security tends to do a poor job of keeping up.

Keep your Medicare costs down

Just as it’s important to have non-Social Security income at your disposal, it’s also important to lower your Medicare costs if you can.

The cost of Part B may not be negotiable. But you can shop around for a new Part D or Medicare Advantage plan every year during open enrollment. Switching plans as your needs change, or as plan costs change, is a good way to limit your health-related spending.

Also, don’t discount the financial benefit of taking good care of your health. A physician-approved diet and exercise routine could help you avoid costly treatments that eat heavily into your retirement income and cause you a world of stress.

Contact [email protected] for any questions or corrections.

Maurie Backman

Maurie Backman has more than a decade of experience writing about financial topics, including retirement, investing, Social Security, and real estate. Her work has appeared on sites that include The Motley Fool, USA Today, U.S. News & World Report, and Kiplinger.

Prior to becoming a full-time financial writer, Maurie worked in the financial industry trading distressed debt. She then changed course and spent a few years designing electronic toys. After a stint in content marketing and UX, she shifted back into writing and has since covered everything from the housing market to estate planning to Medicare.

When she's not busy writing, Maurie can be found hiking, walking her dogs, driving her kids to their various sports practices and games, and curling up with a good book. She cooks on occasion and bakes way too often.

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