Navigating Health Insurance Options

Changes for 2026-2027

MSAA’s patient-centric roadmap and action guide for the multiple sclerosis community.

Key Dates at a Glance

December 7, 2026

Medicare Open Enrollment ends.

December 31, 2026

Refill prescriptions and finish scheduled care.

January 1, 2027

Medicaid 80-Hour Work Mandate begins;

$2,400 Part D out-of-pocket cap starts.

Explore the Guide

Medicaid Changes →

6-month renewals, address updates, immigration rules, and the “Medical Frailty” exemption

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Medicare Changes →

$2,400 drug cap, prior authorization, and therapy maintenance rights

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Tracking Checklist & Resources →

Dated action steps and important websites

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IMPORTANT INFORMATION: This guide provides a summary of upcoming federal changes to Medicaid and Medicare under recent health legislation (including the One Big Beautiful Bill Act). It is designed to help you proactively protect your continuity of care. Always verify exact deadlines and submission rules with your specific state agency, caseworker, or Medicare Plan Finder tool. Medical Disclaimer: This is for informational purposes only. For medical advice, diagnosis, or clinical exceptions, consult your physician or specialist.

Last Updated: November 13, 2026