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Medicare Open Enrollment Insights for Procter & Gamble Employees: Key Cost Changes and What You Need to Know

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Healthcare Provider Update: Healthcare Provider for Procter & Gamble Procter & Gamble typically collaborates with a range of health insurance providers to offer coverage to its employees. Although specific details regarding their primary healthcare provider may vary, they often include major insurers like Aetna, UnitedHealthcare, and Blue Cross Blue Shield, which provide comprehensive benefits tailored to their workforce. Potential Healthcare Cost Increases for Procter & Gamble in 2026 As health insurance rates soar, Procter & Gamble employees may face significant increases in their healthcare costs in 2026. With projections indicating that ACA marketplace premiums may rise by more than 60% in some areas, employees relying on these plans could see their out-of-pocket expenses balloon by over 75% if enhanced federal subsidies expire. Contributing factors include heightened medical costs, aggressive rate hikes from major insurers, and the potential loss of financial assistance that currently mitigates premium expenses. This confluence of challenges could substantially strain budgets for many P&G employees seeking health coverage next year. Click here to learn more

Medicare's Open Enrollment Period — which runs from October 15 through December 7 — is your annual opportunity to switch your current Medicare health and prescription drug plans to ones that better suit your needs. Medicare premiums, deductibles, and other costs for 2026 have been announced -- and comparing plans during Open Enrollment remains one of the most important steps a retiree can take to control healthcare costs.


What to consider
Start by reviewing any materials your plan has sent you. Look at the coverage offered, the costs, and the network of providers, which may be different than last year. Maybe your health has changed, or you anticipate needing medical care, or new or pricier prescription drugs. If your current plan doesn't meet your health-care needs or fit your budget, you can make changes. But if you're satisfied with what you currently have, you don't need to do anything. The coverage you have will continue.

During Open Enrollment, you can:

  1. Switch from Original Medicare to a Medicare Advantage Plan

  2. Switch from a Medicare Advantage Plan to Original Medicare

  3. Change from one Medicare Advantage Plan to a different Medicare Advantage Plan

  4. Change from a Medicare Advantage Plan that offers prescription drug coverage to a Medicare Advantage Plan that doesn't offer prescription drug coverage

  5. Switch from a Medicare Advantage Plan that doesn't offer prescription drug coverage to a Medicare Advantage Plan that does offer prescription drug coverage

  6. Join a Medicare prescription drug plan (Part D)

  7. Switch from one Part D plan to another Part D plan

  8. Drop your Part D coverage altogether

Any changes made during Open Enrollment are effective as of January 1, 2026.

Medicare Part B (Medical Insurance) Costs for 2026

Any changes made during Open Enrollment are effective as of January 1, 2026.

Most people with Medicare who receive Social Security benefits will pay the standard monthly Part B premium of $202.90. This premium adjusts annually based on healthcare costs and adjustments in Part B items and services ( Grant Thornton ) ( Kiplinger.com ).

People with higher incomes may pay more than the standard premium. If your modified adjusted gross income (MAGI) as reported on your federal income tax return from two years ago (2024) is above a certain amount, you'll pay the standard premium amount and an Income-Related Monthly Adjustment Amount (IRMAA), which is an extra charge added to your premium, as shown in the following table ( Grant Thornton ) ( Kiplinger.com ).

You filed an individual income tax return with MAGI that was: 

You filed a joint income tax return with MAGI that was:

You filed an income tax return as married filing separately with MAGI that was:

Total monthly premium (2026 rates, for reference) is:

*Total monthly premium (2026 rates, immunosuppressive drug coverage only) is:

 

$103,000 or less $206,000 or less N/A $202.90

$103.00

Above $103,000 up to $129,000

Above $206,000 up to $258,000 N/A $244.60

$171.70

Above $129,000 up to $161,000

Above $258,000 up to $322,000

N/A

$349.40

$274.70

Above $161,000 up to $193,000 Above $193,000 and less than $500,000 N/A $454.20

$377.70

Above $193,000 and less than $500,000 Above $386,000 and less than $750,000 Above $103,000 and less than $397,000 $559.00

$480.70

$500,000 and above $750,000 and above $397,000 and above $594.00

$515.10

 

Additional Information

People with higher incomes may also pay a higher premium for a Medicare Part D prescription drug plan, as an IRMAA will be added to the Part D basic premium based on the same income limits in the table above. The average basic monthly premium (based on current CMS data) is projected to be about $55.50 ( Centers for Medicare & Medicaid Services ) ( Kiplinger.com ) ( Medicare ).

People with Medicare Part B must also satisfy an annual deductible before Original Medicare starts to pay. For 2026, this deductible is $257, up from $240 in 2024 ( Centers for Medicare & Medicaid Services ) ( Kiplinger.com ).

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*This premium applies to a new benefit that extends coverage for immunosuppressive drugs for people who qualify for Medicare coverage due to end-stage renal disease. Prior to 2024, Medicare coverage, including immunosuppressive drug coverage, ended 36 months after a successful kidney transplant. Beginning January 1, 2024, Medicare expanded coverage to pay for immunosuppressive drugs beyond 36 months for people who don't have other health coverage. It does not cover other items or services. Rates shown apply to people who file individual or joint tax returns. Premiums for beneficiaries filing as married filing separately are different ( Centers for Medicare & Medicaid Services ) ( Medicare ).

Medicare Part A (Hospital Insurance) Costs for 2026

  • Part A deductible for inpatient hospitalization:  $1,676 per benefit period (2025; up from $1,632 in 2024).

  • Part A premium for those who need to buy coverage:  Up to $514 per month (up from the prior year rate) — most people don't pay a premium for Medicare Part A.

  • Part A coinsurance:  $408 per day for days 61 through 90, and $816 per 'lifetime reserve day' after day 90, up to a 60-day lifetime maximum (up from prior year rates).

Part A skilled nursing facility coinsurance:  $204 for days 21 through 100 for each benefit period (up from the prior year rate) ( Centers for Medicare & Medicaid Services ) ( Kiplinger.com ).

That same shift from growing assets to drawing them down applies directly to the pension decisions in front of you at Procter & Gamble. Without a traditional pension, your 401(k) - alongside Social Security - forms the foundation of your retirement income at Procter & Gamble. Procter & Gamble may offer a 401(k) employer match - review your Summary Plan Description for current match rate and vesting details. Your overall withdrawal strategy, account sequence, and Roth conversion opportunities leading up to and into retirement deserve careful, personalized analysis given the income-sequencing implications.

On the healthcare side, Procter & Gamble provides continued medical coverage to eligible retirees, which can bridge the gap between retirement and Medicare eligibility at age 65 or serve as a supplement to Medicare thereafter. Confirming the service and age requirements for retiree coverage, and understanding your premium contribution, is an important step in building an accurate healthcare cost projection. Coordinating Procter & Gamble's retiree coverage with Medicare Part B and Part D enrollment timing can also reduce duplication and avoid late-enrollment penalties. Connecting your specific Procter & Gamble benefits situation to a comprehensive retirement income plan - and understanding how each component interacts - gives you the most complete picture of what retirement will look like.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Procter & Gamble offers both a traditional defined benefit pension plan and a defined contribution 401(k) plan. The defined benefit plan includes a cash balance component, providing retirement income based on a formula considering years of service and earnings, with annual interest credits. The 401(k) plan features company matching contributions and a variety of investment options, including target-date funds and mutual funds. P&G also provides financial planning tools and resources to assist employees in managing their retirement savings.
Procter & Gamble grants RSUs that vest over several years, giving employees shares of the company. Stock options are also part of their compensation plan, allowing employees to purchase shares at a set price.
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For more information you can reach the plan administrator for Procter & Gamble at , ; or by calling them at .

*Please see disclaimer for more information

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