Navigating Medicare changes: What you need to know about the new deductible

Medicare is meant to offer security and peace of mind, but what happens when the rules suddenly change?

Many seniors carefully budget their healthcare costs, expecting stability in their Medicare plans—only to be caught off guard by unexpected shifts.

A new deductible introduced by a major Medicare provider has left many policyholders questioning what this means for their coverage and finances.


If you rely on Medicare Advantage, it’s essential to stay informed and prepared. Let’s break down what’s happening and how it could impact you.

Being aware of these changes can help you make the best decisions for your healthcare and financial well-being.


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Understanding the changes in Medicare Advantage: What you need to know. Image Source: Pexels / Photo By: Kaboompics.com.

The Deductible Dilemma​


The latest concern in the Medicare community centers around a significant change to Cigna’s True Choice Plus Medicare PPO plan. As of 2025, this plan now includes a $500 deductible—a sharp contrast from the previous $0 deductible.

Understandably, this has left many seniors wondering how much more they’ll have to pay out-of-pocket before their insurance starts covering costs.


Why This Matters​


If you're on Medicare Advantage, knowing exactly how your plan works is crucial.

While Cigna’s monthly premium increase was relatively small, this new deductible could make a big difference in how much you spend on healthcare—especially if you're on a fixed income.


Expert Insights​


To help you navigate this change, here’s what experts say about what’s driving these adjustments and what to expect moving forward.

  • Chris Fong, CEO of Smile Insurance Group, suggests this shift may be linked to broader policy changes, such as the Inflation Reduction Act, and warns that even bigger changes could be coming in 2026.
  • Alex Beene, financial literacy instructor, explains that rising medical costs are pushing insurers to restructure their plans, meaning more out-of-pocket expenses for customers.
  • Kevin Thompson, founder and CEO of 9i Capital Group, notes that inflation and increasing healthcare costs are leading to higher deductibles, a trend that’s unlikely to reverse.
  • Michael Ryan, founder of MichaelRyanMoney.com, cautions retirees to review their plans carefully—what seems like a minor premium adjustment may come with hidden costs that can catch you off guard.


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Experts weigh in on the latest changes and what they mean for you. Image Source: Pexels / Andrea Piacquadio.

What You Can Do Next​


Before you make any decisions, take a step back and assess your healthcare needs. If you visit doctors frequently, you might reach the deductible quickly, making it less of a financial burden.

However, it’s critical to understand what counts toward your deductible and what doesn’t. Comparing your options now can help you avoid surprises down the road.


This new deductible isn’t just a one-off change—it reflects a broader trend in Medicare Advantage plans.

As insurance providers try to keep premiums competitive, more costs may be shifted onto policyholders through deductibles and copays. Keeping an eye on these changes will help you stay in control of your healthcare budget.


Source: YouTube / Medicare 365


Key Takeaways

  • A new $500 deductible for a specific Cigna Medicare Advantage plan has been introduced this year, causing confusion and concern among patients.
  • The deductible applies to the True Choice Plus Medicare PPO plan and marks a significant change from the previous $0 deductible, despite minimal increases in the monthly premium.
  • Experts have suggested that this could be part of a broader trend where Medicare Advantage plans are shifting more costs onto consumers, with further changes expected in future years.
  • While the Inflation Reduction Act has capped prices on certain drugs and lowered Medicare premiums, insurers are responding by introducing new costs, such as deductibles, which could lead to higher out-of-pocket expenses for patients.

Here at The GrayVine, we’re here to help you stay informed and prepared. Have you been affected by unexpected changes to your Medicare plan? Do you have advice for others navigating these shifts? Leave a like and share your thoughts and experiences in the comments below!

Also read: Is your state one of the hardest hit? Find out if you’re paying too much for Medicare in 2025!
 

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