Medicare Changes for 2026……..

💰 COST CHANGES TO KNOW

Medicare Part A deductible: Medicare Part A covers inpatient hospital, skilled nursing facility, hospice, inpatient rehabilitation, and some home health care services. 

  • 2026 Deductible: $1,716
  • Increase: $60 more than in 2025
  • What it covers: Hospital stays (first 60 days) 

Medicare Part B deductible: Medicare Part B covers physicians’ services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A.

  • 2026 Deductible: $283
  • Increase: $26 more than in 2025
  • What it covers: Medical services, like doctor visits and outpatient care, after you meet the deductible 

Medicare Part D deductible: Medicare Part D is optional prescription drug coverage offered by private insurance companies that contract with Medicare. It helps pay for brand-name and generic prescription drugs.

  • Maximum 2026 Deductible: $615
  • Increase: From $590 in 2025
  • What it covers: Prescription drugs
  • Note: Some plans may have a lower deductible or no deductible at all. 

 THE GOOD NEWS

💊Prescription Costs Are Dropping

  • New $2,100 yearly cap on out-of-pocket drug costs (Medicare Part D).
  • Some high-cost medications will have lower prices thanks to Medicare negotiations.

💉Vaccines and Insulin Stay Affordable

  • Vaccines like shingles and flu shots are usually free.
  • Insulin will still cost no more than $35/month.

⚠️ WHAT TO WATCH FOR

  • Plans May Change Benefits
    Even if your plan name and price look the same, coverage and extras might change.
  • Extra Perks Might Disappear
    Some plans may reduce or eliminate non-medical extras, such as food or ride programs.
  • Doctor Networks Can Change
    Always check if your doctors and hospitals are still in your plan before re-enrolling.

For answers to your Medicare questions, you can contact official government resources such as 1-800-MEDICARE, the Social Security Administration (SSA), or your local State Health Insurance Assistance Program (SHIP)

Warmest Holiday wishes from all of us at Restorative Pain Medicine Physicians!

From our practice to your home, we wish you a joyful holiday season and a new year filled with good health. Thank you for trusting us with your care!

Happy Thanksgiving!

We are grateful for our patients!

Our office will be closed on Thanksgiving Day, 11/27/25 and Friday, 11/28/25 for our staff to spend time with their families. We will reopen on Monday, December 1, 2025 @ 8:00 am.

“Gratitude is the inward feeling of kindness received. Thankfulness is the natural impulse to express that feeling. Thanksgiving is the following of that impulse.” – Henry Van Dyke

Why Is My Doctor Sending Me To Pain Management?

Are you one of the many individuals wondering, “Why is my doctor sending me to pain management?” If so, you’re not alone. Chronic pain affects millions of Americans, and for many, traditional medical treatments may not provide the relief they desperately seek. 

When your doctor refers you to a pain management clinic, it means that you need a specialist to help you address your specific pain problems. For example, your primary care physician might refer you to a pain management specialist if:

  • Pain interrupts your daily functioning
  • Pain makes it hard to eat, sleep, or bathe
  • Pain affects your mood and judgment
  • Pain causes you mental distress
  • Pain exacerbates other medical conditions (e.g., blood pressure, heart rate, etc.)
  • Pain prevents injury and wound healing

Restorative Pain Physicians operates as an extension of your primary care team. We maintain open lines of communication with your referring physician to ensure a seamless and coordinated approach to your care. This collaboration ensures that your pain management plan aligns with your overall health goals and any other medical treatments you may be undergoing.

Additionally, many insurance plans require your doctor to refer you to a pain management specialist to cover additional treatment. 

Restorative Pain Medicine employs a multidisciplinary approach to pain management, combining various therapeutic modalities to address different aspects of pain. This might include physical therapy, medication management, interventional procedures, and psychological support. Interventional procedures involve the use of minimally invasive techniques to target and treat the source of pain directly. Whether it’s nerve blocks, epidural injections, or radiofrequency ablation. Pain management specialists will usually attempt non-invasive, non-surgical pain management techniques before performing an invasive surgical procedure.

By integrating these approaches, Restorative Pain Medicine Physicians aims to provide comprehensive care that goes beyond merely alleviating symptoms, focusing on improving overall function and quality of life. We believe that informed patients are empowered patients. That’s why we prioritize patient education as a cornerstone of our approach. Understanding the nature of your pain, the available treatment options, and the importance of self-care empowers you to actively participate in your pain management journey. Our team takes the time to explain each aspect of your treatment plan, ensuring you have the knowledge and tools to make informed decisions about your health. At Restorative Pain Medicine Physicians, our mission is not just to relieve pain but to empower you on your journey to lasting relief.