COLA Ledger

An independent reference — not affiliated with the Social Security Administration. Every figure traced to the government publication that produced it.

When the Medicare premium is announced, and the gap it leaves

Two numbers decide what lands in a January payment. They come from two different agencies on two different schedules, and until both are public the arithmetic is deliberately incomplete.

CMS release dates for the 2018 to 2026 premiums

27 September – 17 November

The earliest in the calendar year was the 2023 premium, released 27 September 2022, and the last the 2018 premium, released 17 November 2017. This page records the dates; it does not predict a future one.

Adjustment announced
with September CPIscheduled 14 October 2026 for 2027
Premium announced
27 September – 17 NovemberCMS, 2018 to 2026 premiums
First payment affected
January 2027
Open enrolment
15 Oct – 7 Decstraddles both

CMS’s release dates, year by year

Each date is the one CMS states in its own release (“On November 14, 2025, the Centers for Medicare & Medicaid Services (CMS) released the 2026 premiums”), and each premium in the release matches the Federal Register notice to the cent. The notice goes on public inspection before it is published; in all 9 of these years that was the same day as CMS’s release.

When CMS released each Part B premium, 2018 to 2026, and when the Federal Register notice followed
Premium forCMS releasedNotice on public inspectionNotice publishedStandard premium
202614 November 202514 November 202519 November 2025 5 days after$202.90
20258 November 20248 November 202414 November 2024 6 days after$185.00
202412 October 202312 October 202317 October 2023 5 days after$174.70
202327 September 202227 September 202229 September 2022 2 days after$164.90
202212 November 202112 November 202117 November 2021 5 days after$170.10
20216 November 20206 November 202012 November 2020 6 days after$148.50
20208 November 20198 November 201913 November 2019 5 days after$144.60
201912 October 201812 October 201817 October 2018 5 days after$135.50
201817 November 201717 November 201721 November 2017 4 days after$134.00

In 6 of the 9 years the premium was released after Medicare’s annual enrolment period had opened on 15 October (2018, 2020, 2021, 2022, 2025, 2026).

What can be computed, and when

What is known when, in the run-up to a January payment
WhenWhat is publishedWhat can be computed
Through the summerMonthly Consumer Price Index releasesA projection of the adjustment, with the assumption stated
The morning the September CPI-W is published, in OctoberSeptember index, then the adjustment and programme parametersThe gross benefit for the coming year, exactly
Whenever CMS releases the premium (27 September to 17 November in 2018–2026)Part B premium, deductible and income-related bracketsThe premium side of the net payment, exactly
Once both are outNothing further is neededThe net payment, exactly. Before then, a net figure would require guessing, and this site does not
January—The first payment carrying both changes

Why the gap is uncomfortable

The adjustment is the headline and the premium is the thing that decides how much of it survives. In 2026 the 2.8% adjustment added +$56 a month to a $2,000 benefit; the standard premium’s increase of $17.90 took 31.96% of it back. Between the two announcements, one of those numbers is public and the other is not.

That is also the window in which most bad estimates get published. A premium figure invented before CMS’s release has no data behind it — the actuarial rate that produces it is not public until CMS publishes it.

What this site does in that window

Until CMS publishes the premium, the per-amount pages render the coming year’s gross benefit with its basis printed alongside it, say that no premium for that year is used, and show the net for the year in progress for comparison. The premium is never estimated. When CMS releases it, the figure goes up only once two official sources agree — CMS’s release and the Federal Register notice — or, if the notice is late, on CMS’s release alone with “Federal Register notice pending” printed beside it everywhere it appears. The net figure follows as soon as both the adjustment and the premium are public.

Where the numbers come from

Every premium, deductible and bracket table on this site’s year pages is read from the annual Federal Register notice — the legally operative text — retrieved from federalregister.gov. CMS’s own newsroom release is read as a second source: for the date each premium was announced, and as an independent reading the notice must match to the cent, which it did in all 9 years above. Neither is ever read from a PDF: PDF mirrors of CMS fact sheets have been observed to parse into plausible, well-formed and entirely wrong tables carrying figures from an earlier year. A wrong table that parses cleanly is worse than one that fails.

22 years of Part B premiums are published here, each with its own notice. The full series.

The 2027 adjustment itself is decided by the September 2026 CPI-W. Projection based on July and August 2026 CPI-W, two of the three third-quarter months that decide the 2027 COLA. September 2026 CPI-W is scheduled for release at 08:30 ET on Wednesday 14 October 2026. The projection, with each assumption stated.

Common questions

When will the 2027 Medicare Part B premium be announced?

CMS does not announce it on a fixed date. It released the 2018 to 2026 premiums, with the deductible and the income-related brackets, on dates from 27 September (the 2023 premium) to 17 November (the 2018 premium), and the Federal Register notice went on public inspection the same day in all 9 years. This site does not predict the date.

Why is it a separate announcement from the COLA?

They are separate determinations by separate agencies on separate data. The adjustment needs the September Consumer Price Index; the premium needs the actuarial rate for the coming year, which is a projection of programme costs. Neither depends on the other, so either can come first: CMS released the 2023 premium on 27 September 2022, before the September index that decides the adjustment is ever published.

Can I estimate my 2027 net payment before CMS publishes the premium?

Not honestly. The gross figure can be projected from published index data with the assumption stated. The premium cannot be projected at all from public data, so a net figure would be a guess wearing a calculation’s clothes. This site publishes gross and says so.

Does the premium announcement change the COLA?

No — except at the very bottom of the benefit range, where the hold-harmless provision caps the premium increase at the beneficiary’s own dollar adjustment. In a near-zero adjustment year that interaction can hold the premium down for most beneficiaries and push it up sharply for the minority not protected.

Related

Sources and freshness

Figures effective 1 January 2026. Page figures last verified against the sources above on 24 September 2026. Corrections: the correction log · support@inventum.com.au