In some cases, these changes work out in people's favor (like Social Security's cost-of-living adjustment). Beginning in 2026, a few Medicare changes are likely to fall into the latter category. Medicare recipients will pay more out-of-pocketPaying into the Medicare system doesn't guarantee free health insurance in retirement; it comes with deductibles and premiums like standard health insurance. Medicare is cutting back on a popular serviceTelehealth services surged in popularity during the COVID-19 pandemic, and Medicare loosened its requirements. If you're using telehealth for services like kidney disease care, drug abuse treatment, or behavioral health services, you're still covered, but most telehealth services will no longer qualify.