Today

Medicare open enrollment opens with fewer plans and higher costs for millions

Good morning. Medicare's open enrollment period starts next week, and this year it carries real weight. Several reports say millions of older Americans are losing their current private Medicare Advantage plans, and many who keep coverage will pay more. The message from experts is the same across the board: do not stay on autopilot. Compare your options carefully before you choose, because the plan that worked last year may not be the best fit now.

The government also released its 2027 quality ratings for Medicare Advantage and Part D plans. Some insurers rose and others fell sharply, which affects both your choices and the bonus money that shapes them. If you live in Oregon or another state facing big shifts, local guides can help you sort it out.

In other news, millions of seniors are receiving a one-time $90 check tied to Medicare. And several reports highlight safety problems and deaths at assisted living and nursing homes, a reminder to ask hard questions about any facility.