Updated for plan year 2026 on 2026-07-25

Are $0-premium Medicare Advantage plans really free?

$0 premium means the plan has no additional monthly plan premium, but you still usually pay Part B and may owe copays, coinsurance, drug costs, and out-of-pocket expenses.

What to check before you choose

Medicare choices depend on your dates, county, prescriptions, doctors, pharmacies, and how much risk you are comfortable carrying during the year.

  • Confirm the beneficiary's Medicare effective dates, county, prescriptions, doctors, and coverage goals.
  • Separate general education from plan-specific recommendations and document consent before marketing discussions.
  • Check current plan-year rules, premiums, formularies, pharmacy pricing, networks, and enrollment-window eligibility.

Join The Senior Desk — it is free

Membership costs nothing. Join and the club starts by checking whether your state is holding money in your name. Prefer to talk first? Call and ask.