Medicare Finalizes Provider Directory Updates for Plan Finder
Published Date: 9/19/2025
Rule
Summary
Starting in 2026, Medicare Advantage plans must update how they share provider directory info, making it easier for you to find doctors and services. This change helps people using Medicare Advantage, Medicare drug plans, and PACE programs get clearer, more accurate info without extra costs. Plans need to follow these new rules on time to keep everything running smoothly and keep you informed.
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
New Medicare Provider Directory Format
Starting in 2026, if you have a Medicare Advantage plan, a Medicare prescription drug plan (Part D), or are in a PACE program, your plan must use a new format to share provider directory information for the Medicare Plan Finder. You should be able to find doctors and services more easily because the information will be clearer and more accurate, and the summary states this will occur without extra costs to you. Plans must follow the new rules on time so directory information stays current.
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Key Dates
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