Appendix B: COLA Desk Reference

1.

January 2026 COLA = 2.8% (MA Handbook Chapter 372, Appendix A)

January 2025 COLA = 2.5% (MA Handbook Chapter 372, Appendix A)

2.

SSI Program Benefit Levels (MA Handbook Chapter 368, Appendix B; Chapter 387, Appendix A; & LTC Chapter 489 Appendix A

 

 

 

2026

2025

a.

Individual eligible for domiciliary care supplement.

$1,628.30

$1,601.30

b.

Individual eligible for PCH supplement.

$1,633.30

$1,606.30

c.

Couple eligible for domiciliary care supplement.

$2,838.40

$2,797.40

d.

Couple eligible for PCH supplement.

$2,848.40

$2,807.40

e.

Individual in independent living arrangement.

$1,016.10

$989.10

f.

Couple in independent living arrangement.

$1,524.30

$1,483.30

g.

Essential individual to an individual or couple.

$498.00

$484.00

h.

Individual living in the household of another and getting income-in-kind (one-third reduction cases).

$662.67

$670.13

i.

Couple living in the household of another and getting income-in-kind (one-third reduction cases).

$994.00

$1,005.01

j.

Essential individual to individual or couple living in the household of another and receiving income-in-kind (one-third reduction cases).

$484.00

$484.00

k.

Personal care allowance deduction for individual in MA long-term care institution ($90 for a couple in an MA institution).

$60.00

$60.00

l.

Special income level for aged, blind, and disabled individuals in institutions.

$2,982.00

$2,901.00

m.

HCBS programs using 300% of the federal benefit rate.

$2,982.00

$2,901.00

3.

Medically Needy Only income limits (MA Handbook Chapter 369, Appendix A).

 


1 individual
2 individuals
3 individuals
4 individuals
5 individuals

6 individuals  
Each additional individual

6 Months
$2,550
$2,650
$2,800
$3,400
$4,050
$4,550
$ 550

Monthly
$425
$442
$467
$567
$675
$758
$ 92

4.

Medicare premiums

 

 

 

Part A: $565.00 a month; paid by individuals who have not had enough work credits under Social Security to get the benefit premium free. (2026)

 

Part A: $518.00 a month; paid by individuals who have not had enough work credits under Social Security to get the benefit premium free. (2025)

 

Part B: $202.90 a month for 2026.

 

Part B: $185.00 a month for 2025.

 

5.

Medicare Inpatient Hospital Care Deductible and Coinsurance Amounts.

 

a.

A $1,736.00 deductible for each benefit period in 2026.

A $1,676.00 deductible for each benefit period in 2025.

b.

A $434.00 coinsurance for the 61st day through the 90th day in 2026.

A $419.00 coinsurance for the 61st day through the 90th day in 2025.

c.

A $868.00 per day beyond 90 days in 2026.

A $838.00 per day beyond 90 days in 2025.

d.

A $217.00  per day for the 21st day through the 100th day of extended care services in a skilled nursing facility in 2026.

A $209.00 per day for the 21st day through the 100th day of extended care services in a skilled nursing facility in 2025.

 

For the 1st day through the 20th day, Medicare will make full payment for care in a skilled nursing facility.

6.

Medicare deductibles.

 

Part A: $1,736.00 in 2026   /   $1,676.00 in 2025.

Part B: $283.00 in 2026   /   $257.00 in 2025.

Updated January 27, 2026, Replacing January 23, 2025