How to Reduce Medicare Costs in 2026 Medicare can be expensive, with premiums, deductibles, copays, and prescriptions. However, there are a handful of things you can actually do in 2026 to bring that number down.Extra Help lowers your Part D drug costs if you qualify. Comparing plans during Open Enrollment can get you a better premium. Generic drugs may cost less than brand-name, and preventive care may be covered under Medicare, so using it can save you from bigger bills later.This