Part D Prescription Drug Plans
Coverage to help lower what you pay for prescriptions.
Have Questions About Part D?
Send Sherri a message and she'll get back to you within one business day.
What Is Part D?
Part D is prescription drug coverage offered by private insurance companies approved by Medicare. Original Medicare doesn't cover most prescriptions you fill at the pharmacy, so Part D fills that gap. Every plan has its own list of covered drugs and its own costs, which is why comparing plans matters.
Two Ways to Get Drug Coverage
Standalone Part D Plan
Adds drug coverage to Original Medicare. This is the plan you'd pair with a Medicare Supplement.
Medicare Advantage With Drug Coverage
Drug coverage built right into your Medicare Advantage plan, so everything is under one plan.
Good to Know
How do drug lists work?
Each plan has its own list of covered drugs, called a formulary, grouped into tiers. Lower tiers usually cost less. Plans can change their list during the year, but they have to let you know.
Is there a limit on what I pay?
Yes. In 2027, out-of-pocket costs for covered drugs are capped at $2,400. Once you hit that, you pay $0 for covered drugs the rest of the year. If paying at the pharmacy is hard on your budget, you can ask your plan to spread your drug costs into monthly payments instead. This is called the Medicare Prescription Payment Plan, and it’s free to sign up.
What if I don't sign up when I'm first eligible?
You may pay a late enrollment penalty, which is added to your monthly premium for as long as you have Part D. You won’t owe it if you had other drug coverage at least as good as Medicare’s, like through an employer or union (your plan will tell you if it counts). You also won’t owe it if you qualify for Extra Help.
What is Extra Help?
A Medicare program that helps people with limited income and savings pay for Part D premiums, deductibles and copays. Sherri can help you see if you qualify.
When can I change plans?
During the Annual Enrollment Period, October 15 – December 7, with changes starting January 1. Plans and drug lists change every year, so it’s worth reviewing yours.