Medicare Part D Prescription Drug Plans

Important Note Regarding 2026 Medicare Part D Plans:

Most Part D plans will be self enroll only this year!

The $2000 annual out of pocket maximum for Part D prescription drug plans that began in 2025 has changed Medicare Part D plans drastically going forward. That amount has increased to $2100 annually for 2026. That means once $2100 is paid out of pocket by the member (premiums do not count towards out of pocket max) the insurance carrier pays for 100% of all your covered prescription costs.

​A very important and dissappointing change that carriers made is that agents can no longer enroll individuals in certain plans and they have been removed as the agent of record altogether.  Because of that change, most of the Part D plans will be self-enroll only this year. Please watch our self-enroll video with instructions on how to enroll into Medicare Part D Prescription drug plans. 

​We will do our best to help ensure you choose the best plan with the lowest out of pocket costs for your prescriptions. Please let us know if you would like a review before making your selection.  
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What are Medicare Part D Prescription Drug Plans?

​A Medicare Part D plan is prescription drug coverage offered to people who have Medicare. It helps cover the cost of prescription medications, including both brand-name and generic drugs. It can be availible as a stand alone plan for individuals with Original Medicare (Part A & Part B) or as part of a Medicare Advantage plan, specifically called Medicare Advantage Perscription Drug plans or MAPD's

Here’s a breakdown of what Medicare Part D includes:

What is it?
Medicare Part D is optional drug coverage provided by private insurance companies that are approved by Medicare. However, it is ONLY optional to indivduals who have credible drug coverage that is considered "as good as Medicare" such as Tricare for life or VA Benefit precription coverage. If you do not have other "credible" prescription coverage you will be penalized 1% premium penalty for every month you did not have Part D coverage. The penalty is a life time penalty so it is very important to have Part D prescription drug coverage even if you are not currently taking any perscriptions. 

Who can get it? 
       Anyone who is eligible for Medicare Part A (hospital insurance) and/or Part B (medical insurance) can enroll in a Part D           plan.

What does it cover?
       Each Part D plan has its own formulary (list of covered drugs), but generally it includes:
  • Commonly prescribed drugs
  • Both generic and brand-name medications
  • Often covers drugs in categories like diabetes, high blood pressure, cholesterol, mental health, etc.

How much does it cost?Costs can vary, but generally include:
  • Monthly premium
  • Annual deductible (may vary by plan)
  • Copayments or coinsurance for each prescription
  • Coverage gap ("donut hole"): A temporary limit on what the plan will cover after you and your plan have spent a certain amount

When can you enroll?
  • Initial Enrollment Period (IEP): When you first become eligible for Medicare
  • Annual Open Enrollment Period: October 15 – December 7 each year
  • Special Enrollment Periods (SEP): For certain life events (e.g., moving, losing other drug coverage)

Why is it important?Even if you don’t take many prescriptions now, enrolling when you’re first eligible can help you avoid late enrollment penalties and ensure coverage if your needs change.

The Right Part D Prescription Drug Plan Can Save You Hundreds of Dollars Each Year!

​We can review your current plan or provide a quote today.​