Part D helps cover the cost of your prescription medications. We compare every plan available in your area to find the one that covers your drugs at the lowest total cost.
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Understanding Part D
The Medicare benefit that helps pay for your outpatient prescription medications.
Medicare Part D covers outpatient prescription medications — the drugs you pick up at a pharmacy or receive through mail order. It is available to everyone enrolled in Original Medicare (Parts A and B).
Part D comes in two forms: a standalone Prescription Drug Plan (PDP) that works alongside Original Medicare and a Medigap supplement, or bundled into a Medicare Advantage plan (MAPD) that includes drug coverage as part of the plan.
Part D is technically optional, but it is strongly recommended. If you delay enrollment past your Initial Enrollment Period without other creditable drug coverage, you will face a late enrollment penalty that lasts for as long as you have Part D.
Standalone PDP paired with Original Medicare, or bundled into a Medicare Advantage plan (MAPD). Either way, we compare every option in your area to find the best fit for your medications.
WE COMPARE EVERY PLAN FOR YOU
Give us your drug list and pharmacy preference. We run every plan in your zip code and show you which one covers your medications at the lowest annual cost — including premiums, deductibles, and copays.
Drug Formularies
Every Part D plan has a formulary — a list of covered drugs. The same medication can cost very different amounts depending on the plan.
Coverage Phases
Your out-of-pocket costs change as you move through the coverage phases during the year. Starting in 2025, the structure was significantly simplified with a hard annual out-of-pocket cap.
You pay the full cost of your drugs until you meet the plan’s annual deductible. Not all plans have a deductible — some start covering drugs from day one. The maximum allowable deductible is set by Medicare each year.
After the deductible, you pay a copay or coinsurance for each prescription and your plan pays the rest. This is where formulary tiers matter most — lower-tier drugs have smaller copays.
Once your total out-of-pocket drug spending reaches the annual cap, you pay $0 for covered drugs for the rest of the year. No more copays, no more coinsurance.
Starting in 2025, Medicare eliminated the coverage gap (“donut hole”) and introduced a hard $2,000 annual cap on out-of-pocket drug spending. For 2026, that cap increased to $2,100. This simplification benefits all Part D enrollees.
Late Enrollment Penalty
Delaying Part D enrollment without creditable coverage triggers a permanent penalty added to your monthly premium.
If you go 63 or more consecutive days without Part D or other creditable prescription drug coverage after your Initial Enrollment Period ends, you will pay a late enrollment penalty when you do eventually enroll.
The penalty is calculated as 1% of the national base beneficiary premium for each full month you were without creditable coverage. This amount is added to your Part D premium every month — and it never goes away.
The penalty is recalculated each year as the national base premium changes, so the dollar amount can increase even though the percentage stays the same.
Simple Process
Three steps to lower prescription costs — and it costs you nothing.
Call or schedule a meeting with Jesse or Arnie. Share your current medications, preferred pharmacy, and any concerns about your current plan — no pressure, no obligation.
We run your drug list through every Part D plan available in your zip code. You see a side-by-side comparison of total annual costs — premiums, deductibles, and copays combined.
We handle all the enrollment paperwork. Your new plan takes effect, and we check in each year during Annual Enrollment to make sure your plan still covers your drugs at the best price.
Common Questions
Yes, it is strongly recommended. If you delay enrollment and don’t have other creditable drug coverage, you will face a late enrollment penalty — a permanent surcharge added to your Part D premium for as long as you have coverage. Even if you are healthy now, enrolling when first eligible protects you from this penalty and ensures you have coverage if your needs change.
Every Part D plan publishes a formulary — a list of all drugs the plan covers and what tier each drug is on. We run your specific medications through every available plan in your area so you can see exactly which plans cover your drugs and what they will cost. This comparison is free and takes just a few minutes.
The penalty is 1% of the national base beneficiary premium for each full month you went without creditable prescription drug coverage after your Initial Enrollment Period. This percentage is added to your monthly Part D premium permanently. For example, going 30 months without coverage means a 30% penalty added to your premium every month for the rest of your life.
Yes. During the Annual Enrollment Period (October 15 through December 7 each year), you can switch to a different Part D plan. This is important because plan formularies, premiums, and copays change every year — a plan that was the best deal last year may not be this year. We review your plan annually at no cost to make sure you are still on the best option.
Creditable coverage is prescription drug coverage from another source (employer plan, union plan, TRICARE, VA, FEHB, etc.) that is expected to pay, on average, at least as much as Medicare’s standard Part D coverage. If you have creditable coverage, you can delay Part D enrollment without penalty. Your plan is required to send you a notice each year telling you whether your coverage is creditable — keep that letter.
Share your drug list with us and we will show you which plan in your area offers the lowest total cost — completely free.