Prescription Drug Coverage
Prescription coverage can help manage the cost of outpatient medications through plan formularies, pharmacy networks, and tier-based pricing. Review options to find coverage that fits your prescriptions and your budget.
Medicare Part D 2027 Plan Year
Your 2027 prescription coverage. A clearer view.
Understanding your drug coverage starts with the numbers—and knowing what they mean for your prescriptions. Review the 2027 limits, important coverage rules, and practical steps to take before choosing a plan.
2027 Covered-Drug Protection
$2,400Annual Part D out-of-pocket limit
Once you reach this limit in qualifying out-of-pocket spending, you pay $0 for covered Part D drugs for the rest of the calendar year.
2027 Deductible Limit
$700Maximum annual Part D deductible
Your plan may have a lower deductible or no deductible. Review its documents to see which prescriptions are subject to the deductible.
What to review for 2027
Look beyond the monthly premium
Compare your estimated annual costs, including premiums, the deductible, and copayments or coinsurance for your specific prescriptions.
A plan with a lower premium may cost more overall, depending on your medications and pharmacy.
Check your prescriptions and pharmacy
- Confirm each medication, dosage, and quantity on the plan’s covered-drug list.
- Review drug tiers and preferred pharmacy pricing.
- Check prior authorization, step therapy, and quantity limits.
Understand the payment plan option
The Medicare Prescription Payment Plan lets you spread out-of-pocket costs for covered Part D drugs across the remaining months of the calendar year.
It changes when you pay, not the total amount you owe. Monthly bills can vary, and your plan premium remains a separate payment.
Avoid gaps in creditable coverage
After your Initial Enrollment Period ends, going 63 days or more in a row without Part D or other creditable prescription coverage may result in a late-enrollment penalty.
Keep your creditable coverage notices and confirm how joining Part D could affect employer or retiree benefits before making changes.
Explore Extra Help
Extra Help assists people who qualify with Medicare prescription drug costs. Eligibility generally depends on income and resources; some people qualify automatically.
If you receive Extra Help, the Part D late-enrollment penalty does not apply while you receive that assistance.
Learn about Extra HelpReview your annual plan notices
Read your Annual Notice of Change and Evidence of Coverage. Premiums, covered drugs, pharmacy networks, and coverage rules can change from one year to the next.
Review official Part D costsInformation applies to the 2027 plan year. Actual costs and coverage depend on your plan, prescriptions, pharmacy, and eligibility for assistance. Review official Medicare information and plan documents before enrolling. Certified Financial Group, LLC is not affiliated with or endorsed by Medicare or any government agency.