How Much Does Medicare Part D Cost? – Frequently Asked Questions

Last Updated : 06/09/20193 min read

Medicare Part D is the prescription drug coverage “part” of Medicare. It’s optional, and available from private insurance companies that contract with Medicare. It’s important to remember that while you might get enrolled into Medicare Part A and Part B when you’re eligible, you’re generally not automatically enrolled in Part D.

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How do you get Medicare Part D?

Before we get into how much Medicare Part D costs, here’s a brief summary on how you get this coverage. You can get Medicare prescription drug coverage in either of these ways:

  • As a stand-alone Medicare Part D Prescription Drug Plan to work alongside your Original Medicare,Part A and/or Part B coverage
  • Included in a Medicare Advantage Prescription Drug plan

How much does Part D coverage cost?

Since private, Medicare-approved insurance companies offer Medicare Prescription Drug Plans, how much Part D costs may vary widely from one plan to another. Some Medicare Part D costs for a stand-alone plan or a Medicare Advantage plan might include:

  • A monthly plan premium
  • An annual deductible (this amount can be no higher than $415 in 2019)
  • A coinsurance or copayment for each covered prescription drug.

Please note that not every Medicare Prescription Drug Plan has a monthly premium, and some plans might not have deductibles.

To keep your Medicare Part D costs as low as you can, you might want to ask your plan if there’s a preferred pharmacy it uses, or if you can save money by ordering your medications by mail.

What other Medicare Part D costs should I know about?

Here are some possible Medicare Part D costs that might not affect you, but may be good to know about.

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  • Late enrollment penalty – Although Medicare Part D is optional, if you don’t sign up for a Medicare Prescription Drug Plan when you’re first eligible, you might pay a late enrollment penalty if you decide to enroll later.
  • Coverage gap – If you need many medications, or expensive ones, be aware that you might pay more for your medications once you’ve spent a certain amount in one calendar year. If you and your Medicare Prescription Drug Plan reach a certain annual spending threshold $3,820 in 2019, you’ll enter the Medicare Part D coverage gap (donut hole). Read more about your costs in the coverage gap.
  • Part D IRMAA – If your income is over a certain amount, you might have to pay more for a Medicare Prescription Drug Plan. Read about the Part D IRMAA adjustment amount.

I can help you sort out your Part D costs. Whether you already have a Medicare Prescription Drug Plan, or you’re looking for one, I’d be happy to help you figure out the costs of different plans in your area.

  • You can arrange a time that we can talk by phone about your needs, or ask me to email you some customized Medicare plan options. Use the links below.
  • It’s easy to do your own search for Medicare plan options anytime on your own – you can even enter your medications to see if a plan may cover them. Just click the Compare Plans or Find Plans buttons on this page.

Medicare has neither reviewed nor endorsed this information.

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