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Medicare Drug Coverage (Part D)
Medicare drug coverage (Part D) is optional prescription drug coverage. Medicare drug coverage (Part D) is available as a separate plan through Medicare-approved private insurance companies or as part of a Medicare-approved Medicare Advantage plan (referred to as a Medicare Advantage Prescription Drug plan). If you decide not to get coverage when you’re first eligible and you don’t have other creditable prescription drug coverage (like drug coverage from an employer or union) or get Extra Help, you’ll likely pay a late enrollment penalty if you join a plan later. Generally, you’ll pay this penalty for as long as you have Medicare drug coverage (Part D). Each plan can vary in cost and specific drugs covered.
LEARN MORE about Medicare drug coverage (Part D).
The design of Part D plans changed considerably starting January 1, 2025. The “coverage gap” phase was eliminated, and there’s a $2,100 cap for 2026 (changed from $2,000 in 2025) on the cost of medications purchased through the plan. See additional information concerning 2026 plans here.
If you have limited income and cannot afford your medications even though you receive Medicare drug coverage (Part D), you may be eligible for the Extra Help (also called the “Low Income Subsidy” program. Learn how you can qualify and apply for this program.


