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Medicare Part D in 2026: What to Know
The $2,100 out-of-pocket cap
In 2026, once your out-of-pocket spending on covered Part D drugs reaches $2,100, you pay nothing more for covered drugs for the rest of the year. This applies to stand-alone Part D plans and to Medicare Advantage Plans with drug coverage. Premiums do not count toward the cap.
The three drug payment stages
- Deductible: up to $615 in 2026 (some plans have none).
- Initial coverage: you generally pay 25% coinsurance until you reach $2,100.
- Catastrophic coverage: $0 for covered drugs.
The old coverage gap ("donut hole") ended in 2025.
Medicare Prescription Payment Plan
This optional program lets you spread your out-of-pocket drug costs into monthly payments across the year instead of paying all at once at the pharmacy. It does not lower your total costs. Ask your plan how to sign up.
Review your plan every fall
Drug lists, tiers and premiums change each year. Compare during Fall Open Enrollment (October 15 to December 7). Our free Part D enrollment help can compare plans for your medications.
Source: Medicare.gov: Part D costs and late enrollment penalty (2026 national base beneficiary premium $38.99).
Frequently asked questions
What is the Part D out-of-pocket cap for 2026?
$2,100 for covered drugs. After you reach it, you pay $0 for covered Part D drugs for the rest of 2026.
Is there still a Part D donut hole?
No. The coverage gap ended in 2025.
What is the maximum Part D deductible in 2026?
$615. Some plans have a lower deductible or none.
What is the Medicare Prescription Payment Plan?
An optional way to spread your out-of-pocket drug costs into monthly payments during the year. It does not reduce what you owe in total.
Talk with a licensed agent
Questions about your Medicare options? Call 1-844-438-6284 (TTY 711) or request a free, no-obligation quote. We do not offer every plan available in your area.
Sources for 2026 figures: CMS 2026 Medicare Parts A & B Premiums and Deductibles; Medicare.gov: Medicare costs; Medicare.gov: Part D costs. For information on all of your options, contact Medicare.gov or 1-800-MEDICARE (TTY 1-877-486-2048).