The temporary Medicare Part D premium stabilization subsidies are ending after 2026. As a result, some Medicare beneficiaries may see changes to their standalone Prescription Drug Plan (PDP) premiums and coverage options in 2027. [kff.org], [cms.gov]
Once your total out-of-pocket costs for covered Part D medications reach $2,400, your Part D plan pays 100% of covered prescription drug costs for the remainder of the calendar year.
Depending on your plan, you may need to pay up to the deductible amount before drug coverage begins.
You still have important protections under Medicare Part D:
Insurance companies may respond to higher costs by making changes to:
A plan that worked well in 2026 may not be the best option for 2027.
During Annual Enrollment (October 15 – December 7), we recommend:
We do not recommend going without a Part D Drug plan, however some of the medications prescribed may be less expensive using a separate discount program. These are not considered insurance coverage, rather they provide discount coupons to obtain medications at a discounted rate.
Below are some Additional Prescription Drug Savings Resources that may be used if a medication is not covered (or covered favorably) on your Part D Drug plan.
A rule of thumb with discount coupons; If it’s a one-time prescription it may make sense to use a coupon, unless you want to put that cost towards your plan deductible. However, if you’re prescribed an expensive medication that you will be taking for longer duration, and it’s covered on your Part D Drug plan then it may make more sense to meet the deductible and then the cost will decrease to the coinsurance percentage. Remember, once you’ve paid $2400 out of pocket your cost drops to $0 for covered medications.
If you are approaching Medicare eligibility or have questions about:
Please contact Medicare@morrisgarritano.com for help navigating these important decisions with confidence.
Medicare Advisor
Ensure your organization stays compliant with Medicare rules. Distribute the required Medicare Part D Creditable Coverage Notice to all Medicare-eligible participants by October 14, 2026 to help them avoid late enrollment penalties and meet federal requirements.
Learn how to engage your Medical Provider Network, train supervisors, guide injured employees to care, and support a smoother return-to-work process.
General liability and umbrella insurance rates remain under pressure as social inflation, larger jury awards, and rising claim costs reshape the liability landscape. Learn what’s driving these increases and the steps businesses can take to strengthen their risk management programs.
What "covered" should feel like.
What "covered" should feel like.
What "covered" should feel like.
What "covered" should feel like.
What "covered" should feel like.
