Medicare Part D 2026: Costs, Changes & Enrollment Guide

If you're looking to understand the Medicare Part D changes for 2026, you're in the right place. Part D covers prescription drug costs and is an essential piece of your Medicare coverage—especially as plan costs and coverage limits continue to evolve.

What's New for Medicare Part D in 2026?

The Centers for Medicare & Medicaid Services (CMS) has updated the standard Part D benefit for 2026.  Here's what's changing:

2026 Part D Deductible

  • $615 maximum deductible (up from $590 in 2025)

Out-of-Pocket Threshold (TrOOP)

  • $2,100 in 2026 (up from $2,000 in 2025)

How Medicare Part D Works in 2026

Medicare Part D includes several stages:

  1. Deductible Stage – You pay 100% of drug costs up to $615.

  2. Initial Coverage – After meeting the deductible, you pay a portion of drug costs (typically 25%) until you hit the coverage limit.

  3. Catastrophic Coverage – Once you’ve spent $2,100 out-of-pocket, your costs drop dramatically. You may pay nothing or a small copay depending on your plan.

    Tips for Choosing a 2026 Part D Plan

    • Compare plans early during Medicare Open Enrollment (Oct 15–Dec 7).

    • Check your current medications against each plan's formulary (covered drug list).

    • Balance the deductible vs. premium: A lower premium may have a higher deductible—and vice versa.

    • Consider bundling with Medicare Advantage (MA-PD) if you're looking for additional benefits beyond drug coverage.

      Need Help Understanding Your 2026 Part D Options?

      At Medicare Planning, we specialize in helping individuals and families find the right Medicare drug coverage at the right cost. Whether you're comparing standalone Part D plans or bundled MA-PD options, we offer:

      • Personalized consultations

      • Plan comparisons in your ZIP code

      • Help applying for Extra Help if you qualify for financial assistance

Local phone/text:

913-232-2006 

Also serving:  De Soto, Edgerton, Fairway, Gardner, Lake Quivira, Leawood, Lenexa, Merriam, Mission, Mission Hills and Mission Woods, Overland Park, Prairie Village, Roeland Park, Shawnee, Spring Hill, Westwood, & Westwood Hiils