United States Medicare Part D 2026
United States Medicare Part D for 2026: the covered-drug out-of-pocket cap, deductible ceiling, coverage stages and separate plan premiums.
- 2026 covered Part D drug out-of-pocket threshold
- $2,100Medicare, Part D costs
- 2026 annual deductible ceiling
- $615Medicare, Part D costs
The deductible ceiling
No Medicare drug plan may have a deductible above $615 in 2026. Some plans have no deductible. When a deductible applies, the deductible stage requires payment of out-of-pocket costs until the full deductible is reached. Medicare, Part D costs (opens in a new tab).
Covered-drug out-of-pocket cap
In 2026, out-of-pocket spending on covered Part D drugs reaches the catastrophic coverage stage at $2,100, including certain payments made on a person’s behalf, such as Extra Help. Covered Part D drugs then have no out-of-pocket cost for the rest of the calendar year. Medicare, Part D costs (opens in a new tab).
Separate plan premiums
A premium is a monthly payment for coverage whether covered drugs are obtained or not. Its amount depends on the plan, may be higher based on income, and can include a late enrollment penalty. Medicare, Part D costs (opens in a new tab).
Scope
This guide explains published Part D limits without comparing plans or estimating total healthcare spending. It excludes individual coverage decisions and costs for uncovered drugs. General information only, not personalised tax, insurance or retirement advice.