Prescription Drug Plans

How Do Prescription Drug Plans Work?

Annual DeductibleIf your Medicare plan has a deductible, you pay all out-of-pocket costs until you reach the full deductible. No Medicare drug plan may have a deductible more than $590 in 2025. Some Medicare drug plans don’t have a deductible.

Initial CoverageAfter you reach your full deductible (if your plan has a deductible), you’ll pay 25% of the cost as coinsurance for your generic and brand-name drugs until your out-of-pocket spending on covered Part D drugs reaches $2,000 in 2025 (including certain payments made on your behalf, like through the Extra Help program). Then, you’ll automatically get “catastrophic coverage.”

The Coverage GapAs of 2025, there is no coverage gap or donut hole.

Catastrophic CoverageYou won’t have to pay out-of-pocket for covered Part D drugs for the rest of the calendar year.

How would I enroll?

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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800 MEDICARE to get information on all of your options.

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