08/26/2026
Medicare Part D has seen big improvements over the last two years, and many clients have been asking what’s changed. Here’s a quick breakdown:
• As of 2026, your annual out-of-pocket max for covered prescriptions is now capped at $2,100 (previously $8,000). 2027 may change. Stay informed with us.
• Part D now has three phases instead of four—Deductible, Initial Coverage, and Catastrophic.
• The Prescription Payment Plan (PPP) can spread high medication costs over 12 months at no interest for those who qualify.
• Vaccines are now $0.
• Covered insulins are capped at $35 (some exceptions apply).
• Fewer standalone Part D plans are available, and some premiums/deductibles have increased—review your options each year.
There’s also early news about a government-funded medication purchasing site called TrumpRx.gov. Check it out. In the meantime, discount sites like GoodRx and RxSaver may also help reduce costs (just note: purchases don’t count toward your Part D totals).
Effective July 1, 2026 CMS GLP-1 Bridge Program. The Program is targeted at beneficiaries who require GLP-1 medications for weight loss.
If you have questions about your coverage, I’m always here to help. Call Joe McQuaid 407 593 2243