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Understand Medicare Part D without the confusion

Clear, unbiased information about prescription drug coverage — what it costs, how to enroll, and how to find the right plan for your medications.

Where are you on your Medicare journey?

We'll point you to exactly what you need.

Welcome to Medicare!

Starting with Part D can feel overwhelming, but you have time. Here's your roadmap:

Start with: How Part D works Key dates and deadlines Why you shouldn't wait to enroll

Need one-on-one help? Find your state's free SHIP counselor or visit Medicare.gov

Smart move — plans change every year

Your plan may have changed its formulary, premiums, or pharmacy network for 2026.

What changed for 2026 Understand this year's costs Check your drug formulary

Ready to compare? See plans on PlanMatch.com or visit Medicare.gov

There are more ways to save than you might think

Between the out-of-pocket cap, Extra Help, and the payment plan, many people pay less than they expect.

The $2,100 out-of-pocket cap Do I qualify for Extra Help? More ways to save

Need guidance? Your state's SHIP counselor can help for free

You may qualify for extra benefits

Having both Medicare and Medicaid means you're "dual eligible" with special protections and lower drug costs.

Dual eligibility overview How Part D works for you D-SNP plans (one card for both)

Need help? Your state's SHIP counselor specializes in dual eligibility

You're doing a great thing for your family

Here are the most important things to understand when helping someone with Part D:

Part D basics (5 min read) How to review and switch plans Financial assistance programs

A local agent can help — find a Local Medicare Agent at MedicareAgents.com or call 1-800-MEDICARE

Free to use, no registration
Updated for 2026 plan year
Plain-language explanations
Based on official CMS data

Check your Part D costs in seconds

Use these tools to understand your specific situation — no sign-up required.

Late enrollment penalty calculator

Went without Part D coverage? See how much extra you'd pay each month.

$0.00/mo

What coverage phase am I in?

Enter what you've spent on drugs this year to see your current phase.

$0 spent so far
Deductible
Initial coverage
Catastrophic

You're in the deductible phase. You pay 100% of your drug costs until you meet your plan's deductible.

$2,100
Out-of-pocket cap
for 2026
$0
Drug costs after
reaching the cap
$35
Monthly insulin
cost cap
56M+
Americans with
Part D coverage

Three steps to the right plan

Not sure where to begin? Here's the simplest path to finding Part D coverage that fits your needs.

1

Learn the basics

Understand what Part D covers, what it costs, and how the coverage phases work.

2

Compare plans

Use our plan comparison tool to find coverage that includes your medications at the best price.

3

Get expert help

Connect with a licensed Local Medicare Agent who can walk you through enrollment at no cost to you.

Need help with a specific situation?

Medicare decisions can get complicated — especially around enrollment deadlines, employer coverage coordination, or financial assistance. You don't have to figure it out alone.

Free SHIP counseling (government program)

Every state has trained counselors who provide free, unbiased Medicare guidance. They don't sell insurance.

Find your state's SHIP program →

Licensed Local Medicare Agent (also free)

A local agent can compare plans for your specific medications, check savings program eligibility, and handle enrollment.

Find a Local Medicare Agent at MedicareAgents.com →

Compare plans yourself

Plan comparison tools let you check drug coverage and costs by ZIP code.

Compare plans on PlanMatch.com →

Official Medicare resources

Medicare.gov is the federal government's official site with plan finder tools and enrollment.

Visit Medicare.gov →

Call Medicare directly

Speak with a Medicare representative 24/7.

1-800-MEDICARE (1-800-633-4227)

TTY: 1-877-486-2048. All services listed above are free.

Frequently asked about Part D

Quick answers to the questions we hear most. Visit our full FAQ page for more.

It's generally recommended to enroll in Part D when you're first eligible, even if you take few or no medications. If you delay enrollment and don't have other creditable drug coverage, you'll face a permanent late enrollment penalty — an extra charge added to your premium for as long as you have Part D. Learn about the late penalty →
The coverage gap (or "donut hole") was effectively eliminated in 2025 thanks to the Inflation Reduction Act. Part D now has a simplified three-phase structure: deductible, initial coverage, and catastrophic coverage. Once your out-of-pocket spending reaches $2,100 in 2026, you pay nothing more for covered drugs that year. Read the full explanation →
Every Part D plan publishes a formulary — a list of covered drugs organized into tiers. You can check a plan's formulary on its website, or use a plan comparison tool to see which plans cover your specific medications. Compare plans on PlanMatch.com →
Yes. You can switch Part D plans during the annual open enrollment period (October 15 – December 7). Certain life events — like moving or losing employer coverage — may also trigger a special enrollment period. If you receive Extra Help, you can change plans once per month. Learn about switching plans →
Yes. The Extra Help program (also called the low-income subsidy) helps people with limited income pay for Part D premiums, deductibles, and copays. You can also look into state pharmaceutical assistance programs and the Medicare Prescription Payment Plan, which lets you spread costs over the year. Check if you qualify →