As of January 1, 2026 – I will no longer be able to enroll prospects and clients into the Medicare Prescription Drug Plans (Part D). With the changes in Medicare’s Drug Plans and new rules where carriers are no longer paying agent’s commissions – I cannot take the time to analyze plans and not be paid. Many carriers are dropping some of their plans and merging other plans into the only plan they are offering for 2026. I am sorry – but this is something I have no control over. If you need to change your plan – GO TO www.Medicare.gov, create a User Name & Password and enter your drugs and the program will tell you which plans are available based on your drug list. GOOD LUCK!

Medicare offers prescription drug coverage to everyone with Medicare. If you decide not to join a Medicare Prescription Drug Plan when you're first eligible, and you don't have other creditable prescription drug coverage, or you don't get Extra Help, you'll likely pay a late enrollment penalty. To get Medicare drug coverage, you must join a plan run by an insurance company or other private company approved by Medicare. Each plan can vary in cost and drugs covered.

Drug coverage is only available during open enrollment Oct. 15th thru Dec. 7th each year. (aka AEP)

What drug plans cover

Each Medicare Prescription Drug Plan has its own list of covered drugs (called a formulary). Many Medicare drug plans place drugs into different "tiers" on their formularies. Drugs in each tier have a different cost.

A drug in a lower tier will generally cost you less than a drug in a higher tier. In some cases, if your drug is on a higher tier and your prescriber thinks you need that drug instead of a similar drug on a lower tier, you or your prescriber can ask your plan for an exception to get a lower copayment.

PART "D" - Prescription Drug Plans (PDP)*

• Annual Deductible for 2026 is $615.00 for Most Plans – Several Plans offer other deductibles and some offer a Zero Deductible, but the premiums are higher, but also the cost of drugs “MAY” be lower overall.

• Most Plans in 2026 will offer the “Insulin Savings Program” where your Insulin is limited to only a $35.00 maximum charge per Insulin Drug per month.

• The Donut Hole or Coverage Gap was eliminated in 2025 and will no longer be available.

• Once you reach the $2,100** (This amount may change each year) of out of pocket drug expenses – Your drugs are all free for the rest of the 2026 calendar year.

• There are approximately 10 Available Drug Plans in South Florida for 2026 and they vary in premiums. Average was about $35.00 per mo. in 2025 and that is likely to be higher in 2026.

* Please note that Agents are no longer being paid to enroll members into Part D Drug Plans and that the carriers no longer wish to use agents to sell their plans. Access to the drug plans is at www.Medicare.gov

Subject to change each year

*IMPORTANT: DO NOT PICK A PLAN THAT HAS LESS THAN A 3 STAR RATING OR IS LISTED AS “TOO NEW TO BE MEASURED” AS IT IS NOT RECOMMENDED.