2026 Medicare RX Pricing Information
Prepare now for 2026 Medicare Prescription plan changes.
Learn what’s changing, and make sure your plan still fits your needs.
Schedule a no-pressure consult with a licensed Texas agent.
What's Changing?
The standard Part D deductible and cost-sharing are going up — meaning you could pay more out of pocket before your plan begins covering your medications. Staying ahead of these changes now can help you avoid surprise expenses later.
RX Deductible on the Rise
In 2025, the maximum Part D deductible for a plan is $590. In 2026, it will increase to $605. This means you’ll need to spend more out of pocket before your plan starts sharing the cost of prescriptions. If you take multiple medications, this higher upfront cost can add up quickly. It's important to shop every year so that you know how much you can expect to pay out of pocket.
New Medicare Payment Structure
Starting in 2025, Medicare got rid of the "Donut Hole" and introduced a cap on out-of-pocket costs for prescriptions. This meant that plan members would pay no more than $2000 annually for prescription copays. In 2026, this is increasing to $2,100.
Strategies to Reduce RX Costs
Reviewing your plan each year is the best way to lower costs. Switching to preferred pharmacies, using mail order programs, or applying for Extra Help (Low-Income Subsidy) can dramatically cut your prescription spending. In addition, Medicare has a new Payment Plan option. It allows you to spread out the cost of medications over the year instead of paying a high amount up front. A licensed agent can help you compare plans and identify savings opportunities to fit your needs.
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