{"content_id":"06qabejskn","slug":"medicare-2027-prescription-plan-cost-comparison","locale":"en","schema_type":"Article","category":"comparison","category_name":"Comparison","title":"2027 Medicare Prescription Drug Plan Cost Comparison","summary":"When choosing 2027 coverage in Medicare Plan Finder, compare estimated annual costs based on your medications and pharmacies. In the U.S., if your request to change coverage is received by December 7, 2026, your new coverage starts January 1, 2027.","sponsorship_disclosure":null,"affiliate_disclosure":null,"commerce_disclosure":null,"author":{"name":"OnBinder Editorial Team","url":"https://onbinder.com/ko/about"},"key_points":["The options you can compare depend on whether your current coverage is Original Medicare or Medicare Advantage.","Compare estimated annual costs based on your medications and the pharmacies you use, rather than monthly premiums.","Check whether prescription drugs are covered, along with prior authorization requirements, quantity limits, and provider networks.","If you want to switch to Original Medicare, check Medigap eligibility and premiums separately.","In the U.S., the plan must receive requests to change 2027 coverage by December 7, 2026."],"content_markdown":"Medicare enrollees can compare 2027 coverage in Plan Finder. Enter your medications and pharmacies to see estimated annual costs. Change requests must be received **by December 7, 2026 (US)**.\n\nDates and quality ratings are based on the CMS announcement of October 8, 2026.\n\n## Compare 2027 coverage options\n\nChoose a type of coverage by considering both your choice of healthcare providers and drug costs. Original Medicare consists of Part A and Part B. Medicare Advantage is an alternative type of coverage offered by private insurers. Most Medicare Advantage plans include prescription drug coverage.\n\n| Comparison point | Original Medicare with separate Part D | Medicare Advantage with prescription drug coverage |\n| --- | --- | --- |\n| Coverage structure | Manage basic medical coverage and a prescription drug plan separately | Manage medical and prescription drug coverage under one plan |\n| Choice of healthcare providers | Use providers that accept Medicare anywhere in the US | Nonemergency care may be limited to the plan’s network |\n| Premium structure | Pay Part B and a separate Part D premium | Check the Part B premium and any additional plan premium |\n| Out-of-pocket limit for medical costs | No annual limit under basic coverage itself | An annual limit applies to covered medical services |\n| Additional coverage | A separate premium applies if you enroll in Medigap | Extra benefits such as dental and vision vary by plan |\n| When to consider it | If you want to keep a broad choice of healthcare providers | If your healthcare providers and medications meet the plan’s conditions |\n| Main limitations | Review prescription drug and supplemental insurance separately | Check network and prior authorization requirements |\n\nThe suitability descriptions in the table are criteria based on coverage structure. Check actual premiums for your area and chosen plan. Keep the Medicare Advantage out-of-pocket limit for medical costs separate from prescription drug costs. [Compare Medicare coverage options](https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options/compare-original-medicare-medicare-advantage?linkId=112205550)\n\n## What can you change based on your current coverage?\n\nUse your current coverage to decide whether to change only your prescription drug plan. You can also change the type of medical coverage you have. During the fall open enrollment period, you can consider the following changes.\n\n| Current coverage | Option to compare | What else to check |\n| --- | --- | --- |\n| Original Medicare | Enroll in, change, or drop a separate Part D plan | Whether you need to keep your current prescription drug coverage |\n| Original Medicare | Switch to Medicare Advantage | Healthcare provider network and whether prescription drugs are covered |\n| Medicare Advantage | Switch to another Medicare Advantage plan | Overall changes in medical services and drug costs |\n| Medicare Advantage | Switch to Original Medicare | Whether you can enroll in a separate Part D plan and Medigap |\n\nYou need both Part A and Part B to enroll in Medicare Advantage. A separate Part D plan requires enrollment in Part A or Part B. You must live in the service area of the plan you want to join. Check Medicare’s enrollment guidance for specific eligibility requirements. [Requirements for joining a plan](https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan)\n\n## What to check in the Annual Notice of Change\n\nFirst, check how your current plan will change in 2027. The Annual Notice of Change is called the ANOC. Plans typically send this document in September. If you did not receive it, request it from your plan. [ANOC guidance](https://www.medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/upcoming-plan-changes)\n\n| What to check | What to read | Where else to check |\n| --- | --- | --- |\n| Monthly premium | Change in the amount due in 2027 | Cost comparison section of the ANOC |\n| Deductible | Amount you pay before coverage applies | ANOC and Evidence of Coverage |\n| Prescription drugs | List of covered drugs and cost tiers | 2027 formulary |\n| Healthcare providers | Whether your doctor and hospital are in the network | Plan directory and the providers themselves |\n| Pharmacies | Changes to available pharmacies and preferred terms | Plan pharmacy directory and costs by pharmacy |\n| Continued coverage | Whether the plan is ending or reducing its service area | Separate termination notice and plan information |\n\nA formulary is the list of prescription drugs a plan covers. Evidence of Coverage is a document explaining coverage terms. Read these documents as well for details you cannot confirm from the ANOC alone. Give healthcare providers and pharmacies the exact name of the plan you intend to join when checking with them. [Yearly coverage review guidance](https://www.medicare.gov/publications/11220-your-yearly-medicare-review.pdf)\n\n## How to compare plans in Medicare Plan Finder\n\nYou can start comparing plans once you have your ZIP code and accurate prescription drug information ready. You can search for plans in your area without logging in. If you log in to your account, you can use saved medication and pharmacy information. [Medicare Plan Finder](https://www.medicare.gov/plan-compare/?mod=ANLink)\n\n1. Have the name of your current coverage and your ANOC ready. Write down your healthcare providers as well.\n2. Select 2027 as the coverage year in Plan Finder. Enter your home ZIP code.\n3. Select the type of coverage you want to compare. Answer questions about help with costs based on your current situation.\n4. Add every prescription drug you take. Match the strength, form, quantity dispensed, and refill frequency.\n5. Select the pharmacy you currently use. Add other pharmacies you could use for comparison.\n6. Compare estimated annual costs, including premiums and drug costs. Check costs by pharmacy and monthly spending too.\n7. Open the coverage documents for plans you are considering and check their terms. Confirm whether your healthcare providers are in the network.\n8. Record each plan’s name and the conditions you used for comparison. If you decide to apply, have your Medicare card information ready too.\n\nCheck your saved medication list against your current prescriptions. It may still include drugs you stopped taking or doses that have changed. You need your Medicare number and coverage start date information to apply for enrollment. Viewing comparison results does not complete an enrollment application. [Medicare enrollment process](https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan)\n\n## What should you use to compare prescription drug costs?\n\nCompare estimated annual costs using the same medications and dispensing conditions. Even with a low monthly premium, you may pay more when you fill prescriptions. Displayed costs are estimates based on the information you enter. Costs can change if your prescriptions or pharmacy change.\n\n| Item | Meaning | What to compare |\n| --- | --- | --- |\n| Premium | Amount paid each month for insurance | Fixed cost you pay even in months when you do not fill prescriptions |\n| Deductible | Amount you pay before coverage applies | Amount and drugs it applies to |\n| Copayment | Fixed out-of-pocket amount paid when a prescription is filled | Amount by drug and pharmacy |\n| Coinsurance | Out-of-pocket amount paid as a percentage of the drug cost | Percentage and estimated amount you would pay |\n| Tier | Cost-sharing category for a drug | How each plan classifies the same drug |\n| Pharmacy network | Pharmacies contracted with the plan | Whether your pharmacy is covered and offers preferred costs |\n\nDo not treat estimated drug costs as your total medical cost budget. Review out-of-pocket costs for doctor visits and hospital stays separately. If you have limited income and assets, check whether you qualify for Extra Help. Extra Help helps pay prescription drug coverage costs based on eligibility. [Guidance on choosing prescription drug coverage](https://www.medicare.gov/publications/11163-Compare-Medicare-Drug-Coverage.pdf)\n\n### Is a drug covered as soon as it appears on the list?\n\nAdditional conditions may apply even if a drug is on the list of covered drugs. Check for restrictions shown next to the drug’s name. You can ask the prescribing healthcare provider about any required steps.\n\n| Condition | Meaning | What to check |\n| --- | --- | --- |\n| Prior authorization | Plan approval is required before coverage | Information the prescribing healthcare provider must submit |\n| Step therapy | A designated alternative drug must be tried first | Whether it applies to your current treatment and how to request an exception |\n| Quantity limits | Limit on the amount covered during a set period | Whether the prescribed quantity is within the limit |\n\nRequests for exceptions are reviewed separately. A drug’s presence on the list does not exempt it from restrictions. Confirm the exact conditions with the plans you are considering. [Prescription drug coverage restrictions](https://www.medicare.gov/health-drug-plans/part-d/what-drug-plans-cover/plan-rules)\n\n### Why different dispensing frequencies change the comparison\n\nA different dispensing frequency changes the cost comparison conditions, even for the same drug. CMS added a related warning feature in October 2026. If the selected frequency is not covered, it prompts you to check which frequencies are available. [Plan Finder feature updates](https://www.cms.gov/files/document/medicare-gov-plan-finder-updates.pdf)\n\n- Match the strength and form as well as the drug name when comparing.\n- Use the quantity and dispensing frequency that match your current prescription.\n- If you see a warning that a frequency is not covered, check with the plan.\n- Do not change your dosage on your own because a different dosage costs less.\n\n## How should you use the 2027 star ratings?\n\nUse star ratings to compare quality after checking costs and coverage terms. CMS published the 2027 quality ratings on **October 8, 2026**. The ratings assess the quality and performance of medical and prescription drug services. They are not scores for your personal drug costs.\n\nEven if a plan has a high star rating, you still need to check whether it covers the drugs you need. Whether your doctor participates in its network is a separate question. It makes sense to compare star ratings among plans that meet your essential requirements. This is a way to apply CMS quality measures to your personal choice. [CMS announcement of 2027 quality ratings](https://www.cms.gov/newsroom/fact-sheets/2027-medicare-advantage-part-d-star-ratings)\n\n## Switching to Original Medicare and Medigap requirements\n\nSwitching to Original Medicare does not automatically guarantee that you can enroll in Medigap. Medigap is private insurance that helps cover some out-of-pocket costs under basic coverage. The fall plan change period and Medigap enrollment rules are separate.\n\nThe federal Medigap open enrollment period lasts 6 months. It begins on the first day of the month when you are age 65 or older and enrolled in Part B. After that, your ability to enroll or the premium you pay may change. Check for additional protections in your state too. [When to enroll in Medigap and your rights](https://www.medicare.gov/health-drug-plans/medigap/ready-to-buy/when)\n\n1. Check whether you have the right to enroll in Medigap in your current situation.\n2. Check the premiums and coverage of policies available to you.\n3. Compare total costs, including a separate Part D plan.\n4. Check the start date for each type of coverage you are switching to.\n\n## Compare drug cost savings and payment in installments\n\nKeep the option to spread out drug payments separate from ways to reduce total costs. The Medicare Prescription Payment Plan is a way to pay for prescription drugs. It helps you spread out-of-pocket costs for covered prescription drugs over the year. It is not a separate insurance plan to choose.\n\n| Comparison point | Comparing plans and pharmacies | Medicare Prescription Payment Plan |\n| --- | --- | --- |\n| Problem it addresses | Choosing coverage terms and estimated costs | Managing drug costs concentrated at certain times |\n| Effect on total drug costs | Your choice may change estimated costs | Participation itself does not discount drug costs |\n| How you pay | Standard payment terms of the plan you choose | Pay drug costs through a monthly bill from the plan instead of at the pharmacy |\n| Premiums | Compare premiums for each plan you are considering | Continue paying any existing premium |\n| Participation requirements | Check enrollment eligibility and change periods | Voluntary choice for people with Medicare prescription drug coverage |\n\nEven if you choose to spread out payments, you still need to compare annual costs across plans. There is no cost to participate, but the drug costs themselves do not decrease. Ask your current plan how payments would work. [Medicare Prescription Payment Plan guidance](https://www.medicare.gov/prescription-payment-plan)\n\n## Change deadline and keeping existing coverage\n\nRequests to change 2027 coverage must be received by December 7, 2026, US time. The open enrollment period starts on October 15, 2026. Coverage changed during this period starts on **January 1, 2027**. [Medicare open enrollment guidance](https://www.medicare.gov/health-drug-plans/open-enrollment)\n\n\u003e “the plan must get your enrollment request by December 7”\n\u003e\n\u003e Medicare Open Enrollment guidance\n\nThe deadline is based on when the plan receives your application, not when you send it. Allow for delivery time if you apply by mail. If you apply, keep the confirmation that your request was received.\n\n| Situation | What to check |\n| --- | --- |\n| Your current plan will continue to be offered and you want to keep it | Generally, you do not need to enroll again |\n| You keep your current plan | New premiums and coverage changes will still apply |\n| You receive notice that your plan is ending or reducing its service area | Check the notice for alternative coverage and how to make a choice |\n| You request a change | Confirm receipt and the start date of your new coverage |\n\nEven if you keep your existing coverage, check its terms for the following year. If you received a notice that your plan is ending, do not assume it will automatically continue. Check both the notice and the information about your next coverage in your account. [Guidance on keeping coverage from year to year](https://www.medicare.gov/publications/11220-your-yearly-medicare-review.pdf), [Guidance on plan change and termination notices](https://www.cms.gov/files/document/medicare-gov-plan-finder-updates.pdf)\n\n## Conditions that are easy to overlook before choosing\n\nIf you have other insurance, check how a change could affect it first. You can ask the administrator of your employer, retiree, or union coverage. If you stop prescription drug coverage, consider potential disadvantages for future enrollment too. [How other coverage relates to prescription drug plans](https://www.medicare.gov/publications/11163-Compare-Medicare-Drug-Coverage.pdf)\n\n- Even if you take few medications, decide separately whether to drop prescription drug coverage.\n- If you spend time in another state, check the conditions for getting medical care and using pharmacies there too.\n- Compare the usage limits and approval requirements for extra benefits.\n- If comparing plans is difficult, use SHIP’s free individual counseling.\n\nSHIP is a state health insurance counseling assistance program. It offers counseling that is not affiliated with an insurance company or a particular plan. You can also get help by calling Medicare. [Medicare counseling and enrollment guidance](https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan)","content_html":"\u003cp\u003eMedicare enrollees can compare 2027 coverage in Plan Finder. Enter your medications and pharmacies to see estimated annual costs. Change requests must be received \u003cstrong\u003eby December 7, 2026 (US)\u003c/strong\u003e.\u003c/p\u003e\n\u003cp\u003eDates and quality ratings are based on the CMS announcement of October 8, 2026.\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#compare-2027-coverage-options\" class=\"anchor\" id=\"compare-2027-coverage-options\"\u003e\u003c/a\u003eCompare 2027 coverage options\u003c/h2\u003e\n\u003cp\u003eChoose a type of coverage by considering both your choice of healthcare providers and drug costs. Original Medicare consists of Part A and Part B. Medicare Advantage is an alternative type of coverage offered by private insurers. Most Medicare Advantage plans include prescription drug coverage.\u003c/p\u003e\n\u003cdiv class=\"overflow-x-auto\"\u003e\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003eComparison point\u003c/th\u003e\n\u003cth\u003eOriginal Medicare with separate Part D\u003c/th\u003e\n\u003cth\u003eMedicare Advantage with prescription drug coverage\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Comparison point\"\u003eCoverage structure\u003c/td\u003e\n\u003ctd data-label=\"Original Medicare with separate Part D\"\u003eManage basic medical coverage and a prescription drug plan separately\u003c/td\u003e\n\u003ctd data-label=\"Medicare Advantage with prescription drug coverage\"\u003eManage medical and prescription drug coverage under one plan\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Comparison point\"\u003eChoice of healthcare providers\u003c/td\u003e\n\u003ctd data-label=\"Original Medicare with separate Part D\"\u003eUse providers that accept Medicare anywhere in the US\u003c/td\u003e\n\u003ctd data-label=\"Medicare Advantage with prescription drug coverage\"\u003eNonemergency care may be limited to the plan’s network\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Comparison point\"\u003ePremium structure\u003c/td\u003e\n\u003ctd data-label=\"Original Medicare with separate Part D\"\u003ePay Part B and a separate Part D premium\u003c/td\u003e\n\u003ctd data-label=\"Medicare Advantage with prescription drug coverage\"\u003eCheck the Part B premium and any additional plan premium\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Comparison point\"\u003eOut-of-pocket limit for medical costs\u003c/td\u003e\n\u003ctd data-label=\"Original Medicare with separate Part D\"\u003eNo annual limit under basic coverage itself\u003c/td\u003e\n\u003ctd data-label=\"Medicare Advantage with prescription drug coverage\"\u003eAn annual limit applies to covered medical services\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Comparison point\"\u003eAdditional coverage\u003c/td\u003e\n\u003ctd data-label=\"Original Medicare with separate Part D\"\u003eA separate premium applies if you enroll in Medigap\u003c/td\u003e\n\u003ctd data-label=\"Medicare Advantage with prescription drug coverage\"\u003eExtra benefits such as dental and vision vary by plan\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Comparison point\"\u003eWhen to consider it\u003c/td\u003e\n\u003ctd data-label=\"Original Medicare with separate Part D\"\u003eIf you want to keep a broad choice of healthcare providers\u003c/td\u003e\n\u003ctd data-label=\"Medicare Advantage with prescription drug coverage\"\u003eIf your healthcare providers and medications meet the plan’s conditions\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Comparison point\"\u003eMain limitations\u003c/td\u003e\n\u003ctd data-label=\"Original Medicare with separate Part D\"\u003eReview prescription drug and supplemental insurance separately\u003c/td\u003e\n\u003ctd data-label=\"Medicare Advantage with prescription drug coverage\"\u003eCheck network and prior authorization requirements\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\u003c/div\u003e\n\u003cp\u003eThe suitability descriptions in the table are criteria based on coverage structure. Check actual premiums for your area and chosen plan. Keep the Medicare Advantage out-of-pocket limit for medical costs separate from prescription drug costs. \u003ca href=\"https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options/compare-original-medicare-medicare-advantage?linkId=112205550\"\u003eCompare Medicare coverage options\u003c/a\u003e\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#what-can-you-change-based-on-your-current-coverage\" class=\"anchor\" id=\"what-can-you-change-based-on-your-current-coverage\"\u003e\u003c/a\u003eWhat can you change based on your current coverage?\u003c/h2\u003e\n\u003cp\u003eUse your current coverage to decide whether to change only your prescription drug plan. You can also change the type of medical coverage you have. During the fall open enrollment period, you can consider the following changes.\u003c/p\u003e\n\u003cdiv class=\"overflow-x-auto\"\u003e\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003eCurrent coverage\u003c/th\u003e\n\u003cth\u003eOption to compare\u003c/th\u003e\n\u003cth\u003eWhat else to check\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Current coverage\"\u003eOriginal Medicare\u003c/td\u003e\n\u003ctd data-label=\"Option to compare\"\u003eEnroll in, change, or drop a separate Part D plan\u003c/td\u003e\n\u003ctd data-label=\"What else to check\"\u003eWhether you need to keep your current prescription drug coverage\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Current coverage\"\u003eOriginal Medicare\u003c/td\u003e\n\u003ctd data-label=\"Option to compare\"\u003eSwitch to Medicare Advantage\u003c/td\u003e\n\u003ctd data-label=\"What else to check\"\u003eHealthcare provider network and whether prescription drugs are covered\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Current coverage\"\u003eMedicare Advantage\u003c/td\u003e\n\u003ctd data-label=\"Option to compare\"\u003eSwitch to another Medicare Advantage plan\u003c/td\u003e\n\u003ctd data-label=\"What else to check\"\u003eOverall changes in medical services and drug costs\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Current coverage\"\u003eMedicare Advantage\u003c/td\u003e\n\u003ctd data-label=\"Option to compare\"\u003eSwitch to Original Medicare\u003c/td\u003e\n\u003ctd data-label=\"What else to check\"\u003eWhether you can enroll in a separate Part D plan and Medigap\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\u003c/div\u003e\n\u003cp\u003eYou need both Part A and Part B to enroll in Medicare Advantage. A separate Part D plan requires enrollment in Part A or Part B. You must live in the service area of the plan you want to join. Check Medicare’s enrollment guidance for specific eligibility requirements. \u003ca href=\"https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan\"\u003eRequirements for joining a plan\u003c/a\u003e\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#what-to-check-in-the-annual-notice-of-change\" class=\"anchor\" id=\"what-to-check-in-the-annual-notice-of-change\"\u003e\u003c/a\u003eWhat to check in the Annual Notice of Change\u003c/h2\u003e\n\u003cp\u003eFirst, check how your current plan will change in 2027. The Annual Notice of Change is called the ANOC. Plans typically send this document in September. If you did not receive it, request it from your plan. \u003ca href=\"https://www.medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/upcoming-plan-changes\"\u003eANOC guidance\u003c/a\u003e\u003c/p\u003e\n\u003cdiv class=\"overflow-x-auto\"\u003e\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003eWhat to check\u003c/th\u003e\n\u003cth\u003eWhat to read\u003c/th\u003e\n\u003cth\u003eWhere else to check\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"What to check\"\u003eMonthly premium\u003c/td\u003e\n\u003ctd data-label=\"What to read\"\u003eChange in the amount due in 2027\u003c/td\u003e\n\u003ctd data-label=\"Where else to check\"\u003eCost comparison section of the ANOC\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"What to check\"\u003eDeductible\u003c/td\u003e\n\u003ctd data-label=\"What to read\"\u003eAmount you pay before coverage applies\u003c/td\u003e\n\u003ctd data-label=\"Where else to check\"\u003eANOC and Evidence of Coverage\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"What to check\"\u003ePrescription drugs\u003c/td\u003e\n\u003ctd data-label=\"What to read\"\u003eList of covered drugs and cost tiers\u003c/td\u003e\n\u003ctd data-label=\"Where else to check\"\u003e2027 formulary\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"What to check\"\u003eHealthcare providers\u003c/td\u003e\n\u003ctd data-label=\"What to read\"\u003eWhether your doctor and hospital are in the network\u003c/td\u003e\n\u003ctd data-label=\"Where else to check\"\u003ePlan directory and the providers themselves\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"What to check\"\u003ePharmacies\u003c/td\u003e\n\u003ctd data-label=\"What to read\"\u003eChanges to available pharmacies and preferred terms\u003c/td\u003e\n\u003ctd data-label=\"Where else to check\"\u003ePlan pharmacy directory and costs by pharmacy\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"What to check\"\u003eContinued coverage\u003c/td\u003e\n\u003ctd data-label=\"What to read\"\u003eWhether the plan is ending or reducing its service area\u003c/td\u003e\n\u003ctd data-label=\"Where else to check\"\u003eSeparate termination notice and plan information\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\u003c/div\u003e\n\u003cp\u003eA formulary is the list of prescription drugs a plan covers. Evidence of Coverage is a document explaining coverage terms. Read these documents as well for details you cannot confirm from the ANOC alone. Give healthcare providers and pharmacies the exact name of the plan you intend to join when checking with them. \u003ca href=\"https://www.medicare.gov/publications/11220-your-yearly-medicare-review.pdf\"\u003eYearly coverage review guidance\u003c/a\u003e\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#how-to-compare-plans-in-medicare-plan-finder\" class=\"anchor\" id=\"how-to-compare-plans-in-medicare-plan-finder\"\u003e\u003c/a\u003eHow to compare plans in Medicare Plan Finder\u003c/h2\u003e\n\u003cp\u003eYou can start comparing plans once you have your ZIP code and accurate prescription drug information ready. You can search for plans in your area without logging in. If you log in to your account, you can use saved medication and pharmacy information. \u003ca href=\"https://www.medicare.gov/plan-compare/?mod=ANLink\"\u003eMedicare Plan Finder\u003c/a\u003e\u003c/p\u003e\n\u003col\u003e\n\u003cli\u003eHave the name of your current coverage and your ANOC ready. Write down your healthcare providers as well.\u003c/li\u003e\n\u003cli\u003eSelect 2027 as the coverage year in Plan Finder. Enter your home ZIP code.\u003c/li\u003e\n\u003cli\u003eSelect the type of coverage you want to compare. Answer questions about help with costs based on your current situation.\u003c/li\u003e\n\u003cli\u003eAdd every prescription drug you take. Match the strength, form, quantity dispensed, and refill frequency.\u003c/li\u003e\n\u003cli\u003eSelect the pharmacy you currently use. Add other pharmacies you could use for comparison.\u003c/li\u003e\n\u003cli\u003eCompare estimated annual costs, including premiums and drug costs. Check costs by pharmacy and monthly spending too.\u003c/li\u003e\n\u003cli\u003eOpen the coverage documents for plans you are considering and check their terms. Confirm whether your healthcare providers are in the network.\u003c/li\u003e\n\u003cli\u003eRecord each plan’s name and the conditions you used for comparison. If you decide to apply, have your Medicare card information ready too.\u003c/li\u003e\n\u003c/ol\u003e\n\u003cp\u003eCheck your saved medication list against your current prescriptions. It may still include drugs you stopped taking or doses that have changed. You need your Medicare number and coverage start date information to apply for enrollment. Viewing comparison results does not complete an enrollment application. \u003ca href=\"https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan\"\u003eMedicare enrollment process\u003c/a\u003e\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#what-should-you-use-to-compare-prescription-drug-costs\" class=\"anchor\" id=\"what-should-you-use-to-compare-prescription-drug-costs\"\u003e\u003c/a\u003eWhat should you use to compare prescription drug costs?\u003c/h2\u003e\n\u003cp\u003eCompare estimated annual costs using the same medications and dispensing conditions. Even with a low monthly premium, you may pay more when you fill prescriptions. Displayed costs are estimates based on the information you enter. Costs can change if your prescriptions or pharmacy change.\u003c/p\u003e\n\u003cdiv class=\"overflow-x-auto\"\u003e\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003eItem\u003c/th\u003e\n\u003cth\u003eMeaning\u003c/th\u003e\n\u003cth\u003eWhat to compare\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Item\"\u003ePremium\u003c/td\u003e\n\u003ctd data-label=\"Meaning\"\u003eAmount paid each month for insurance\u003c/td\u003e\n\u003ctd data-label=\"What to compare\"\u003eFixed cost you pay even in months when you do not fill prescriptions\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Item\"\u003eDeductible\u003c/td\u003e\n\u003ctd data-label=\"Meaning\"\u003eAmount you pay before coverage applies\u003c/td\u003e\n\u003ctd data-label=\"What to compare\"\u003eAmount and drugs it applies to\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Item\"\u003eCopayment\u003c/td\u003e\n\u003ctd data-label=\"Meaning\"\u003eFixed out-of-pocket amount paid when a prescription is filled\u003c/td\u003e\n\u003ctd data-label=\"What to compare\"\u003eAmount by drug and pharmacy\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Item\"\u003eCoinsurance\u003c/td\u003e\n\u003ctd data-label=\"Meaning\"\u003eOut-of-pocket amount paid as a percentage of the drug cost\u003c/td\u003e\n\u003ctd data-label=\"What to compare\"\u003ePercentage and estimated amount you would pay\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Item\"\u003eTier\u003c/td\u003e\n\u003ctd data-label=\"Meaning\"\u003eCost-sharing category for a drug\u003c/td\u003e\n\u003ctd data-label=\"What to compare\"\u003eHow each plan classifies the same drug\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Item\"\u003ePharmacy network\u003c/td\u003e\n\u003ctd data-label=\"Meaning\"\u003ePharmacies contracted with the plan\u003c/td\u003e\n\u003ctd data-label=\"What to compare\"\u003eWhether your pharmacy is covered and offers preferred costs\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\u003c/div\u003e\n\u003cp\u003eDo not treat estimated drug costs as your total medical cost budget. Review out-of-pocket costs for doctor visits and hospital stays separately. If you have limited income and assets, check whether you qualify for Extra Help. Extra Help helps pay prescription drug coverage costs based on eligibility. \u003ca href=\"https://www.medicare.gov/publications/11163-Compare-Medicare-Drug-Coverage.pdf\"\u003eGuidance on choosing prescription drug coverage\u003c/a\u003e\u003c/p\u003e\n\u003ch3\u003e\n\u003ca href=\"#is-a-drug-covered-as-soon-as-it-appears-on-the-list\" class=\"anchor\" id=\"is-a-drug-covered-as-soon-as-it-appears-on-the-list\"\u003e\u003c/a\u003eIs a drug covered as soon as it appears on the list?\u003c/h3\u003e\n\u003cp\u003eAdditional conditions may apply even if a drug is on the list of covered drugs. Check for restrictions shown next to the drug’s name. You can ask the prescribing healthcare provider about any required steps.\u003c/p\u003e\n\u003cdiv class=\"overflow-x-auto\"\u003e\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003eCondition\u003c/th\u003e\n\u003cth\u003eMeaning\u003c/th\u003e\n\u003cth\u003eWhat to check\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Condition\"\u003ePrior authorization\u003c/td\u003e\n\u003ctd data-label=\"Meaning\"\u003ePlan approval is required before coverage\u003c/td\u003e\n\u003ctd data-label=\"What to check\"\u003eInformation the prescribing healthcare provider must submit\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Condition\"\u003eStep therapy\u003c/td\u003e\n\u003ctd data-label=\"Meaning\"\u003eA designated alternative drug must be tried first\u003c/td\u003e\n\u003ctd data-label=\"What to check\"\u003eWhether it applies to your current treatment and how to request an exception\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Condition\"\u003eQuantity limits\u003c/td\u003e\n\u003ctd data-label=\"Meaning\"\u003eLimit on the amount covered during a set period\u003c/td\u003e\n\u003ctd data-label=\"What to check\"\u003eWhether the prescribed quantity is within the limit\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\u003c/div\u003e\n\u003cp\u003eRequests for exceptions are reviewed separately. A drug’s presence on the list does not exempt it from restrictions. Confirm the exact conditions with the plans you are considering. \u003ca href=\"https://www.medicare.gov/health-drug-plans/part-d/what-drug-plans-cover/plan-rules\"\u003ePrescription drug coverage restrictions\u003c/a\u003e\u003c/p\u003e\n\u003ch3\u003e\n\u003ca href=\"#why-different-dispensing-frequencies-change-the-comparison\" class=\"anchor\" id=\"why-different-dispensing-frequencies-change-the-comparison\"\u003e\u003c/a\u003eWhy different dispensing frequencies change the comparison\u003c/h3\u003e\n\u003cp\u003eA different dispensing frequency changes the cost comparison conditions, even for the same drug. CMS added a related warning feature in October 2026. If the selected frequency is not covered, it prompts you to check which frequencies are available. \u003ca href=\"https://www.cms.gov/files/document/medicare-gov-plan-finder-updates.pdf\"\u003ePlan Finder feature updates\u003c/a\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli\u003eMatch the strength and form as well as the drug name when comparing.\u003c/li\u003e\n\u003cli\u003eUse the quantity and dispensing frequency that match your current prescription.\u003c/li\u003e\n\u003cli\u003eIf you see a warning that a frequency is not covered, check with the plan.\u003c/li\u003e\n\u003cli\u003eDo not change your dosage on your own because a different dosage costs less.\u003c/li\u003e\n\u003c/ul\u003e\n\u003ch2\u003e\n\u003ca href=\"#how-should-you-use-the-2027-star-ratings\" class=\"anchor\" id=\"how-should-you-use-the-2027-star-ratings\"\u003e\u003c/a\u003eHow should you use the 2027 star ratings?\u003c/h2\u003e\n\u003cp\u003eUse star ratings to compare quality after checking costs and coverage terms. CMS published the 2027 quality ratings on \u003cstrong\u003eOctober 8, 2026\u003c/strong\u003e. The ratings assess the quality and performance of medical and prescription drug services. They are not scores for your personal drug costs.\u003c/p\u003e\n\u003cp\u003eEven if a plan has a high star rating, you still need to check whether it covers the drugs you need. Whether your doctor participates in its network is a separate question. It makes sense to compare star ratings among plans that meet your essential requirements. This is a way to apply CMS quality measures to your personal choice. \u003ca href=\"https://www.cms.gov/newsroom/fact-sheets/2027-medicare-advantage-part-d-star-ratings\"\u003eCMS announcement of 2027 quality ratings\u003c/a\u003e\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#switching-to-original-medicare-and-medigap-requirements\" class=\"anchor\" id=\"switching-to-original-medicare-and-medigap-requirements\"\u003e\u003c/a\u003eSwitching to Original Medicare and Medigap requirements\u003c/h2\u003e\n\u003cp\u003eSwitching to Original Medicare does not automatically guarantee that you can enroll in Medigap. Medigap is private insurance that helps cover some out-of-pocket costs under basic coverage. The fall plan change period and Medigap enrollment rules are separate.\u003c/p\u003e\n\u003cp\u003eThe federal Medigap open enrollment period lasts 6 months. It begins on the first day of the month when you are age 65 or older and enrolled in Part B. After that, your ability to enroll or the premium you pay may change. Check for additional protections in your state too. \u003ca href=\"https://www.medicare.gov/health-drug-plans/medigap/ready-to-buy/when\"\u003eWhen to enroll in Medigap and your rights\u003c/a\u003e\u003c/p\u003e\n\u003col\u003e\n\u003cli\u003eCheck whether you have the right to enroll in Medigap in your current situation.\u003c/li\u003e\n\u003cli\u003eCheck the premiums and coverage of policies available to you.\u003c/li\u003e\n\u003cli\u003eCompare total costs, including a separate Part D plan.\u003c/li\u003e\n\u003cli\u003eCheck the start date for each type of coverage you are switching to.\u003c/li\u003e\n\u003c/ol\u003e\n\u003ch2\u003e\n\u003ca href=\"#compare-drug-cost-savings-and-payment-in-installments\" class=\"anchor\" id=\"compare-drug-cost-savings-and-payment-in-installments\"\u003e\u003c/a\u003eCompare drug cost savings and payment in installments\u003c/h2\u003e\n\u003cp\u003eKeep the option to spread out drug payments separate from ways to reduce total costs. The Medicare Prescription Payment Plan is a way to pay for prescription drugs. It helps you spread out-of-pocket costs for covered prescription drugs over the year. It is not a separate insurance plan to choose.\u003c/p\u003e\n\u003cdiv class=\"overflow-x-auto\"\u003e\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003eComparison point\u003c/th\u003e\n\u003cth\u003eComparing plans and pharmacies\u003c/th\u003e\n\u003cth\u003eMedicare Prescription Payment Plan\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Comparison point\"\u003eProblem it addresses\u003c/td\u003e\n\u003ctd data-label=\"Comparing plans and pharmacies\"\u003eChoosing coverage terms and estimated costs\u003c/td\u003e\n\u003ctd data-label=\"Medicare Prescription Payment Plan\"\u003eManaging drug costs concentrated at certain times\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Comparison point\"\u003eEffect on total drug costs\u003c/td\u003e\n\u003ctd data-label=\"Comparing plans and pharmacies\"\u003eYour choice may change estimated costs\u003c/td\u003e\n\u003ctd data-label=\"Medicare Prescription Payment Plan\"\u003eParticipation itself does not discount drug costs\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Comparison point\"\u003eHow you pay\u003c/td\u003e\n\u003ctd data-label=\"Comparing plans and pharmacies\"\u003eStandard payment terms of the plan you choose\u003c/td\u003e\n\u003ctd data-label=\"Medicare Prescription Payment Plan\"\u003ePay drug costs through a monthly bill from the plan instead of at the pharmacy\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Comparison point\"\u003ePremiums\u003c/td\u003e\n\u003ctd data-label=\"Comparing plans and pharmacies\"\u003eCompare premiums for each plan you are considering\u003c/td\u003e\n\u003ctd data-label=\"Medicare Prescription Payment Plan\"\u003eContinue paying any existing premium\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Comparison point\"\u003eParticipation requirements\u003c/td\u003e\n\u003ctd data-label=\"Comparing plans and pharmacies\"\u003eCheck enrollment eligibility and change periods\u003c/td\u003e\n\u003ctd data-label=\"Medicare Prescription Payment Plan\"\u003eVoluntary choice for people with Medicare prescription drug coverage\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\u003c/div\u003e\n\u003cp\u003eEven if you choose to spread out payments, you still need to compare annual costs across plans. There is no cost to participate, but the drug costs themselves do not decrease. Ask your current plan how payments would work. \u003ca href=\"https://www.medicare.gov/prescription-payment-plan\"\u003eMedicare Prescription Payment Plan guidance\u003c/a\u003e\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#change-deadline-and-keeping-existing-coverage\" class=\"anchor\" id=\"change-deadline-and-keeping-existing-coverage\"\u003e\u003c/a\u003eChange deadline and keeping existing coverage\u003c/h2\u003e\n\u003cp\u003eRequests to change 2027 coverage must be received by December 7, 2026, US time. The open enrollment period starts on October 15, 2026. Coverage changed during this period starts on \u003cstrong\u003eJanuary 1, 2027\u003c/strong\u003e. \u003ca href=\"https://www.medicare.gov/health-drug-plans/open-enrollment\"\u003eMedicare open enrollment guidance\u003c/a\u003e\u003c/p\u003e\n\u003cblockquote\u003e\n\u003cp\u003e“the plan must get your enrollment request by December 7”\u003c/p\u003e\n\u003cp\u003eMedicare Open Enrollment guidance\u003c/p\u003e\n\u003c/blockquote\u003e\n\u003cp\u003eThe deadline is based on when the plan receives your application, not when you send it. Allow for delivery time if you apply by mail. If you apply, keep the confirmation that your request was received.\u003c/p\u003e\n\u003cdiv class=\"overflow-x-auto\"\u003e\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003eSituation\u003c/th\u003e\n\u003cth\u003eWhat to check\u003c/th\u003e\n\u003c/tr\u003e\n\u003c/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Situation\"\u003eYour current plan will continue to be offered and you want to keep it\u003c/td\u003e\n\u003ctd data-label=\"What to check\"\u003eGenerally, you do not need to enroll again\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Situation\"\u003eYou keep your current plan\u003c/td\u003e\n\u003ctd data-label=\"What to check\"\u003eNew premiums and coverage changes will still apply\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Situation\"\u003eYou receive notice that your plan is ending or reducing its service area\u003c/td\u003e\n\u003ctd data-label=\"What to check\"\u003eCheck the notice for alternative coverage and how to make a choice\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd data-label=\"Situation\"\u003eYou request a change\u003c/td\u003e\n\u003ctd data-label=\"What to check\"\u003eConfirm receipt and the start date of your new coverage\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\u003c/div\u003e\n\u003cp\u003eEven if you keep your existing coverage, check its terms for the following year. If you received a notice that your plan is ending, do not assume it will automatically continue. Check both the notice and the information about your next coverage in your account. \u003ca href=\"https://www.medicare.gov/publications/11220-your-yearly-medicare-review.pdf\"\u003eGuidance on keeping coverage from year to year\u003c/a\u003e, \u003ca href=\"https://www.cms.gov/files/document/medicare-gov-plan-finder-updates.pdf\"\u003eGuidance on plan change and termination notices\u003c/a\u003e\u003c/p\u003e\n\u003ch2\u003e\n\u003ca href=\"#conditions-that-are-easy-to-overlook-before-choosing\" class=\"anchor\" id=\"conditions-that-are-easy-to-overlook-before-choosing\"\u003e\u003c/a\u003eConditions that are easy to overlook before choosing\u003c/h2\u003e\n\u003cp\u003eIf you have other insurance, check how a change could affect it first. You can ask the administrator of your employer, retiree, or union coverage. If you stop prescription drug coverage, consider potential disadvantages for future enrollment too. \u003ca href=\"https://www.medicare.gov/publications/11163-Compare-Medicare-Drug-Coverage.pdf\"\u003eHow other coverage relates to prescription drug plans\u003c/a\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli\u003eEven if you take few medications, decide separately whether to drop prescription drug coverage.\u003c/li\u003e\n\u003cli\u003eIf you spend time in another state, check the conditions for getting medical care and using pharmacies there too.\u003c/li\u003e\n\u003cli\u003eCompare the usage limits and approval requirements for extra benefits.\u003c/li\u003e\n\u003cli\u003eIf comparing plans is difficult, use SHIP’s free individual counseling.\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003eSHIP is a state health insurance counseling assistance program. It offers counseling that is not affiliated with an insurance company or a particular plan. You can also get help by calling Medicare. \u003ca href=\"https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan\"\u003eMedicare counseling and enrollment guidance\u003c/a\u003e\u003c/p\u003e\n","tags":["Health insurance","Everyday Finance","health insurance premium","Decision Making"],"faqs":[{"question":"Can I compare 2027 plans in Medicare Plan Finder?","answer":"Select the 2027 coverage year to compare plans in your area. Enter your ZIP code, the drugs you take, and the pharmacies you use."},{"question":"Can I compare plans without an account?","answer":"You can compare plans without logging in. If you log in to your account, you can use your saved drug and pharmacy information."},{"question":"What prescription drug information should I have ready when comparing plans?","answer":"Have each drug’s name, strength, dosage form, quantity per fill, and refill frequency ready. Enter information that matches your current prescriptions to make the comparison useful."},{"question":"Is a plan with a lower monthly premium cheaper?","answer":"It is hard to tell from the monthly premium alone. Compare estimated annual costs that include the deductible and your out-of-pocket costs for each drug."},{"question":"Can costs vary by pharmacy even under the same plan?","answer":"Your costs may vary depending on the pharmacy network and preferred terms. Enter pharmacies you can actually use to compare costs."},{"question":"If a drug is on the list of covered drugs, can I get it without restrictions?","answer":"Prior authorization or step therapy requirements may apply. The quantity covered over a set period may also be limited, so check the detailed rules."},{"question":"Can I choose a 2027 plan based only on its star rating?","answer":"Star ratings help you compare service quality and performance. Check separately whether the drugs you need are covered and which healthcare providers are in the network."},{"question":"If I return to Original Medicare, can I also enroll in Medigap?","answer":"Enrollment in Medigap is not automatically guaranteed. Check the enrollment timing, your personal circumstances, and your state’s rules separately."},{"question":"What is the deadline for changing 2027 coverage?","answer":"In the U.S., plans must receive requests to change plans by December 7, 2026. Coverage changed during open enrollment starts on January 1, 2027."},{"question":"Do I need to enroll again to keep my current plan?","answer":"If your current plan continues to be offered and you meet the requirements to stay enrolled, you generally do not need to enroll again. If you received a notice that your plan is ending or its service area is shrinking, check the separate guidance."},{"question":"Will joining the Medicare Prescription Payment Plan lower my drug costs?","answer":"Joining does not itself lower your drug costs. It lets you spread your out-of-pocket costs for covered drugs throughout the year."},{"question":"Can I no longer change coverage after December 7?","answer":"A separate period for changing coverage may apply depending on your circumstances. Medicare Advantage enrollees can make limited changes from January 1 through March 31. Do not treat this as an extension of the fall period for changing coverage that applies to all enrollees."},{"question":"Where can I get help if comparing plans in English is difficult?","answer":"You can call 1-800-MEDICARE at 1-800-633-4227 to request language assistance. You can also get counseling on health insurance options from your state's SHIP."}],"sources":[{"url":"https://www.medicare.gov/plan-compare/?mod=ANLink","title":"Medicare: Find the plan that works for you","type":"source"},{"url":"https://www.medicare.gov/health-drug-plans/open-enrollment","title":"Medicare: Open Enrollment","type":"source"},{"url":"https://www.cms.gov/newsroom/fact-sheets/2027-medicare-advantage-part-d-star-ratings","title":"CMS: 2027 Medicare Advantage and Part D Star Ratings, October 8, 2026","type":"data_point"},{"url":"https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options/compare-original-medicare-medicare-advantage?linkId=112205550","title":"Medicare: Compare Original Medicare \u0026 Medicare Advantage","type":"source"},{"url":"https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan","title":"Medicare: Joining a plan","type":"source"},{"url":"https://www.medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/upcoming-plan-changes","title":"Medicare: Plan Annual Notice of Change","type":"source"},{"url":"https://www.medicare.gov/publications/11220-your-yearly-medicare-review.pdf","title":"Medicare: Your Yearly Medicare Review, September 2026","type":"source"},{"url":"https://www.medicare.gov/publications/11163-Compare-Medicare-Drug-Coverage.pdf","title":"Medicare: Choosing Medicare drug coverage, February 2025","type":"source"},{"url":"https://www.medicare.gov/health-drug-plans/part-d/what-drug-plans-cover/plan-rules","title":"Medicare: Drug plan rules","type":"source"},{"url":"https://www.cms.gov/files/document/medicare-gov-plan-finder-updates.pdf","title":"CMS: Medicare Plan Finder 2026 Updates, September 29, 2026","type":"source"},{"url":"https://www.medicare.gov/health-drug-plans/medigap/ready-to-buy/when","title":"Medicare: When can I buy a Medigap policy?","type":"source"},{"url":"https://www.medicare.gov/prescription-payment-plan","title":"Medicare: What's the Medicare Prescription Payment Plan?","type":"source"}],"images":[{"id":1863,"url":"https://onbinder.com/rails/active_storage/blobs/proxy/eyJfcmFpbHMiOnsiZGF0YSI6Mjg3MzIsInB1ciI6ImJsb2JfaWQifX0=--ab91dcefdf3be168e64fad5d7dc94998814b9f13/ai-50251c7e.webp","is_representative":true,"generation_method":"ai_photo","license":"ai_generated","mime_type":"image/webp","width":1536,"height":1024,"translations":{"ko":{"alt":"약국 카운터에서 처방약 병과 비용 비교표를 앞에 두고 서 있는 노인","caption":"월 보험료보다 복용약과 이용 약국을 반영한 연간 예상 비용을 비교하세요.","description":null},"en":{"alt":"Older man at a pharmacy counter with prescription bottles and a cost-comparison sheet","caption":"Compare estimated annual costs based on your medications and pharmacy, not just monthly premiums.","description":null},"ja":{"alt":"薬局のカウンターで、処方薬のボトルと費用比較表を前に立つ高齢男性","caption":"月額保険料だけでなく、服用薬と利用する薬局を踏まえた年間推定費用を比較しましょう。","description":null},"es":{"alt":"Hombre mayor en el mostrador de una farmacia, junto a frascos de medicamentos y una tabla de costos","caption":"Compare el costo anual estimado según sus medicamentos y farmacia, no solo la prima mensual.","description":null},"id":{"alt":"Pria lanjut usia di konter apotek dengan botol obat resep dan lembar perbandingan biaya","caption":"Bandingkan perkiraan biaya tahunan berdasarkan obat dan apotek Anda, bukan hanya premi bulanan.","description":null},"pt":{"alt":"Homem idoso no balcão de uma farmácia, com frascos de remédios e uma tabela de comparação de custos","caption":"Compare o custo anual estimado considerando seus medicamentos e sua farmácia, não apenas a mensalidade.","description":null},"zh-hant":{"alt":"一名年長男子站在藥局櫃檯前，旁邊有處方藥瓶和費用比較表","caption":"比較計入所用藥物和藥局的年度預估費用，而不只看每月保費。","description":null},"de":{"alt":"Älterer Mann am Apothekentresen mit Rezeptflaschen und einem Kostenvergleichsblatt","caption":"Vergleichen Sie die geschätzten Jahreskosten für Ihre Medikamente und Apotheke, nicht nur die Monatsprämie.","description":null}}},{"id":1864,"url":"https://onbinder.com/rails/active_storage/blobs/proxy/eyJfcmFpbHMiOnsiZGF0YSI6Mjg3MzgsInB1ciI6ImJsb2JfaWQifX0=--fd8006b4b5cfd545087b0447864f1792a60467cd/ai-24f208e0.webp","is_representative":false,"generation_method":"ai_semi","license":"ai_generated","mime_type":"image/webp","width":1536,"height":1024,"translations":{"ko":{"alt":"진료실에서 의사가 약 상자를 가리키며 노년 여성과 상담하고, 약과 보장을 뜻하는 기호가 겹쳐 보인다.","caption":"플랜을 바꾸기 전에 복용 중인 처방약이 보장되는지 확인하세요.","description":null},"en":{"alt":"A doctor points to a medicine carton while speaking with an older woman in a clinic; pill and shield symbols appear over them.","caption":"Before changing plans, check whether your regular prescriptions will be covered.","description":null},"ja":{"alt":"診察室で医師が薬の箱を指しながら高齢の女性と話し、薬と盾のマークが重なっている。","caption":"プランを変更する前に、普段の処方薬が保障対象か確認しましょう。","description":null},"es":{"alt":"Un médico señala una caja de medicamentos mientras habla con una mujer mayor en una consulta; aparecen símbolos de una pastilla y un escudo.","caption":"Antes de cambiar de plan, comprueba si tus medicamentos habituales estarán cubiertos.","description":null},"id":{"alt":"Dokter menunjuk kotak obat saat berbicara dengan seorang perempuan lansia di klinik; simbol pil dan perisai tampak di depan mereka.","caption":"Sebelum berganti paket, periksa apakah obat resep rutin Anda tetap ditanggung.","description":null},"pt":{"alt":"Um médico aponta para uma caixa de medicamento enquanto conversa com uma mulher idosa no consultório; símbolos de comprimido e escudo aparecem sobrepostos.","caption":"Antes de mudar de plano, verifique se seus medicamentos habituais continuarão cobertos.","description":null},"zh-hant":{"alt":"診間裡，醫師指著藥盒與一名年長女性交談，畫面上疊有藥丸和盾牌符號。","caption":"更換計畫前，請確認日常使用的處方藥是否仍獲承保。","description":null},"de":{"alt":"Ein Arzt zeigt in einer Praxis auf eine Medikamentenschachtel und spricht mit einer älteren Frau; darüber sind Pillen- und Schildsymbole zu sehen.","caption":"Prüfen Sie vor einem Planwechsel, ob Ihre regelmäßig benötigten Medikamente abgedeckt sind.","description":null}}}],"published_at":"2026-10-16T02:28:44+09:00","updated_at":"2026-10-16T02:28:44+09:00","license":"cc_by","translation_status":"reviewed","available_locales":["ko","en","ja","es"],"data_locales":["ko","en","ja","es","id","pt","zh-hant","de"],"url":"https://onbinder.com/en/articles/medicare-2027-prescription-plan-cost-comparison"}