Medicare Part D costs for 2027
In 2027, what you pay out of pocket for covered drugs is capped at $2,400 for the year, and the deductible in the standard benefit is $700.
| Part D figure | 2026 | 2027 |
|---|---|---|
| Out-of-pocket threshold for the year | $2,100 | $2,400 |
| Deductible in the standard benefit | $615 | $700 |
| National base beneficiary premium, each month | $41.33 |
What varies by plan
Part D premiums vary by plan, and so do deductibles, copayments and coinsurance, which also depend on the pharmacy. The yearly out-of-pocket limit includes your deductible, your out-of-pocket spending, and certain payments made on your behalf, such as through the Extra Help program.
Higher premiums by income
People with higher incomes pay an added amount each month on top of their plan's premium. These are the 2026 amounts; the 2027 amounts have not been published.
| Individual return | Joint return | Added each month, 2026 |
|---|---|---|
| $109,000 or less | $218,000 or less | $0.00 |
| More than $109,000, up to $137,000 | More than $218,000, up to $274,000 | $14.50 |
| More than $137,000, up to $171,000 | More than $274,000, up to $342,000 | $37.50 |
| More than $171,000, up to $205,000 | More than $342,000, up to $410,000 | $60.40 |
| More than $205,000, under $500,000 | More than $410,000, under $750,000 | $83.30 |
| $500,000 or more | $750,000 or more | $91.00 |
Avoiding the late enrollment penalty
Medicare gives two ways to avoid paying a Part D late enrollment penalty:
- Get Medicare drug coverage when you first get Medicare Part A or Part B.
- Do not go 63 days or more without creditable drug coverage, meaning coverage similar in value to Part D.
Questions people ask
What is the Part D out-of-pocket cap for 2027?
$2,400, up from $2,100 in 2026.
What is the Part D deductible for 2027?
The deductible in the standard benefit is $700, up from $615 in 2026. Deductibles vary by plan.
How much is a Part D premium?
It varies by plan. People with higher incomes pay an added amount on top of the plan premium.
Check our work
Every figure on this page was read from these official documents. Follow the links and compare.
- CostsMedicare.gov. Read on November 12, 2026.
- Announcement of Calendar Year 2027 Medicare Advantage Capitation Rates and Part C and Part D Payment PoliciesCenters for Medicare & Medicaid Services. Read on November 12, 2026.
- Medicare Part D 2027 National Average Monthly Bid Amount InformationCenters for Medicare & Medicaid Services. Read on November 12, 2026.
- 2026 Medicare Parts A & B Premiums and DeductiblesCenters for Medicare & Medicaid Services. Read on November 12, 2026.