7Welcome to another Annual Open enrollment Period (AEP)!
The Annual Election Period (AEP) begins October 15th and runs through December 7th, 2026. During this period, you are allowed to enroll in or change to a new Medicare Prescription Drug Plan for the 2027 plan year.
2027 Part D Plan Facts & Figures
- Next year there will be two fewer plans available (10). One carrier, Aetna SilverScript, is leaving the market and another (HealthSpring EXTRA) will migrate members to their sister plan HealthSpring Assurance.
- Three plans will see premium decreases and seven will see increases.
- Drug plan monthly premiums will range between $5.30 (WellCare Value Script) and $252.60 (Blue Shield Enhanced). Three plans will be under $10 a month and seven over $118 a month.
- The standard deductible will increase from $615 to $700. Four plans will have deductibles lower than the standard deductible.
- The total maximum a member will be out-of-pocket for covered medications will be capped at $2,400 (up from $2,100).
- A second round of Medicare-Negotiated price cuts will begin January 1, 2027, on 15 additional medications to include: Otezla, Breo, Linzess, Xtandi and Trelegy.
- Popular weight-loss drug Wegovy will be included in the negotiated pricing program and covered by all Part D Drug plans.
- Medicare Part D plans will cover many recommended vaccines at 100% including RSV, Tdap and Shingles (no copay or deductible). Note: Medicare Part B covers flu, H1N1 and COVID shots. Click link or a complete list of Covered Vaccines
- Financial Assistance called Extra Help is available to those who qualify and can help pay premiums, deductible and copays related to Medicare drug coverage.
We offer several free resources and tools to help you evaluate and enroll in a Part D plan on your own. See below for more.
Use our Medicare Part D 2025 Drug Plan List: see below
- Provides a list of all drug plans with link to drug formularies and websites.
Watch our Medicare Part D Plan Finder How-To Video: 2025 Open Enrollment Video
- Step-by-step do-it-yourself video of Medicare’s Plan Finder tool to compare, evaluate and enroll in a drug plan.
New! Follow Along With Phil: Sign-up for one of these free Zoom seminars
- Follow along with Phil as he demonstrates how to evaluate plans using the screen share feature on zoom. Live Q&A throughout.
2025 AEP Part D Drug Plan List
Carrier | Premium | Deductible | Special Features | Overall Star Rating | Formulary |
$1.80 | $590 | ||||
Clear Spring Health Value | $4.00 | $590 | Sanctioned plan: not available at this time | Sanctioned plan: not available at this time | |
$16.80 | $590 | ||||
$17.40 | $590 | Deductible waived for Tier 1 and 2 drugs | |||
$20.60 | $590 | Deductible waived for Tier 1 and 2 drugs | |||
$53.60 | $590 | ||||
Clear Spring Health Premier | $70.60 | $590 | Sanctioned plan: not available at this time | Sanctioned plan: not available at this time | |
$94.00 | $573 | Deductible waived for Tier 1 and 2 drugs | |||
$110.20 | $590 | ||||
$115.40 | $0 | ||||
$117.60 | $590 | Deductible waived for Tier 1, 2, and 3 drugs | |||
$124.80 | $590 | ||||
$135.60 | $590 | ||||
$140.90 | $175 | Deductible waived for Tier 1 and 2 drugs | |||
$161.70 | $590 | Deductible waived for Tier 1 drugs | |||
$164.20 | $0 | ||||
$164.90 | $120 | Deductible waived for Tier 1 and 2 drugs | |||
$183.50 | $0 |
All the best through the Holiday Season!
Phil Dougherty and the OnlyHealthInsurance team
