For anyone who has ever delayed filling a prescription because it was too expensive, the medicare drug cost cap.

You could be eligible if you: Previously, when a person with Medicare Part D coverage reached a certain amount of out-of-pocket costs, they would enter a coverage gap known as the donut hole.

Medicare Part D prescription drug plans are administered by private insurers. Most Medicare Advantage (Part C) plans also provide medication coverage. The covered medications and costs can vary.

Medicare Part D prescription drug plans cover many prescribed medications. However, coverage may be unavailable due to drug type, cost, or regulation. Original Medicare includes Part A ...

Medicare coverage of obesity medications could drive a substantial rise in healthcare spending, according to a new study. A microsimulation model published in JAMA Health Forum projected that Medicare ...

That said, as with Part D, the specific coverage for individual drugs varies by plan. An estimated 89% of Medicare Advantage plans are MAPDs, according to the Kaiser Family Foundation (KFF).

Medicare Part D, an optional component of Medicare, helps beneficiaries pay for generic and name-brand prescription drugs.  A ...

On April 4, 2025, the Centers for Medicare & Medicaid Services (“CMS”) released the contract year (“CY”) 2026 final rule for the Medicare ...

Medicare Part D prescription drug plans cover many prescribed medications. However, coverage may be unavailable due to drug type, cost, or regulation. Original Medicare includes Part A ...