Medicare Part D drug plans in Broward & Palm Beach (2027)
For 2027, the Part D deductible can be up to $700 and your yearly out-of-pocket drug costs are capped at $2,400. The right plan still depends on exactly which drugs you take and where you fill them, so we price your list in every plan we offer in your ZIP code, at no cost.
Independent agency · NPN 18530652 · Annual Enrollment: October 15 – December 7 · English and Kreyòl
Part D in one minute
Medicare Part D is prescription drug coverage sold by private insurance companies approved by Medicare. Original Medicare doesn't cover most drugs you take at home, so almost everyone needs Part D or other creditable drug coverage. You get it one of two ways:
- A stand-alone Prescription Drug Plan (PDP), alongside Original Medicare and usually a Medicare Supplement.
- Built into a Medicare Advantage plan (an MAPD), which most Advantage plans include.
Each plan has its own drug list (formulary), price tiers, pharmacy network and monthly premium, which is why the same drug can cost very different amounts in two plans.
Part D costs, 2026 vs 2027
| Compare | 2026 | 2027 |
|---|---|---|
| Maximum deductible | $615 | $700 |
| Yearly out-of-pocket cap | $2,100 | $2,400 |
| Base beneficiary premium | n/a | $41.33 |
| Insulin, per month's supply | $35 max | $35 max |
| Recommended adult vaccines | $0 | $0 |
Sources: CMS Contract Year 2027 Rate Announcement via MedicarePlanning.com; CMS 2027 Part D bid fact sheet. The base premium is used to calculate late penalties; your plan's premium will differ.
The three Part D coverage phases in 2027
The old "donut hole" coverage gap is gone. Part D now runs through three phases:
- Deductible: you pay full price for covered drugs until you meet your plan's deductible (up to $700). Many plans have a lower deductible or none on cheaper tiers.
- Initial coverage: you pay copays or coinsurance (standard coinsurance is 25%) and the plan pays the rest.
- Catastrophic coverage: once your out-of-pocket costs reach $2,400, you pay $0 for covered drugs for the rest of 2027.
What the $2,400 cap means for you
Say you take a brand-name drug that costs $600 a month. In January you'd pay toward the deductible, then 25% coinsurance. By around the spring, your spending would hit $2,400, and from then on you'd pay $0 for that drug through December.
Instead of large bills early in the year, the Medicare Prescription Payment Plan lets you spread those costs into monthly payments.
What changed for Part D in 2027
- Higher deductible and cap: up to $700 and $2,400, from $615 and $2,100.
- Premium help is ending: CMS is discontinuing the Part D premium stabilization demonstration after 2026, so some stand-alone plan premiums may rise more in 2027.
- Fewer stand-alone plans: the number of stand-alone Part D plans fell about 22% from 2025 to 2026, and choices keep narrowing.
- More negotiated drug prices: Medicare's negotiated prices cover 10 drugs from 2026 (including Eliquis, Jardiance and Xarelto) and 15 more in 2027, including Ozempic.
Check your plan's Annual Notice of Change (ANOC) this fall: your drugs could move tiers, leave the formulary, or need prior authorization in 2027.
| Compare | Florida (2027) |
|---|---|
| Stand-alone Part D plans available | {{2027 FL PDP COUNT}} |
| Lowest monthly premium | {{2027 LOWEST PDP PREMIUM}} |
From the CMS 2027 plan data, updated {{MONTH YEAR}}. Stand-alone plan trend: Kiplinger.
Formularies, tiers and pharmacies
Every plan sorts its covered drugs into tiers. The lower the tier, the lower your cost.
| Tier | Usually includes | Your cost |
|---|---|---|
| 1 | Preferred generics | Lowest |
| 2 | Generics | Low |
| 3 | Preferred brand-name drugs | Medium |
| 4 | Non-preferred drugs | Higher |
| 5 | Specialty drugs | Highest (coinsurance) |
Rules that change what you pay
- Preferred pharmacies: the same drug can cost less at a preferred pharmacy or by mail order.
- Prior authorization: the plan must approve some drugs before covering them.
- Step therapy: you may need to try a cheaper drug first.
- Quantity limits: caps on how much you can fill at once.
- Exceptions: your doctor can ask the plan to cover a drug that isn't on its list.
Basic vs enhanced Part D plans
Stand-alone plans usually come in two styles. Basic plans follow Medicare's standard design and tend to have the lowest premiums, often with the full deductible. Enhanced plans charge a higher premium in exchange for extras such as no deductible on generics, lower copays or a broader drug list. Neither is automatically better; it depends on what you take.
What if your drug isn't covered?
When you join a new plan, you can usually get a one-time temporary supply of a drug that isn't on its formulary, so you have time to switch or ask for an exception. Your doctor can request a formulary exception or a lower tier, and you can appeal if the plan says no. We help you plan for this before you enroll.
How to choose a Part D plan
- List every drug with its exact dose and how often you take it.
- Check each plan's formulary and tier for every drug.
- Price the drugs at your pharmacy and at a preferred or mail-order pharmacy.
- Add the yearly premium to your yearly drug costs.
- Check prior authorization, step therapy and quantity limits.
- Look at the plan's star rating and whether it's been stable year to year.
Higher incomes pay more (IRMAA)
If your income from two years earlier is above certain limits, Medicare adds an income-related monthly adjustment amount (IRMAA) to your Part D premium, paid to Social Security. You can ask to have it lowered after a life-changing event such as retirement.
When you can join or change Part D
- Initial Enrollment Period: 7 months around your 65th birthday.
- Annual Enrollment Period: October 15 – December 7, for coverage starting January 1.
- Medicare Advantage Open Enrollment: January 1 – March 31, if you're in an Advantage plan.
- Special Enrollment Periods: after a move, losing creditable coverage, or qualifying for Extra Help or Medicaid.
Common Part D mistakes we see
- Picking the lowest premium without pricing your drugs.
- Skipping Part D because you take no drugs, then paying a penalty for life.
- Using a non-preferred pharmacy out of habit.
- Staying in the same plan for years without checking the new formulary.
The Part D late-enrollment penalty
If you go 63 days or more without Part D or other creditable drug coverage after you're first eligible, a penalty is added to your premium for as long as you have Part D. It's 1% of the national base premium for each full month you went without.
Example for 2027: 20 months without coverage × 1% × $41.33 = about $8.30 a month added to your premium, every month, for life, and it grows when the base premium rises.
Coverage from an employer or union, TRICARE or the VA usually counts as creditable. Your plan must tell you each year whether it does.
Extra Help with drug costs
Extra Help (the Low-Income Subsidy, or LIS) lowers Part D premiums, deductibles and copays for people with limited income and savings. In 2026, people who qualify pay no more than $12.65 for each covered drug. People in a Medicare Savings Program or with Medicaid get this help too. We check whether you qualify before recommending a plan.
Source: Medicare.gov.
Part D with a Supplement, or inside Advantage?
If you choose Original Medicare with a Medicare Supplement, you add a stand-alone Part D plan; Supplements never cover prescriptions. If you choose Medicare Advantage, drug coverage is usually built in, and you generally can't add a separate Part D plan to an Advantage plan that already includes it.
Either way, we compare the total yearly cost of your drugs, not just the premium.
How we check your drugs
- You give us your list of drugs, doses and the pharmacy you use.
- We price that list in every plan we offer in your ZIP code, including preferred and mail-order pharmacies.
- We show you each plan's total yearly cost: premium plus drugs.
- Every fall we run your list again, because formularies change every January.
Part D in Broward and Palm Beach
Most people here fill prescriptions at Publix, CVS, Walgreens, Walmart or an independent neighborhood pharmacy. Whether your pharmacy is "preferred" changes from plan to plan and year to year, and that alone can change your copays. We check your actual pharmacy for every plan we compare.
If you split the year between South Florida and another state, a stand-alone Part D plan usually works at network pharmacies nationwide, and mail order keeps long-term drugs arriving wherever you are.
Nou ka ede w an Kreyòl
Nou ka revize lis medikaman ou yo avè w an Kreyòl epi konpare plan Part D yo pou ou, san ou pa peye anyen.
We can review your medication list with you in Haitian Creole and compare Part D plans for you, at no cost. Call (770) 378-6070.
Part D questions
What is the Part D out-of-pocket cap for 2027?
$2,400. Once you reach it, you pay nothing for covered Part D drugs for the rest of 2027.
What is the Part D deductible for 2027?
Plans can charge a deductible of up to $700 in 2027. Many plans charge less, or nothing on lower-tier drugs.
Is the donut hole gone?
Yes. Part D now has three phases: deductible, initial coverage and catastrophic coverage, with an out-of-pocket cap.
Do I need Part D if I don't take any drugs?
Usually yes, unless you have other creditable drug coverage. Otherwise you may pay a lifetime late-enrollment penalty if you sign up later.
Do Medicare Supplements include Part D?
No. Supplements don't cover prescriptions, so you add a separate Part D plan.
How much does insulin cost with Part D?
No more than $35 for a month's supply of each covered insulin.
Does Part D cover the shingles vaccine?
Yes. Adult vaccines recommended by the CDC's immunization committee, including the shingles vaccine, cost $0 under Part D.
Do I need Part D if I have VA or TRICARE coverage?
Usually not, because VA and TRICARE drug coverage count as creditable. Some people add Part D anyway for pharmacy convenience; we can compare both.
Can I change my Part D plan every year?
Yes, during Annual Enrollment, October 15 to December 7. Changes start January 1.
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- Licensed in Florida · NPN 18530652
- Plans from more than 20 insurance companies
- We review your plan with you every fall
- English and Haitian Creole