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Medicare Part D

Bridgeport, CT: 2027 Part D out-of-pocket cap

BRIDGEPORT, Conn. — If you take prescription drugs and have Medicare, 2027 brings another round of changes to Part D. The hard ceiling on what you pay out of pocket at the pharmacy goes up, the deductible limit edges higher, and there are still just three coverage phases to track instead of four.

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2027 DRUG LIST ALERT

Will your prescriptions still be covered in 2027?

Part D plans rewrite their drug lists every year — tiers move, pharmacies change, drugs drop off. One call checks your exact medications against the 2027 plans in your area.

  • Every prescription checked, name by name
  • Your pharmacy checked for preferred pricing

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Annual Enrollment: Oct 15 – Dec 7

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Key takeaways

  • In 2027, Part D out-of-pocket spending on covered drugs is capped at $2,400 a year, after which you pay nothing for covered prescriptions for the rest of the year, and this cap resets every January 1.
  • Part D plans can charge a deductible of up to $700 in 2027 before coverage starts, though some plans set it lower.
  • The old "donut hole" coverage gap is gone, leaving just three phases: deductible, initial coverage, and catastrophic.
  • Medicare's optional Prescription Payment Plan lets any Part D enrollee spread out-of-pocket drug costs into monthly installments instead of paying it all at the pharmacy, though it doesn't lower the total amount owed.

Here's a plain-English look at how Part D works in 2027, and what Bridgeport residents should know before the Annual Enrollment Period closes on December 7.

The $2,400 out-of-pocket cap

The headline change for 2027 is this: your out-of-pocket spending on covered Part D drugs is capped at $2,400 for the year. Once you hit that number, you pay nothing for the rest of your covered prescriptions through the end of the calendar year.

This cap applies to every Part D plan — whether your drug coverage comes through a stand-alone Part D plan or is built into a Medicare Advantage plan. It resets January 1 each year.

The deductible: up to $700

Part D plans can charge a deductible before coverage kicks in. In 2027, the maximum allowed deductible is $700. Plans can choose to set theirs lower, including at zero — but no plan can charge more than $700.

If your plan has a deductible, you'll pay the full negotiated price of your drugs (up to that amount) before the plan starts sharing costs with you.

The three phases, explained

The old "donut hole" coverage gap was eliminated in 2025. In 2027, Part D has just three phases:

1. Deductible phase. You pay the full cost of your drugs until you meet the plan's deductible (up to $700). 2. Initial coverage phase. You pay a copay or coinsurance for each prescription. Your plan pays the rest. This continues until your out-of-pocket spending reaches $2,400. 3. Catastrophic phase. Once you hit the $2,400 cap, you pay nothing for covered drugs for the remainder of the year.

That's it. No more confusing gap in the middle.

The Medicare Prescription Payment Plan

Even with the cap, hitting $2,400 in a single month — say, at the start of the year — can strain a fixed budget. That's why Medicare offers the Medicare Prescription Payment Plan, an optional program that lets you spread your out-of-pocket drug costs across the calendar year in monthly installments instead of paying the full amount at the pharmacy counter.

It doesn't lower what you owe. It just smooths the timing. You can opt in through your Part D plan, and any Part D enrollee can choose to participate.

A note on higher incomes (IRMAA)

Most people pay only their plan's Part D premium. But if your income is higher, you may owe an extra amount called the Income-Related Monthly Adjustment Amount (IRMAA). For 2026, IRMAA surcharges on Part D kick in for single filers with income above $109,000 (and higher thresholds for joint filers). Social Security notifies you if it applies, based on your tax return from two years ago.

What Bridgeport residents should know about availability

Bridgeport is in Fairfield County, where Medicare Part D and Medicare Advantage plan availability is determined at the county level by the Centers for Medicare & Medicaid Services (CMS). That means the specific plans offered to Bridgeport residents are the same as those offered elsewhere in Fairfield County.

To see the plans available in your ZIP code, use the official Plan Finder at medicare.gov/plan-compare. It's the only tool that shows real-time, personalized results based on the drugs you actually take.

Key deadlines

By the numbers

Medicare Part B premium, 2006–2026

The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.

$0$50$100$150$200200820122016202020242026

Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.

Try it

How the 2026 Part D drug cap works

Slide to your estimated yearly prescription costs and see how the new $2,100 out-of-pocket cap protects you. This illustrates the standard Part D benefit; your plan may structure costs differently.

$3,000
$2,100 cap
$1,211estimated out-of-pocket
$0saved by the cap

Once your out-of-pocket spending on covered drugs reaches $2,100, you pay nothing more for the rest of 2026. Confirm details at Medicare.gov.

Explore

When can you enroll? An interactive year

JFMAMJJASOND
October 15 – December 7 — anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.

Good to know

Frequently asked questions

Q: Does the $2,100 cap include my monthly plan premium?
No. The cap only counts what you pay out of pocket for covered prescriptions — deductible, copays, and coinsurance. Premiums are separate.
Q: What if my drug isn't on my plan's formulary?
Costs for drugs your plan doesn't cover generally don't count toward the $2,400 cap. If a needed drug isn't covered, you can ask your plan for an exception or talk to your prescriber about alternatives.
Q: Do I have to sign up for the Medicare Prescription Payment Plan?
No, it's optional. It can help if you face a large drug bill early in the year, but it isn't the right fit for everyone. Your plan can walk you through how it would work in your case.
Sources & further reading
  • CMS — Medicare Part D program rules (medicare.gov)

For personalized answers, contact Medicare.gov, 1-800-MEDICARE, or your local SHIP.

Part D drug lists change for 2027 — check your prescriptionsCall