Prescription Coverage in Palm Beach Gardens, Florida: A 2027 Medicare Part D Guide

Around 380,989 people in Palm Beach County are 65 or older. For anyone in Palm Beach Gardens, 2027 brings a $2,400 cap on out-of-pocket drug costs — this guide breaks down how Part D works and what changed.

Here's the Palm Beach Gardens picture in plain terms. Your county sets your Medicare options, and Palm Beach Gardens sits in Palm Beach County (part of Palm Beach Gardens area) — so that's the lens for everything below.

111 Medicare Advantage plans are available for 2027. About 48% of the county's Medicare members are in a Medicare Advantage plan rather than Original Medicare, among the roughly 380,989 residents who are 65 or older. Those are factual, area-level counts — we don't rank plans.

Expect the companies active locally, a jargon-free walkthrough of how Medicare works, the 2027 costs, the enrollment calendar, and free help when you want a person to talk to.

Part D, phase by phase

Part D is Medicare's prescription-drug coverage, and you can get it either on its own alongside Original Medicare or baked into a Medicare Advantage plan. The government sets the structure; private insurers run the plans.

Here's the shape of a 2027 plan: you first pay a deductible (capped at $700), then share costs during initial coverage, and finally hit a catastrophic phase where a new yearly out-of-pocket cap kicks in — the old coverage gap has been eliminated. If lumpy pharmacy bills are a worry, the Medicare Prescription Payment Plan can spread them monthly.

We explain how all of that plays out in Palm Beach Gardens, Florida. Because each plan's drug list and pricing differ, the plan-specific details belong on Medicare's Plan Finder — we don't rank plans.

The 2027 numbers, from shared to plan-specific

Start with what's fixed for everyone. The standard Part B premium is $202.90 per month in 2026 (2026 amount; 2027 figure will be posted when CMS releases it), and Part A is premium-free for most people who paid Medicare taxes long enough while working.

On the drug side, Part D has real guardrails for 2027: a deductible capped at $700 and, a hard $2,400 ceiling on your out-of-pocket costs for covered prescriptions — the old coverage gap is gone.

Higher earners pay more for Parts B and D through an income-related adjustment called IRMAA, which for 2026 starts above $109,000 in annual income for an individual and is based on your 2024 tax return. Most people fall below that line and pay the standard amounts. The 2027 brackets will be posted when CMS releases them.

Everything past that is plan-specific: the premiums, copays, and coverage details of an individual Advantage or Medigap plan change from plan to plan and year to year. Rather than quote or rank those, we point you to Medicare's Plan Finder and a licensed agent for your exact numbers.

When you can enroll or make changes

Medicare's enrollment windows are federal — the same nationwide — so the timing below applies wherever you live.

Your first window (IEP). When you're new to Medicare, your Initial Enrollment Period is the 7-month window around your 65th birthday month. Signing up on time helps you avoid late penalties that can follow you for years.

Annual Enrollment Period (AEP). Each fall, from October 15 – December 7, anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Medicare Advantage Open Enrollment. From January 1 – March 31, if you're already in an Advantage plan you get one chance to switch plans or return to Original Medicare.

Special Enrollment Periods can also open after certain life events, like moving or losing other coverage. The interactive calendar further down lays the year out visually.

Where to get free, unbiased help near Palm Beach Gardens

Good Medicare help exists and it's free — you don't have to figure this out solo or pay for guidance.

For official specifics and the Plan Finder tool, go straight to Medicare.gov or 1-800-MEDICARE (TTY 1-877-486-2048). And a licensed agent can compare options and handle the paperwork with you.

One note on who we are: MyMedicarePlans.org is an independent, privately owned educational resource — not Medicare, not a government agency, and not affiliated with one. Our job is to help you get oriented, then hand you off to the official sources and licensed professionals for plan decisions.

More Florida Medicare Part D guides