Medicare Part D
Danville, IL Part D: 2027 $2,400 drug cap
DANVILLE, Ill. — The hard yearly limit on what you pay out of pocket at the pharmacy under Medicare Part D, new in 2026, continues in 2027 at a higher amount. The Part D out-of-pocket cap is $2,100 in 2026 and $2,400 in 2027. Once you hit it, your covered prescriptions cost you nothing more for the rest of the calendar year.
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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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Key takeaways
- Starting Jan. 1, 2027, all Medicare Part D drug plans will cap out-of-pocket prescription costs at $2,400 per year, after which covered drugs cost nothing for the rest of the year.
- Part D plans can charge a deductible of up to $615 in 2026 and up to $700 in 2027, and the old "donut hole" coverage gap phase was eliminated in 2025, leaving just three simple cost phases.
- The Medicare Prescription Payment Plan lets you spread your yearly drug costs into monthly payments instead of paying it all at once, though it doesn't reduce the total amount you owe.
- People with 2024 income above $109,000 (single) or $218,000 (joint) may owe an extra IRMAA surcharge on top of their Part D premium in 2026, and Social Security will notify anyone this applies to.
A big change hits Part D this season
For people in Danville who take expensive medicines — think insulin, blood thinners, cancer pills, or specialty drugs for autoimmune conditions — this is the kind of change worth understanding before the Annual Enrollment Period closes on Dec. 7.
What the Part D cap actually covers
The cap applies to what you pay for covered Part D drugs during the year — your deductible, copays, and coinsurance on prescriptions filled through your plan. It applies whether you have a stand-alone Part D plan or drug coverage built into a Medicare Advantage plan.
A few things it does not cover:
- Your monthly Part D premium.
- Drugs that aren't on your plan's formulary (the plan's covered drug list).
- Medications given in a doctor's office or hospital, which usually fall under Part B.
Also worth knowing: the maximum Part D deductible a plan can charge is $615 in 2026 and $700 in 2027. Plans can set a lower deductible, but not higher.
The "donut hole" is gone
If you've been on Medicare for a while, you probably remember the coverage gap — the "donut hole" — where your share of drug costs jumped in the middle of the year. That phase was eliminated in 2025.
In 2027, Part D has just three phases: 1. Deductible phase — you pay full negotiated price until you meet the plan's deductible (up to $700). 2. Initial coverage phase — you pay copays or coinsurance until your out-of-pocket spending reaches $2,400. 3. Catastrophic phase — you pay $0 for covered drugs the rest of the year.
That's it. No middle phase where costs suddenly spike.
The Medicare Prescription Payment Plan: spreading costs over the year
Here's a piece a lot of folks miss. Even with the cap ($2,100 in 2026, $2,400 in 2027), someone with a pricey prescription could still hit that cap in January or February — a hard bill to swallow all at once.
The Medicare Prescription Payment Plan lets you spread your out-of-pocket drug costs across the calendar year in monthly payments instead of paying it all at the pharmacy counter. It doesn't lower what you owe overall — it just smooths it out.
A few basics:
- It's optional. You have to opt in.
- Every Part D plan (including drug coverage inside Medicare Advantage) must offer it.
- You can sign up before the plan year starts or any month during the year.
- You'll pay $0 at the pharmacy for covered drugs, then get a monthly bill from your plan.
Whether it makes sense depends on your situation. If your drug costs are low and steady, you may not need it. If you're bracing for a big January refill, it could help with cash flow.
A local snapshot for Danville
Danville sits in Vermilion County, and Medicare plan availability is set at the county level. That means the number of stand-alone Part D plans and Medicare Advantage plans with drug coverage available to you is the same whether you live downtown, near Lake Vermilion, or out toward Westville.
The changes above — the cap ($2,100 in 2026, $2,400 in 2027), the three-phase design, the payment plan — apply to every Part D plan sold in Vermilion County, no matter the carrier. Where plans differ is in the details: which drugs are on the formulary, what tier a drug sits in, which pharmacies are preferred, and monthly premiums. Those are the pieces worth comparing during Annual Enrollment.
When to act
- Oct. 15 – Dec. 7: Medicare Annual Enrollment Period. Join, switch, or drop a Part D or Medicare Advantage plan for coverage starting Jan. 1.
- Jan. 1 – March 31: Medicare Advantage Open Enrollment. If you're already in a Medicare Advantage plan, you get one chance to switch to another MA plan or return to Original Medicare with a stand-alone Part D plan.
One more note on income: if your 2024 income was above $109,000 (single filer) or $218,000 (joint), you may pay an income-related surcharge (IRMAA) on top of your Part D premium in 2026. Social Security will notify you if that applies.
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.
Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.
By the numbers
How people get Medicare in Vermilion County
(MA penetration in Vermilion County)
MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.
Prescription coverage
How Medicare Part D works in 2027
The old coverage gap (“donut hole”) is eliminated as of 2025 (three phases now). There’s now a hard yearly cap of $2,100 in 2026 ($2,400 in 2027) on what you pay out of pocket for covered drugs, and you can spread those costs across the year with the Medicare Prescription Payment Plan.
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.
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
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
Does the $2,100 cap reset every year?
If I sign up for the payment plan, do I still hit the $2,100 cap?
I have Extra Help (the Low-Income Subsidy). Does any of this change for me?
- CMS — Medicare Part D program rules (medicare.gov)
For personalized answers, contact Medicare.gov, 1-800-MEDICARE, or your local SHIP.