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Medicare Part D

Taunton Medicare Guide: 2027 Part D Rules

TAUNTON, Mass. — If you take prescription drugs and have Medicare, 2027 brings another round of Part D changes. The out-of-pocket cap is $2,100 in 2026 and $2,400 in 2027, the deductible ceiling is $615 in 2026 and $700 in 2027, and the old "donut hole" is gone. Here in Taunton, where many neighbors rely on Part D to help pay for medicines, understanding how the program works now can make Annual Enrollment feel a lot less confusing.

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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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Key takeaways

  • In 2027, Medicare Part D drug plans will have a $2,400 out-of-pocket cap, a deductible that can't be higher than $700, and no more "donut hole" coverage gap.
  • Once your yearly drug spending hits the annual cap — $2,100 in 2026 and $2,400 in 2027 — you pay $0 for covered Part D drugs for the rest of the year, though premiums don't count toward that total.
  • If a big drug bill feels hard to pay at once, the optional Medicare Prescription Payment Plan lets you spread costs into monthly payments instead of lowering what you owe.
  • Higher earners (over $109,000 single or $218,000 joint, based on 2024 income) will pay an extra IRMAA charge on top of their Part D premium, but this can be reconsidered after a life event like retirement.

How Part D works in 2027 for Taunton readers

Taunton is in Bristol County, where Part D plans are sold and priced at the county level. That means the rules below apply the same way whether you live near Church Green, out toward East Taunton, or over by Weir Village.

The three phases of Part D in 2027

As of 2025, Medicare cut the coverage gap out of Part D. That leaves three phases in 2027:

1. Deductible phase. You pay the full negotiated price for your drugs until you meet your plan's deductible. The maximum deductible a Part D plan can charge is $615 in 2026 and $700 in 2027. Some plans set it lower, and some drugs may be covered before the deductible is met.

2. Initial coverage phase. After the deductible, you pay a copay or coinsurance for each prescription and your plan pays the rest. This continues until your out-of-pocket spending hits the annual cap.

3. Catastrophic phase. Once your out-of-pocket drug spending reaches the annual cap — $2,100 in 2026 and $2,400 in 2027 — you pay $0 for covered Part D drugs for the rest of the calendar year. This is the cap introduced in 2025, and it's the biggest built-in protection Part D has ever offered.

The Part D cap, in plain English

The $2,100 in 2026 ($2,400 in 2027) figure is a hard ceiling on what you personally spend at the pharmacy counter for covered Part D drugs in a calendar year. Premiums don't count toward it, but your deductible and your cost-sharing do. Once you reach it, you're done paying for covered drugs until January 1.

For Taunton residents on expensive medications — think certain cancer, diabetes, or autoimmune treatments — this can be a meaningful change from years past, when there was no true annual limit.

The Medicare Prescription Payment Plan

If a $2,100 in 2026 ($2,400 in 2027) bill in January feels like too much at once, Medicare now offers the Medicare Prescription Payment Plan. It's optional and free to join. Instead of paying the pharmacy directly, your plan spreads your drug costs across monthly payments through the rest of the year.

It doesn't lower what you owe — it just smooths it out. You can sign up before the plan year or any time during the year by contacting your Part D plan.

What about higher-income enrollees?

If your income is above $109,000 as a single filer (or $218,000 filing jointly) based on your 2024 tax return, you'll pay an income-related monthly adjustment amount, called IRMAA, on top of your Part D premium in 2026. Social Security notifies you by mail. If your income has dropped due to a life event like retirement or the loss of a spouse, you can ask Social Security to reconsider.

Key dates for Taunton enrollees

Even if you're happy with your current coverage, it's worth reviewing your plan each fall. Formularies, pharmacy networks, and cost-sharing can change from year to year.

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.

By the numbers

How people get Medicare in Bristol County

39% are on Medicare Advantage
(MA penetration in Bristol County)
39%
61%
Medicare Advantage Medicare Supplement (Medigap) Original Medicare only
U.S. average

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”) was eliminated as of 2025 (three phases now). There's a hard yearly cap on what you pay out of pocket for covered drugs — $2,100 in 2026 and $2,400 in 2027 — and you can spread those costs across the year with the Medicare Prescription Payment Plan.

Phase 1
Deductible
You pay full price for covered drugs until you meet your plan's deductible (no more than $615 in 2026).
Phase 2
Initial coverage
You and your plan share costs through copays or coinsurance.
Phase 3
Catastrophic coverage
Once your out-of-pocket drug spending hits $2,100 in 2026 ($2,400 in 2027), you pay nothing more for covered drugs for the rest of the year.

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Medicare Advantage companies in Bristol County

By local enrollment size · informational, not a ranking
CompanyLocal enrollmentPlans offeredLocal agentsAction
UnitedHealthcareNational—Yes
Aetna (CVS Health)National—Yes
Point32health IncRegional—Yes
Blue Cross and Blue Shield of Massachusetts IncRegional—Yes
Eternal Health of Delaware IncRegional—Yes
HumanaNational—Yes
Enrollment data: CMS Medicare Advantage enrollment by company (county level). Figures shown are illustrative sample data pending the current CMS file. Listed by enrollment size, largest first — this is not a ranking, recommendation, or endorsement of any company or plan.

Provided by licensed insurance partners; MyMedicarePlans.org may be compensated. Not a ranking or endorsement of any 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.

$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

Do I still have to worry about the donut hole in 2027?
No. The coverage gap was eliminated starting in 2025. Part D now has three phases: deductible, initial coverage, and catastrophic.
Does the $2,100 cap include my monthly premium?
No. Premiums don't count toward the cap. Only your deductible and cost-sharing on covered drugs count.
Do I have to sign up for the Prescription Payment Plan?
No — it's completely optional. Some people prefer to pay at the pharmacy as usual. It tends to help most if you have high drug costs early in the year.
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