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Medicare Part D Plan Benefits

2025 Medicare Part D Costs

Prescription Drug Coverage

Monthly Premium for Drug Plans

For 2025 Medicare Part D Costs, most drug plans charge a monthly fee that varies by plan. You pay this in addition to the Part B premium. If you’re in a Medicare Advantage Plan (Part C) or Medicare Cost Plan with drug coverage, the monthly premium may include an amount for drug coverage.

-If your income was more than $106,000 ($212,000 filing joint) you’ll pay $13.70 + your plan premium
-If your income was more than $133,000 ($266,000 filing joint) you’ll pay $35.30 + your plan premium
-If your income was more than $167,000 ($334,000 filing joint) you’ll pay $57.00 + your plan premium
-If your income was more than $200,000 ($400,000 filing joint) you’ll pay $78.60 + your plan premium
-If your income was more than $500,000 ($750,000 filing joint) you’ll pay $85.80 + your plan premium

Yearly Deductible

Deductibles vary between Medicare drug plans.  Some Medicare drug plans don’t have a deductible.

  • No Medicare drug plan may have a deductible more than $590 in 2025. 
Copayments & Out-of-Pocket Threshold

New in 2025, since they have eliminated the Donut Hole in 2025, once your deductible is met, you’ll pay a coinsurance (copay) for prescription drugs. 

-Initial coverage limit is $2,000. Once you reach this amount, you’ll automatically get catastrophic coverage and won’t have to pay out-of-pocket for covered Part D drugs for the rest of the year.

Catastrophic Coverage

Once you reach your threshold ($2,000), you won’t have to pay out-of-pocket for covered Part D drugs for the rest of the year.

Insulin Costs

In 2025, Medicare Part D will limit insulin copayments to $35 per month for covered prescriptions:
• This applies to insulin received through durable medical equipment, such as insulin pumps, through Medicare Part B
• There is no deductible
• The $35 limit applies even if you get Extra Help to lower your prescription drug costs
• A 3-month supply of insulin costs no more than $105

Costs for Vaccines

Starting in 2023, vaccines covered under Medicare Part D will be free. This means you pay no deductible, coinsurance or copay for vaccines — even the shingles vaccine — as well as RSV, Tetanus, Whooping Cough, Flu and Covid 19 — all covered by Medicare Part D.

Disclaimers:

The above information is from www.Medicare.gov.

The above premiums represent national averages. Plan premiums can and do vary by state and by carrier.

Diversified Group Services, Inc. nor it’s agents, are not part of the Federal Government Medicare System. The content in on this page has not been reviewed or approved by Medicare.

We do not offer every plan available in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all your options.