What will people with Medicare Part D pay for their prescription drug plans in 2025? The Centers for Medicare & Medicaid Services (CMS) anticipates that the average premium for Part D plans will decrease slightly to $46.50 per month in the coming year.
This cost-sharing chart outlines what you can expect to pay for Medicare prescription drug coverage in each phase starting in 2025, including:
- Deductible period: You will pay a deductible up to a maximum of $590 (varies by plan).
- Initial coverage period: You will pay a 25% copayment or coinsurance toward the costs of your prescription drugs. This phase ends once you've accumulated $2,000 in out-of-pocket drug costs. Your out-of-pocket costs include your:
- Part D deductible
- Copayments
- Coinsurance costs
- Catastrophic coverage period: Once you've reached the $2,000 out-of-pocket cap, you enter the catastophic benefits period and pay $0 for covered drugs for the rest of the calendar year. This cost threshold was lowered from its 2024 limit of $8,000 thanks to the Inflation Reduction Act (IRA).
Note: The Medicare Part D coverage gap (also called the "donut hole") is eliminated as of January 1, 2025.
Medicare Part D Cost-Sharing Chart for 2025
View, print, and share our handy chart below.
Where can I find help exploring my Medicare plan options?
To compare different Medicare Part D plans, try the online Medicare plan finder tool. If you prefer personalized assistance from an expert, you should know NCOA works with several broker partners who meet our strict Standards of Excellence. These licensed and knowledgeable Medicare brokers are here to walk you through your coverage options and answer any questions you have in straightforward terms. Learn more about how you can get help making informed decisions about your Medicare coverage.
