Medicare Part D Deductible

Some Medicare prescription drug plans require you to pay a Part D yearly deductible before it will share the cost of your medications. The fact that a yearly deductible is an out-of-pocket Medicare Part D cost—in addition to the Medicare Part D copays and/or Medicare coinsurance you pay for prescriptions—is often overlooked when comparing out-of-pocket expenses.

The standard Part D deductible for 2018 is $405 and in 2019 it is $415; it may change every year. Instead of choosing a plan that requires you to pay up to $405 or $415 before your Initial Coverage stage begins, consider a $0 deductibleSee footnote for details1 SilverScript (PDP) plan that eliminates the deductible stage, and instead, begins in the Initial Coverage stage. With a $0 deductible plan, there’s no out-of-pocket deductible to pay and no waiting for the plan to share your prescription costs.

1In 2018, the Alaska Choice Plan has a $405 deductible, and the Arizona and Hawaii Choice Plans have a $100 deductible on Tier 3-5 drugs. In 2019, the SilverScript Choice plan has a $100 deductible on Tier 3-5 drugs in GA, TX and CO; a $415 deductible on Tiers 3-5 in AZ and SC; and a $415 deductible on all drug tiers in AK.