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HealthPlan Connect
Serving Palm Beach County, FL

Medicare Part D Prescription Drug Plans in Florida — Stop Overpaying at the Pharmacy

Part D drug plans change every year — and so does your cost. A licensed Florida advisor will review your current medications and find the plan with the lowest total cost for your specific prescriptions.

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What is Medicare Part D?

Medicare Part D is prescription drug coverage offered through private insurers approved by Medicare. Each plan has a formulary (list of covered drugs), different tiers with different costs, and a monthly premium. The plan that was cheapest last year may not be cheapest this year — drug plans must be reviewed annually.

How Part D Drug Plans Work

Each Part D plan has a formulary — the list of drugs it covers. Drugs are organized into tiers, with lower tiers (generics) costing less and higher tiers (brand-name and specialty drugs) costing more.

The 4 Phases of Part D Coverage (2026)

1

Deductible Phase

You pay 100% of drug costs until you meet your deductible (up to $590 in 2026 — some plans have $0 deductible)

2

Initial Coverage Phase

You pay your plan's copay or coinsurance; plan pays the rest

3

Catastrophic Coverage

After $2,000 in out-of-pocket drug costs in 2026, you pay $0 for covered drugs for the rest of the year (the "donut hole" has been eliminated)

4

$0 After Cap

Once you hit the $2,000 out-of-pocket cap, all covered drugs are free

This is a major change in 2026 — if you were paying thousands in the coverage gap (donut hole) in previous years, your costs may be significantly lower now.

Why Your Part D Plan Needs an Annual Review

Every January 1, Part D plans can change:

Which drugs are on the formulary
The tier a drug is placed on (affecting your cost)
Monthly premiums
Deductibles and copays
Preferred pharmacy networks

A drug that cost you $30/month last year may cost $90/month this year — or may have been dropped from your plan's formulary entirely. The only way to know is to review your plan every Annual Enrollment Period (Oct 15 – Dec 7).

Who Needs a Standalone Part D Plan?

You NEED a standalone Part D plan if you have:

  • Original Medicare only (Parts A and B)
  • A Medicare Supplement (Medigap) plan (which does not include drug coverage)

You do NOT need a standalone Part D plan if you have:

  • A Medicare Advantage plan that includes drug coverage (MAPD)

Important:

If you delay enrolling in Part D when you first become eligible and don't have other creditable drug coverage, you may face a late enrollment penalty — 1% of the national base premium for every month you were eligible but not enrolled.

We compare plans from top carriers:

Humana Medicare plans
UnitedHealthcare Medicare plans
Aetna Medicare plans
Blue Cross Blue Shield Medicare plans
Cigna Medicare plans
WellCare Medicare plans

Frequently Asked Questions About Medicare Part D

The cost depends entirely on which drugs you take, which pharmacies you use, and where you live. We enter your exact medications into Medicare's plan finder and identify the plan with the lowest total annual cost — premium + deductibles + copays combined.

Content reviewed by Lynsey Brennan, Licensed Medicare Advisor | FL License #[XXXXXXX]

Stop Overpaying for Prescriptions

We'll review your current medications and find the Part D plan with the lowest total cost — including premiums, deductibles, and copays.

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