Manage your monthly drug costs through the Medicare Prescription Payment Plan.
Call 1-833-696-2087, TTY 711
You can also sign up by completing the request form
The Medicare Prescription Payment Plan is a program starting in 2025 that helps you manage your out-of-pocket Medicare Part D drug costs by spreading them across the calendar year (January – December). This could be a benefit if you have high drug costs, especially early in the year.
If you are happy with how you currently pay for your Medicare Part D drugs, your drug costs are low or are the same each month, or if you get help paying for your drugs through other programs such as Extra Help, this payment option might not be the best choice for you.
This is a voluntary payment option offered by all Medicare Part D plans. There’s no cost to participate. This program might help you manage your monthly expenses, but it doesn’t save you money or lower your drug costs.
The prescription drug law caps your out-of-pocket costs at $2,000 in 2025. This means you’ll never pay more than $2,000 in out-of-pocket Medicare Part D drug costs in 2025. This is true for everyone with Medicare Part D drug coverage, even if you don’t choose to participate in this payment option.
Get additional Medicare Prescription Payment Plan information and resources.
Review the Medicare Prescription Payment Plan fact sheet for more information about the program and how drug payments work.
Requests to opt into the Medicare Prescription Payment Plan are processed within 24 hours. If you need to pick up a prescription urgently, call customer support at 1-833-696-2087, TTY 711 to discuss your options.
If the turnaround time causes a delay in filling a prescription and that delay would cause harm to your health, you can ask for a retroactive election within 72 hours from when your prescription drug claim was completed.
If your request is approved, you will be reimbursed for all cost sharing for any prescriptions filled within 45 days of joining the Medicare Prescription Payment Plan.
You’ll get a reminder if you miss a payment. If you don’t pay your bill by the date listed in the reminder, you will be removed from the Medicare Prescription Payment Plan.
You are required to pay the amount you owe, but won’t pay any interest or fees, even if your payment is late. You can pay the amount all at once or be billed monthly.
If you’re removed from the Medicare Prescription Payment Plan, you will still be enrolled in your Medicare Part D plan.
Extra Help is a financial assistance program available for Medicare beneficiaries with limited resources and income. The program helps members pay for Medicare Part D costs and was expanded in 2024 to provide wider access to benefits.
Extra Help can help you pay for your monthly Medicare Part D plan premium, copays, and coinsurance amounts. If you have Extra Help, you can sign up for the Medicare Prescription Payment Plan, but you may receive a greater benefit from the Extra Help program.
You can also contact your local State Health Insurance Assistance Program (SHIP) to get free help applying.
To leave the Medicare Prescription Payment Plan or to file a complaint or grievance, call 1-833-696-2087, TTY 711.
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