Medicare Part D provides coverage for prescription medications. The average Part D plan premium in 2021 is $41.64 per month.1
Because Original Medicare (Part A and Part B) does not cover retail prescription drugs in most cases, millions of Medicare beneficiaries turn to Medicare Part D or Medicare Advantage prescription drug (MA-PD) plans to get help paying for their drugs.
In this guide, we list the average costs of Medicare Part D plans by state so that you can see how your state averages compare.
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We also detail Part D plan costs so that you can better understand your Medicare prescription drug coverage options.
You can compare Part D plans available where you live and enroll in a Medicare prescription drug plan online in as little as 10 minutes when you visit MyRxPlans.com.2
As mentioned above, the average premium for Medicare Part D plans in 2021 is $41.64 per month.
The average Part D plan deductible in 2021 is $342.97 per year.1
The table below shows the average premiums and deductibles for Medicare Part D plans in 2021 for each state.
|State||Average Premium||Average Deductible|
Learn more about Medicare Part D plans in your state.
Several factors can play into determining the cost of a Medicare Part D plan, such as:
Your Part D deductible is the amount that you must spend out of your own pocket for covered drugs in a calendar year before the plan kicks in and begins providing coverage.
Copayments and coinsurance are the amounts that you must pay once your plan’s coverage does begin.
A copayment is usually a fixed dollar amount (such as $5) while coinsurance is most often a percentage of the cost (such as 20 percent). Plans might have different copayment or coinsurance amounts for each tier of drugs.
After 2020, Medicare Part D plans have a shrunken coverage gap, or “donut hole,” which represents a temporary limit on what the plan will cover for prescription drugs.
You enter the Part D donut hole once you and your plan have spent a combined $4,130 on covered drugs in 2021.
Once you reach the coverage gap, you will pay up to 25 percent of the cost of covered brand name and generic drugs until you reach total out-of-pocket spending of $6,550 for the year in 2021.
Once you reach $6,550 in out-of-pocket spending, you are out of the donut hole and enter “catastrophic coverage,” where you typically only pay a small copayment or coinsurance payment for the rest of the year.
Extra Help is an assistance program that helps lower income individuals more easily afford Medicare Part D. Extra Help helps pay for Part D premiums, deductibles and copayments/coinsurance.
Learn more about Medicare Part D Extra Help, including how to qualify, where Extra Help is offered and how to find other assistance programs designed to help cover Part D prescription drug costs.
Medicare Advantage plans are an alternative to Original Medicare (Part A and Part B).
Medicare Advantage plans (also called Medicare Part C) provide all of the same coverage as Medicare Part A and Part B, and many plans include some additional benefits that Original Medicare doesn’t cover.
Some of these additional benefits can include things like:
Read additional medicare costs guides to learn more about Medicare costs and how they will affect you.
The cost of a Medicare Part D plan may vary from one insurance company to the next and from one location to another.
One way to learn about your Medicare prescription drug coverage options is to speak with a licensed insurance agent. You can compare Medicare Advantage plan costs in your area and find a plan that covers the prescription drugs you need.
Compare Medicare plan costs in your areaCompare Plans
Or call TTY Users: 711 to speak with a licensed insurance agent. We accept calls 24/7!
1 MedicareAdvantage.com's The Best States for Medicare in 2021 report. (Oct. 27, 2020).
2 10-minute claim is based solely on the time to complete the e-application if you have your Medicare card and other pertinent information available when you apply. The time to shop for plans, compare rates, and estimate drug costs is not factored into the claim. Application time could be longer. Actual time to enroll will depend on the consumer and their plan comparison needs.
Christian Worstell is a licensed insurance agent and a Senior Staff Writer for MedicareAdvantage.com. He is passionate about helping people navigate the complexities of Medicare and understand their coverage options.
His work has been featured in outlets such as Vox, MSN, and The Washington Post, and he is a frequent contributor to health care and finance blogs.
Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism. He currently lives in Raleigh, NC.
Where you've seen coverage of Christian's research and reports: