What is the Medicare Part D out-of-pocket cap in 2026? | Patriot Plans
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HomeMedicareWhat is the Medicare Part D out-of-pocket cap in 2026?
Medicare Part D

What is the Medicare Part D out-of-pocket cap in 2026?

In 2026, the Medicare Part D out-of-pocket cap is $2,000. After you reach $2,000 in out-of-pocket drug costs, you pay $0 for covered drugs for the rest of the year. This is a major improvement from previous years when the coverage gap (donut hole) could result in much higher costs.

Key Points

  • 2026 Part D out-of-pocket cap: $2,000
  • After $2,000 OOP: pay $0 for covered drugs for the rest of the year
  • Major improvement from previous years
  • The donut hole (coverage gap) was eliminated in 2024
  • An independent agent can help you find the best Part D plan for your medications