Medicare Part D
Pompano Beach Guide: 2027 Part D Cap, FL
POMPANO BEACH, Fla. — Starting January 1, 2027, the yearly ceiling on what you pay out of pocket for covered Part D prescription drugs moves up to $2,400, from $2,100 in 2026. Here's how that cap works and what else is changing.
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Part D plans rewrite their drug lists every year — tiers move, pharmacies change, drugs drop off. One call checks your exact medications against the 2027 plans in your area.
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Click to call 855-729-3240Key takeaways
- Starting January 1, 2027, Medicare Part D has a firm yearly out-of-pocket cap of $2,400 on covered prescription drugs, up from $2,100 in 2026.
- Once you reach that $2,400 cap, you pay nothing for the rest of your covered prescriptions for the rest of the year, and this rule applies the same way whether you have a stand-alone Part D plan or a Medicare Advantage plan with drug coverage.
- The old "donut hole" coverage gap is gone, leaving just three phases: a deductible phase (up to $615 in 2026 and up to $700 in 2027), an initial coverage phase where you typically pay 25% of drug costs, and a catastrophic phase where you pay nothing.
- A free, optional Medicare Prescription Payment Plan lets you spread your out-of-pocket drug costs into monthly bills instead of paying it all at the pharmacy, which can help most if you have high drug costs early in the year.
Here's what's new, what stayed, and how to plan for it.
The headline number: $2,400
In 2027, your out-of-pocket spending on covered Part D drugs is capped at $2,400 for the year. Once you hit that amount, you pay nothing for the rest of your covered prescriptions through the end of the calendar year.
This cap applies whether you have a stand-alone Part D plan or drug coverage built into a Medicare Advantage plan. It's a program-wide rule set by Medicare, not something that varies plan by plan.
For context, the cap was $2,000 in 2025 and $2,100 in 2026. It's indexed to rise each year, and the 2027 figure reflects that annual adjustment.
The "donut hole" is officially gone
If you've been on Medicare for a while, you may remember the coverage gap — the dreaded "donut hole" phase where your share of drug costs jumped after you passed an initial spending threshold.
That's history. As of 2025, Part D has just three phases:
1. Deductible phase — you pay full negotiated price until you meet your plan's deductible (up to a maximum of $700 in 2027). 2. Initial coverage phase — you pay a share of costs (typically 25% for covered drugs) until you reach the $2,400 out-of-pocket cap. 3. Catastrophic phase — once you hit $2,400, you pay nothing for covered drugs for the rest of the year.
No more donut hole. No more sudden spike in the middle of the year.
The Medicare Prescription Payment Plan: spread the cost out
Even with a $2,400 cap, $2,400 is a lot to pay in January if your medications are expensive up front. That's where the Medicare Prescription Payment Plan comes in.
This is a free, optional program. Instead of paying the pharmacy the full amount when you pick up a prescription, you can choose to have your Part D plan bill you monthly, spreading your out-of-pocket costs across the calendar year.
A few things to know:
- You still owe the same total amount — it's just paid on a monthly schedule.
- You can opt in before the plan year starts or at any point during the year.
- If you miss payments, you can be removed from the payment plan (but not from your drug coverage).
It's most useful for people who take high-cost medications early in the year. If your drug costs are modest and spread out, the payment plan may not save you any hassle.
What this means locally
Pompano Beach is in Broward County, where residents have 87 Medicare Advantage plans from 16 carriers to compare for 2027 during open enrollment. The $2,400 cap and the payment plan apply the same way no matter which plan you choose — but plans still differ on premiums, deductibles (up to $700 in 2027), formularies, and pharmacy networks.
That's why comparing your specific medications against a plan's drug list matters more than ever. The cap protects you from catastrophic costs, but what you pay to get to the cap still depends on your plan.
Dates to circle
- October 15 – December 7, 2026: Medicare Annual Enrollment Period. This is when you can join, switch, or drop a Part D or Medicare Advantage plan for 2027.
- January 1 – March 31, 2027: Medicare Advantage Open Enrollment. If you're already in a Medicare Advantage plan, you get one chance to switch to another MA plan or return to Original Medicare.
- January 1, 2027: The $2,400 cap and updated deductible take effect.
One more note: if your income is above $109,000 as a single filer (or $218,000 filing jointly), you may pay an income-related surcharge, called IRMAA, on top of your Part D premium. That's separate from the out-of-pocket cap.
By the numbers
Medicare Part B premium, 2006–2026
The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.
Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.
By the numbers
How people get Medicare in Broward County
(MA penetration in Broward County)
MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.
Prescription coverage
How Medicare Part D works in 2027
The old coverage gap (“donut hole”) was eliminated as of 2025 (three phases now). For 2027, there's a hard yearly cap of $2,400 on what you pay out of pocket for covered drugs, and you can spread those costs across the year with the Medicare Prescription Payment Plan.
Try it
How the 2026 Part D drug cap works
Slide to your estimated yearly prescription costs and see how the new $2,100 out-of-pocket cap protects you. This illustrates the standard Part D benefit; your plan may structure costs differently.
Once your out-of-pocket spending on covered drugs reaches $2,100, you pay nothing more for the rest of 2026. Confirm details at Medicare.gov.
Explore
When can you enroll? An interactive year
Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.
Good to know
Frequently asked questions
Does the $2,400 cap include my monthly premium?
What if my drug isn't on my plan's formulary?
Do I have to sign up for the payment plan?
- CMS — Medicare Part D program rules (medicare.gov)
For personalized answers, contact Medicare.gov, 1-800-MEDICARE, or your local SHIP.