Medicare Part D
Bedford TX Medicare Part D changes for 2027
BEDFORD, Texas — If you take prescription drugs and rely on Medicare, the Part D changes that reshaped coverage in 2026 continue into 2027, with a slightly higher yearly cap on what you'll pay out of pocket for covered drugs, the old "donut hole" gone, and the whole system simplified into three phases.
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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
- In 2027, Medicare Part D has a $2,400 yearly cap on out-of-pocket drug costs (up from $2,100 in 2026), and once you hit it, covered drugs cost $0 for the rest of the year.
- The "donut hole" coverage gap is gone, leaving three phases: deductible (up to $700 max in 2027), initial coverage, and catastrophic.
- These rules are federal, so they apply the same way to every Part D plan, whether it's a stand-alone drug plan or part of a Medicare Advantage plan.
- If drug costs are high early in the year, you can ask your plan for the free Medicare Prescription Payment Plan to spread costs into monthly payments instead of a big upfront bill.
Here's what Bedford residents need to know before the year begins.
The Part D out-of-pocket cap
In 2027, no one on Medicare Part D will pay more than $2,400 out of pocket for covered prescription drugs in a calendar year (the cap was $2,100 in 2026). Once you hit that number, you pay $0 for the rest of the year on covered drugs from your plan.
This cap applies whether your Part D coverage comes through a stand-alone drug plan or is built into a Medicare Advantage plan. It's a program-level rule set by Medicare, so it works the same for a retiree in Bedford as it does anywhere else in the country.
The three phases in 2027
The coverage gap — what people used to call the "donut hole" — was eliminated in 2025. That leaves three simpler phases:
1. Deductible phase. You pay the full negotiated price for your drugs until you meet your plan's deductible. In 2027, the maximum Part D deductible is $700 (it was $615 in 2026). Plans can set a lower deductible (or none at all), but they can't charge more than that.
2. Initial coverage phase. After the deductible, you pay a copay or coinsurance for each prescription, and your plan pays the rest. You stay in this phase until your out-of-pocket spending reaches $2,400.
3. Catastrophic phase. Once you hit $2,400, you pay nothing for the rest of the year on covered Part D drugs.
That's it — three phases, one clear ceiling.
What this means for people in Bedford
Bedford sits in Tarrant County, where Medicare beneficiaries can choose from a range of stand-alone Part D drug plans and Medicare Advantage plans that include drug coverage. For 2027, Tarrant County has 73 Medicare Advantage plans from 12 carriers, compared with 89 plans from 12 carriers in 2026.
While plan choices are set at the county level, the Part D rules above — the $2,400 cap, the $700 maximum deductible, the three phases — are federal. They apply to every Part D plan sold in Tarrant County, no matter which company offers it.
The Medicare Prescription Payment Plan
Introduced in 2025 and continuing in 2027: if your drug costs are high early in the year, you can ask your plan to spread your out-of-pocket costs across the calendar year in monthly payments. This is called the Medicare Prescription Payment Plan, and it's free to opt into.
It doesn't lower your total costs — it just smooths them out so you're not hit with a big bill in January or February. You can sign up through your Part D plan.
A quick note on higher incomes (IRMAA)
Most people pay the standard Part D premium set by their plan. But if your income is above $109,000 as a single filer (or $218,000 filing jointly) based on your 2024 tax return, you'll pay an extra amount called IRMAA on top of your Part D premium. Social Security notifies you if this applies.
Key dates to remember
- October 15 – December 7: Medicare Annual Enrollment Period. This is when you can join, switch, or drop a Part D plan for the following year.
- January 1 – March 31: Medicare Advantage Open Enrollment Period. If you're in a Medicare Advantage plan, you can switch to another MA plan or return to Original Medicare (and add a stand-alone Part D plan).
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 Tarrant County
(MA penetration in Tarrant 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 in 2025 (three phases now). There’s a hard yearly cap of $2,400 on what you pay out of pocket for covered drugs in 2027, 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 $2,100 cap include my monthly premium?
What if my drug isn't on my plan's formulary?
Can my plan still charge a deductible in 2027?
- CMS — Medicare Part D program rules (medicare.gov)
For personalized answers, contact Medicare.gov, 1-800-MEDICARE, or your local SHIP.