See What Your Monthly Rx Costs Would Be
Use this simple calculator to see how the new Medicare Prescription Payment Plan impacts your prescription payments over time.
To use it, you’ll need to know what your monthly prescription costs were each month in the last year. If you're not sure what your costs were or will be, you can estimate some costs to see how the program works. No personal information will be collected, saved, or shared.
While this calculator is not associated with the Centers for Medicare & Medicaid Services, it is made using the calculations set forth publicly for the Medicare Prescription Payment Plan program which can be viewed online here.
FAQs
Get answers to common (but key) questions about Paytient.
Who is eligible for Medicare’s Prescription Payment Plan?
All Medicare Part D beneficiaries are eligible! Anyone with a Medicare drug plan or Medicare health plan with drug coverage, such as a Medicare Advantage Plan with drug coverage, can take part in this program.
What is the annual limit for out-of-pocket costs for the Medicare Prescription Payment Plan?
For 2025, the annual limit for out-of-pocket costs for Medicare Part D beneficiaries is $2,000, and in 2026, the annual OOP limit is $2100. The Medicare “donut hole” went away in 2025, so the most you can spend out-of-pocket on covered Part D, or outpatient, prescription drugs is the out of pocket maximum amounts listed above.
Is there a cost to enroll in the Medicare Prescription Payment Plan?
No, there’s no cost to enroll, and the payment plan is completely interest-free.
How do I opt in to the Medicare Prescription Payment Plan?
To opt in quickly and securely, complete your opt in form using our opt in tool, located here.
Is there a limit to the number of prescriptions covered under the Medicare Prescription Payment Plan?
No, if you opt in, the program will automatically spread the cost of all covered Part D drugs that you fill at the pharmacy.
Can I use the Program for all prescriptions?
Yes, the Medicare Prescription Payment Plan covers all eligible prescriptions under your Medicare plan.