What is the Medicare Prescription Payment Plan?
High prescription costs shouldn’t prevent beneficiaries from getting the care they need. The Medicare Prescription Payment Plan gives anyone with a Medicare drug plan or Medicare Advantage plan with drug coverage the option to pay out-of-pocket prescription costs over time.
Here’s how it works if a beneficiary opts in: The Medicare plan pays the pharmacy directly for beneficiary's medications. The beneficiary repays their plan in monthly installments with no interest or fees. Beneficiaries get certainty of affordability for their prescriptions throughout the year. This means if they opt in, they'll pay $0 when they get their medications. Instead, their out-of-pocket prescription costs will be billed to them in monthly installments from their plan.
This Medicare program is new for 2025—beneficiaries can opt in anytime. Sign up online, by phone, or by mail with the insurance plan that provides their Part D prescription coverage. Look up a specific plan to opt in here.
What Older Adults Say About This Program
Benefits of the Medicare Prescription Payment Plan
Lower Monthly Prescription Drug Costs
Spread out costs over time and avoid large bills at the pharmacy counter.
Help with Prescription Costs
Designed to enable prescription assistance for someone with Medicare, this program provides financial relief for those struggling to manage high prescription expenses.
Affordable Prescriptions for Seniors
With this program, essential medications are more accessible for seniors, making it easier and less stressful to stay healthy.
Calculate Potential Monthly Rx Costs
This simple calculator helps beneficiaries see how the new Medicare Prescription Payment Plan impacts their prescription payments over time.
To use it, they'll just need to know what their monthly prescription costs were each month in the last year. If they are not sure what their costs were or will be, they 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.
How It Works
If beneficiaries need help paying for prescription medications, they can watch this short video to learn more about how the Medicare Prescription Payment Plan can benefit them.
Commonly Asked Questions
Who Built this Educational Site?
Paytient is a healthcare solutions company trusted by 25 million people to transform how they access and afford care. We made this site for people to learn more about the Medicare Prescription Payment Plan and how they may benefit from participating.
In 2025, Paytient will power the technology behind the scenes for the Medicare Prescription Payment Plan for 40 percent of beneficiaries with prescription drug coverage, helping them better manage their prescription payments over time.
Paytient is not affiliated with the Center for Medicare & Medicaid Services (the agency that administers Medicare), nor are we providing this site on behalf of any Medicare plan sponsor.
We did our best to compile helpful information about how to enroll in many Medicare Prescription Payment Plans, but we can’t guarantee that the information is completely accurate (health plans sometimes change their processes) or that using our tools will result in successful enrollment in a Medicare Prescription Payment Plan.
If you have questions or concerns about whether the plan information is accurate or the enrollment process will be successful, you should contact your Medicare plan sponsor directly.
Are you a Pharmacist, Prescriber, or Patient Advocate?
Submit your information and we’ll be in touch.