The maximum Medicare Part D deductible is $615 in 2026. For 2027, the Centers for Medicare & Medicaid Services has set it at $700.
What the standard deductible means
The figure above is a ceiling, not a fixed charge. It is the most any Part D plan is allowed to charge before its coverage begins. Plans may charge less, and a good number charge no deductible at all, usually in exchange for a higher monthly premium or higher copays.
| Standard benefit parameter | 2026 | 2027 |
|---|---|---|
| Maximum annual deductible | $615 | $700 |
| Annual out-of-pocket threshold | $2,100 | $2,400 |
| What you pay after the threshold | $0 | $0 |
How the deductible fits the rest of the benefit
Part D now has three stages. You pay full price until the deductible is met, then copays or coinsurance during the initial coverage stage, and once your out-of-pocket spending on covered drugs reaches the annual threshold you pay nothing for covered drugs for the rest of the year. The old coverage gap, or donut hole, was eliminated on January 1, 2025.
Watch the tiers, not just the deductible
Many plans apply the deductible only to drugs on the higher tiers, so a plan with the full $615 deductible can still cost you nothing on generics. When you compare plans, price your own prescription list under each one rather than sorting by deductible or premium alone.
Talk to a licensed iHealthAgents advisor
We can walk you through what these amounts mean for your own coverage and compare every plan available where you live.
Book a time with a licensed advisor, or call Illinois 312-726-6565 or Texas 972-666-0578.
This article is for educational purposes only and is not a substitute for advice about your specific situation. Figures shown are the 2026 and 2027 amounts published by the Centers for Medicare & Medicaid Services.
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