If you have ever been shocked by a high bill at the pharmacy co-pay, there is a way to pay that can help. It is called the Medicare Prescription Payment Plan.

What is this new plan?

Starting in 2026, you can choose to spread your drug costs out over the whole year. Instead of paying a large amount at the pharmacy counter.

This is a voluntary program. It doesn't cost anything to join, and there is no interest and no extra fees.

How it works:

  1. You Sign Up: You must tell your insurance company (or Alyssa!) that you want to join.
  2. Pick Up Your Meds: You take your prescriptions home.
  3. Pay Monthly: Your insurance company adds up what you would have paid and divides it into monthly bills for the rest of the year.

Is this right for you?

This plan doesn't lower the total price of your drugs, but it makes them easier to fit into a monthly budget. It is a great choice if:

  1. You are on a fixed monthly income (like Social Security).
  2. You have high costs early in the year (like a $615 deductible).
  3. You want to avoid "sticker shock" at the pharmacy.

Note: If you use this payment plan in 2025 and stay with the same insurance company, you will be automatically signed up again for 2026. If you change plans, we need to sign you up for the new one!

How The Gonzales Agency Can Help

We want to make sure your 2026 budget is as smooth as possible. When you meet with us, we can:

  1. Do the Math: We will show you exactly what your monthly bill would look like based on your current medications.
  2. Check the Dates: We ensure you are signed up before your first 2026 refill.
  3. Track Your Savings: We make sure you never pay more than the $2,100 yearly limit that Medicare has set for 2026.

Stop Worrying About the Pharmacy Counter

Join our next webinar for more simple explanations about Medicare.

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TPMO Disclaimer: We do not offer every plan available in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.