Medicare Prescription Payment Plan

Plan overview

The Medicare Prescription Payment Plan is a new payment option in the prescription drug law that works with your current drug coverage to help you manage your out-of-pocket Medicare Part D drug costs by spreading them across the calendar year (January through December). Starting in 2025, anyone with a Medicare drug plan or Medicare health plan with drug coverage (like a Medicare Advantage Plan with drug coverage) can use this payment option. All plans offer this payment option and participation is voluntary.

If you select this payment option, each month you’ll continue to pay your plan premium (if you have one), and you’ll get a bill from your health or drug plan to pay for your prescription drugs (instead of paying the pharmacy). There’s no cost to participate in the Medicare Prescription Payment Plan. 

Learn more

We partner with Express Scripts for your prescription drug coverage. You can find more detailed information about the Medicare Prescription Drug Payment Plan on their website, including a Medicare Prescription Drug Payment calculator to estimate your monthly cost share and financial information specific to you once you’ve signed up for the program. You can also download the Medicare Prescription Payment Plan Fact Sheet.

New members will receive information in the mail about the Medicare Prescription Payment Plan. Some members may benefit more from this program than others. We can help you determine if you should participate. If you have questions about this plan, call 866-845-1803 (TTY: 866-845-1803) 24 hours a day, 7 days a week.

How do I sign up?

Additional resources

• The Centers for Medicare & Medicaid Services (CMS)
  • 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week.
    TTY users can call 1-877-486-2048.
• State Health Insurance Assistance Program (SHIP)
• Information on our appeals and grievances processes