We found the 24 best Medicare Part D Plans in Massachusetts. Sign-up for 2024 Medicare Part D plan notification HERE.
- The average premium is $50.26 per month, however the lowest premium is just $6.80.
- The average drug plan deductible is $389 per year, but 4 plans have a zero-dollar deductible.
- Medicare rated 0% of all plans available in Massachusetts 4 stars or higher.
- There are 9 basic benefit plans and 15 enhanced benefit plans.
- A total of 6 plans offer full low-income subsidy (LIS) for those who qualify.
- There are 5 plans that have additional coverage in the coverage gap phase (aka, "donut hole").
- 2024 Medicare Prescription Drug Plans (PDP) will be published in early October. Sign-up to be notified.
We also ranked the best Medicare Advantage plans with Part D in Massachusetts for 2024.
Massachusetts Medicare Part D Plans
|Plan Name||Premium||Deductible||Benefit Type||LIS||Gap
|AARP MedicareRx Preferred||$111.10||$0||Enhanced||No||Yes||Yes|
|AARP MedicareRx Saver Plus||$33.20||$505||Basic||Yes||No||No|
|AARP MedicareRx Walgreens||$31.90||$350||Enhanced||No||No||No|
|Blue MedicareRx Premier||$126.60||$0||Enhanced||No||Yes||No|
|Blue MedicareRx Value Plus||$42.40||$505||Basic||No||No||No|
|Cigna Extra Rx||$62.70||$100||Enhanced||No||Yes||Yes|
|Cigna Saver Rx||$12.40||$505||Enhanced||No||No||No|
|Cigna Secure Rx||$34.50||$505||Basic||Yes||No||No|
|Clear Spring Health Premier Rx||$18.60||$505||Enhanced||No||No||No|
|Clear Spring Health Value Rx||$28.70||$505||Basic||Yes||No||No|
|Humana Basic Rx Plan||$36.00||$505||Basic||Yes||No||No|
|Humana Premier Rx Plan||$82.60||$300||Enhanced||No||Yes||Yes|
|Humana Walmart Value Rx Plan||$34.10||$505||Enhanced||No||No||No|
|Mutual of Omaha Rx Essential||$20.40||$505||Enhanced||No||No||No|
|Mutual of Omaha Rx Plus||$95.60||$505||Basic||No||No||No|
|Mutual of Omaha Rx Premier||$94.20||$505||Enhanced||No||No||Yes|
|Wellcare Medicare Rx Value Plus||$71.30||$0||Enhanced||No||No||No|
|Wellcare Value Script||$8.60||$505||Enhanced||No||No||Yes|
Please note that 2024 Medicare Part D plan information for Massachusetts beneficiaries will not be available until early October.
Sign-Up for 2024 Medicare Part D Plan Notification
Massachusetts Medicare Part D Plans Have Four Phases
Part D prescription drug plans help Massachusetts's Medicare beneficiaries pay for their prescriptions. If you're new to Medicare, you may not be familiar with how Medicare Part D out-of-pocket costs work. So, let's start with the four cost-sharing phases.
The Deductible Phase
The deductible (up to $505 in 2023) is the amount that you pay before your Medicare Part D plan begins paying its share of the costs. So, if you enroll in a 2023 prescription drug plan with a $480 deductible, you'll spend $480 out-of-pocket before cost-sharing coverage begins. Most Medicare Part D plans have a deductible, but some Medicare Part D plans exclude Tier 1 drugs from the deductible, giving immediate coverage on most generic medications.
The 2nd Phase is the Initial Coverage Limit (ICL)
The Part D ICL (Initial Coverage Limit) for 2023 is $4,660. During the ICL phase, your Part D plan will cover the majority of your prescription costs. If your prescription costs exceed $4,660 you go into the coverage gap phase ("donut hole")
Phase 3 is the Coverage Gap
After your gross drug costs have reached $4,660, you will enter the Coverage Gap phase. This is where you will pay 25% of your medication's retail cost. While the price of generic drugs might not be much different, what you pay for brand-name drugs will be higher (because you're paying 25% of the full price). This will continue until you reach $7,400 in True Out Of Pocket Costs (TrOOP).
Some plans offer additional gap coverage, so look for it on the plan information pages.
The Fourth Phase is Catastrophic Coverage
After you have spent $7,400 in true out-of-pocket costs on your medications, you get out of the coverage gap phase and you automatically receive "catastrophic coverage". In this phase, you will only have to pay a small percentage of coinsurance or payment on covered drugs for the rest of the year.
The out-of-pocket costs that help you get catastrophic coverage include:
- Your plan's deductible;
- What you paid during the initial coverage limit period;
- Most of the full cost of brand-name drugs (and the manufacturer’s discount) purchased in the coverage gap;
- The amount paid by others, including family members, most charities, and other persons on your behalf; and
- The amount paid by State Pharmaceutical Assistance Programs (SPAPs), AIDS Drug Assistance Programs, and the Indian Health Service.
The Lowest Premium May Not Be the Lowest Overall Cost
Evaluate Part D Medicare plans wisely. If you have a regular prescription or two, we suggest that you verify that the plan you want offers your medication(s) at a good price. You find this information in the formulary. We post links to the formulary and pharmacy web pages, as well as the plan's phone number, on each of the PDP pages listed above.
IMPORTANT: Identifying the best Medicare Part D Plans for you takes a bit of research. What's best for you is personal and must consider multiple factors, including your regular prescriptions, your health, and your finances.
Did you Know Most Medicare Advantage Plans Include Prescription Benefits?
Medicare realizes that one type of plan does not suit everyone. That's why there are two ways to get help with your prescription drug costs. All of the Medicare prescription drug plans available in Massachusetts work with Original Medicare. That's one way to get coverage. But maybe you'd like even more benefits. That's where Massachusetts Medicare Advantage Plans come in. Most offer Part D coverage.
Combining a Medicare Supplement and Medicare Part D Benefits
Medicare does not pay for all of your hospitalization and medical bills. In fact, Original Medicare only covers about 80 percent of your major medical costs. We keep an up-to-date directory of Massachusetts Medigap Plans, also called Medicare Supplements, with the tools you need to find the best price and coverage. Medicare Part D plans are fully compatible with Massachusetts Medigap plans.
Medicare Part D for Dual Eligible People in Massachusetts
If you meet the requirements for both Medicare and Medicaid (aka, "dual eligible" or "Medi-Medi") in Massachusetts, you will automatically receive a Medicare Prescription Drug Plan, as well as Extra Help from Social Security. If you qualify for Extra Help, the program will cover most of the costs of your prescriptions. Even if you qualify, the dual eligible option may not suit your needs. In this case, enroll in the prescription drug plan of your choice. If you receive Medicaid now, call your local Medicaid office for assistance with your dual eligible benefits.
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Centene Corporation, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna-HealthSpring, Humana, Molina Healthcare, Mutual of Omaha, Oscar Health Insurance, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, and UnitedHealthcare.
Citations & References
- Medicare.gov, "How Medicare Prescription Drug Coverage Works with a Medicare Advantage Plan or Medicare Cost Plan", Last Accessed September 28, 2022
- Medicare.gov, "What Medicare Part D drug plans cover", Last Accessed August 1, 2022
- Medicare.gov, "Catastrophic coverage", Last Accessed June 13, 2022
- Medicare.gov, "What's Medicare Supplement Insurance (Medigap)?", Last Accessed June 7, 2022
- SSA.gov, "Extra Help with Medicare Prescription Drug Plan Costs", Last Accessed June 1, 2022
- CMS.gov, "Landscape Source Files", Last Accessed January 15, 2023
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 15, 2023