2022 Medicare Part-D Plans in Massachusetts

There are 21 Medicare Part-D Plans available in Massachusetts from 8 different health insurance providers. You can choose from 3 prescription drug plans offering additional gap coverage. The plan with the lowest monthly premium is $7.40 and the highest monthly premium is $136.20. The highest rated Part-D plan available in Massachusetts County received a 4.5 overall star rating from the CMS and the lowest rated plan is 3 stars.

Medicare in Massachusetts, 2022

2022 Medicare Part D:

•21 stand-alone Medicare prescription drug plans are available in 2022. All individuals with Medicare have access to a Medicare prescription drug plan.

•7 stand-alone Medicare prescription drug plans and 14 Medicare Advantage plans with prescription drug coverage will offer lower out-of-pocket insulin costs through the Part D Senior Savings Model.

•99 percent of people with a stand-alone Medicare prescription drug plan have access to a plan with a lower premium than what they paid in 2021.

•31 percent of people with a stand-alone Medicare prescription drug plan get Extra Help (also called the low-income subsidy, or LIS).

•$7.40 is the lowest monthly premium for a stand-alone Medicare prescription drug plan.

Enhanced Alternative plans may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard "generic" coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.

In 2022 once you and your plan provider have spent $4430 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 25% of the plans cost for covered brand-name prescription drugs and 25% on generic drugs unless your plan offers additional coverage. You will also receive discounted prescription drugs.

Plans that offer Full Low Income Subsidy (also called Extra Help). The amount of Extra Help a beneficiary receives depends on their income and resources. Most people who qualify for Full Low Income Subsidy will pay no premiums or deductibles and pay no more than the LIS drug coverage cost limit.

Source: CMS.gov
Plans as of September 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. For 2022, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.