Effective with the implementation of Medicare Part D on January 1, 2006 recipients of both Medicare and MA who are enrolled in a Medicare Part D plan will not receive prescription drug coverage through MA. Individuals will choose the Medicare Part D plan most benefiting their own prescription needs.
If the individual chooses a prescription plan at or below the national average, also referred to as the “benchmark” then the individual will not pay the premium. If the individual chooses a plan with a premium above the “benchmark” the individual will be responsible to pay the difference.
The 2025 "benchmark" is $48.36.
The 2024 “benchmark” was $40.16.
Updated March 10, 2025, Replacing January 20, 2023