Medicare Part D Updates for 2026
- Medicare Part D participant maximum annual out-of-pocket prescription drug costs will be increasing from $2,000 to $2,100 – a 5% increase.
- For the Medicare Prescription Payment Plan (MPPP)
- If your health insurance coverage HAS NOT changed, and you enrolled in 2025, you will be automatically enrolled for 2026.
- If your health insurance HAS changed, you will need to contact your new health plan if you want to re-enroll for 2026.
Enrollment in the MPPP is voluntary and you will have the opportunity to sign up during open enrollment or any time throughout the year. You can also un-enroll from the program at any time.
We understand that Medicare Part D can be confusing, and we are here to help. We will review your out-of-pocket prescription costs and assess your need for financial assistance when we receive your first prescription in 2026.
If you have concerns about the cost of your medications, contact our OncoAdvocate® Team. They are a dedicated team of over 30 associates who are experts at finding third-party funding solutions for qualified patients so they can start therapy quickly.
In 2025, 69% of our Medicare Part D Patients have paid $0 out-of-pocket!
If you would like more information for the Medicare changes in 2026, please visit:
Did You Know That Medicare Part D Patients Are Not Restricted to the Pharmacy Listed on Their Insurance Card?
As a Medicare Part D Patient, many pharmacies can be considered in-network.1 If Onco360 is not listed on your insurance card and you would like us to fill your prescriptions, tell your doctor we are your preferred pharmacy. You can also contact us and we can reach out to your doctor to get the process started.
Why Choose Onco360 if You Have Medicare Part D?
- As a specialty pharmacy 100% focused on cancer, we will act as your advocate with your physician, insurance company, and others involved in your treatment
- Timing is crucial when it comes to your treatment. Our goal, without prior authorization or funding issues, is to have your medication delivered within 3-4 days. We even provide free overnight shipping to your doorstep.
- Our OncoAdvocate® Team explores funding options for qualified patients quickly with our proprietary Funding Fast Track program.
- We will make sure you understand your medications, their dosage, and any potential side effects. Our clinicians are on call 24/7 if you have any questions at 877.662.6633.
If you are a provider and would like to refer to Onco360, click below
150.8.1 – Any Willing Pharmacy Requirement. https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R1PDB.pdf