Medicare Part D Premiums to Change in 2027
The average monthly premium for stand-alone Medicare Part D plans is projected to rise slightly, from $35.09 in 2026 to $36 in 2027. Medicare Advantage plans that include drug coverage are projected to have a lower average drug premium.
Source: AARP ·
Stand-alone Part D drug premiums are climbing less than $1 monthly, but Medicare Advantage plans are moving in the opposite direction—a shift that reshapes which coverage path makes sense for your future. If you're 10 years from retirement, drug costs will be part of your monthly budget math. Plan selection at 65 often locks in years of premium trajectory, so what's cheap now may not stay that way. The split between stand-alone and Advantage pricing suggests the competitive landscape is rebalancing. Worth running the numbers on both plan types once you turn 65—comparing not just 2027 premiums but how each has trended over time in your region.
- •Average stand-alone Part D premiums are projected to increase by less than $1 per month.
- •Medicare Advantage drug premiums are projected to decline substantially on average.
- •Actual costs will vary by plan, coverage, and income.
People approaching Medicare enrollment should compare plans during open enrollment rather than relying only on average premium figures.