In 2026, Medicare Prescription Payment Plans will automatically re-enroll patients.

This year,2025, was the first year that the Medicare Prescription Payment Plan (MPPP) enabled those with Medicare prescription drug coverage to spread the costs of their prescription drugs over the calendar year rather than paying in full at the pharmacy counter each time they fill a prescription. Keeping this arrangement just got easier.

Beginning in 2026, if you participate in the Medicare Prescription Payment Plan (MPPP), you will be automatically re-enrolled the following year unless you opt out. Also, a separate renewal notice must be sent after the end of the annual election period and include the payment plan’s upcoming terms and conditions.

If you decide to opt out, CMS will require plan sponsors to process opt-out requests within three calendar days, rather than the initially proposed 24-hour timeframe, to reduce administrative burden.

An image of revolving arrows, used to symbolize Automatic Renewals.

Image courtesy of Canva.