Compare & Enroll — Part C & Part D

Compare & Enroll in Medicare Plans in Calloway County, KY

With 48 Medicare Advantage options from 5 insurers, Calloway County, KY has plan availability roughly in line with the national average, suggesting a competitive market with meaningful insurer variety. Approximately 94% of local MA plans charge $0 beyond the standard Part B premium, reflecting strong price competition. With 4 hospitals within 25.0 miles, verifying your preferred hospital is in-network is especially important here. We've organized the CMS data below to help you cross-reference plan costs, quality ratings, and local provider access. Compare plans below, and when you're ready, enroll directly at Medicare.gov.

📊 Direct from CMS 🚫 No agents or commissions ✓ Just the data, no sales pitch
Compare Plans at Medicare.gov →

Data freshness: CMS data as of February 2026 • ACS data as of 2023 • Reviewed & approved on 2026-02-16
Reviewed by: Wes Ward, Founder & Data Lead • View our methodology

Important: We are not affiliated with Medicare or any government agency. This site displays publicly available CMS data to help you compare plans. We do not sell insurance or represent any insurance company. For official enrollment and complete plan information, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227).

Important: Plan availability, benefits, and CMS Star Ratings shown here come directly from CMS public files. Plan details can change—always verify with the insurer and at Medicare.gov.
Part C Plans
48
Part D Plans
10
Top MA Star
4.5
Top Drug Star
3.5
Happy senior couple reviewing Medicare plan options together

Medicare Eligibility in Calloway County, KY

Approximately 6,779 residents (18.2% of the population) in Calloway County, KY are 65 or older and likely Medicare-eligible. Whether you're approaching 65, already enrolled, or a caregiver comparing options, the plan data below is organized to help you evaluate Part C (Medicare Advantage) and Part D (prescription drug) coverage side by side.

The median household income in Calloway County, KY is $57,295 (23.8% below the National Average), which may affect eligibility for Extra Help with Part D drug costs.

Part C: Medicare Advantage Plans

Medicare Advantage (Part C) replaces Original Medicare through private insurers who bundle hospital, medical, and often drug coverage into a single plan. Calloway County, KY's 48 Medicare Advantage plans are a mix leaning toward PPO networks (29 PPO, 19 HMO). 45 plans offer $0 monthly premiums. The average local star rating is 3.6 out of 5, with the top plan earning 4.5 ★.

Top Medicare Advantage Plans in Calloway County, KY

We organize CMS plan data into separate leaderboards so you can compare based on what matters most to you. Part C premiums in Calloway County, KY range from $0 to $90/month. Among rated plans, 12 plans rated 4+ stars.

Highest CMS Star Ratings

Star Ratings are assigned by CMS based on quality measures including customer service, preventive care, and managing chronic conditions.

Plan NameInsurerStar RatingPremiumType
Humanachoice Giveback H7617-049 (PPO)Humana4.5 ★$0.00/moPPOEnroll
Humana Usaa Honor Giveback With Rx (PPO)Humana4.5 ★$0.00/moPPOEnroll
Aetna Medicare Value Plus (PPO)Aetna Medicare4.5 ★$0.00/moPPOEnroll
Humanachoice H7617-050 (PPO)Humana4.5 ★$0.00/moPPOEnroll
Aetna Medicare Signature (PPO)Aetna Medicare4.5 ★$0.00/moPPOEnroll

Lowest Monthly Premium

Lower premiums can save money, but check total costs including deductibles, copays, and MOOP.

Plan NameInsurerMonthly PremiumMOOPStar Rating
Anthem Medicare Advantage (HMO-POS)Anthem Blue Cross And Blue Shield$0.00/mo$6,3003.5 ★
Humanachoice H5216-317 (PPO)Humana$0.00/mo$6,2503.5 ★
Humana Usaa Honor Giveback With Rx (PPO)Humana$0.00/mo$9,1503.5 ★
Wellcare Simple (HMO-POS)Wellcare$0.00/mo$7,0003.5 ★
Humana Dual Select H5619-075 (HMO D-SNP)Humana$0.00/mo$9,2503.5 ★

Lowest Maximum Out-of-Pocket (MOOP)

MOOP caps your financial risk. Once you hit this limit, the plan covers 100% of covered services for the rest of the year.

Plan NameInsurerMOOP (In-Network)PremiumStar Rating
Humana Usaa Honor Giveback (PPO)Humana$4,000$0.00/mo3.5 ★
Aetna Medicare Signature Extra (HMO-POS)Aetna Medicare$4,900$0.00/mo3.5 ★
Humana Together In Health Select (PPO I-SNP)Humana$4,900$90.20/mo3.5 ★
Wellcare Dual Reserve (HMO-POS D-SNP)Wellcare$5,000$0.00/mo3.5 ★
Wellcare Assist (HMO-POS)Wellcare$5,000$0.00/mo3.5 ★

Plan Type Mix in Calloway County, KY

HMO plans require referrals and in-network care. PPO plans offer more flexibility. SNP (Special Needs Plans) serve specific populations. MAPD plans include drug coverage.

Plan TypeCountPercentageDescription
PPO2245.8%No referrals; in and out-of-network
HMO-POS D-SNP612.5%Medicare Advantage plan
HMO D-SNP510.4%Medicare Advantage plan
HMO-POS510.4%HMO with some out-of-network options
Regional PPO36.3%Medicare Advantage plan
PPO D-SNP24.2%Medicare Advantage plan
PPO I-SNP24.2%Medicare Advantage plan
HMO-POS C-SNP12.1%Medicare Advantage plan
HMO12.1%Requires referrals; in-network only
HMO C-SNP12.1%Medicare Advantage plan

Choosing the Right Medicare Advantage Plan

The best Part C plan depends on your doctors, medications, and budget. Key factors to evaluate:

  • Provider network: Verify your doctors and hospitals near Calloway County, KY are in-network before enrolling
  • Total cost: A $0 premium may have higher copays—calculate your annual cost
  • Star Ratings: 4+ stars indicate above-average quality and member satisfaction

Read our full guide on choosing Medicare Advantage → · Print our enrollment checklist →
Medicare Glossary: HMO, PPO, MOOP & more →

Medicare Advantage Insurers in Calloway County, KY

5 insurance companies offer Medicare Advantage plans in Calloway County, KY. Below, we group plans by insurer so you can compare options from each company. More insurers generally means more competition and better benefits for consumers.

Aetna Medicare
Avg Star Rating
4.0 ★
6 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Aetna Medicare Partial Dual (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Aetna Medicare Hide (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Aetna Medicare Signature Extra (HMO-POS)
$0.00/mo
$4,900
3.5 ★
HMO-POS
Aetna Medicare Signature (PPO)
$0.00/mo
$5,500
4.5 ★
PPO
Aetna Medicare Eagle Giveback (PPO)
$0.00/mo
$6,900
4.5 ★
PPO
Aetna Medicare Value Plus (PPO)
$0.00/mo
$5,500
4.5 ★
PPO
Humana
Avg Star Rating
3.7 ★
22 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Humana Usaa Honor Giveback (PPO)
$0.00/mo
$9,150
3.5 ★
PPO
Humana Usaa Honor Giveback With Rx (PPO)
$0.00/mo
$9,150
3.5 ★
PPO
Humana Gold Plus Snp-De H1036-320 (HMO D-SNP)
$0.00/mo
$9,250
4.0 ★
HMO D-SNP
Humanachoice Giveback H5216-322 (PPO)
$0.00/mo
$9,150
3.5 ★
PPO
Humanachoice H5216-317 (PPO)
$0.00/mo
$6,250
3.5 ★
PPO
Humanachoice Giveback H5216-226 (PPO)
$0.00/mo
$6,600
3.5 ★
PPO
Humana Usaa Honor Giveback (PPO)
$0.00/mo
$6,500
3.5 ★
PPO
Humana Usaa Honor Giveback (PPO)
$0.00/mo
$4,000
3.5 ★
PPO
Humana Together In Health (PPO I-SNP)
$0.00/mo
$9,250
3.5 ★
PPO I-SNP
Humana Gold Plus Snp-De H5619-163 (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Humanachoice R0110-012 (REGIONAL PPO)
$0.00/mo
$9,150
3.5 ★
Regional PPO
Humanachoice R0110-011 (REGIONAL PPO)
$0.00/mo
$5,400
3.5 ★
Regional PPO
Humanachoice H5525-008 (PPO)
$0.00/mo
$6,550
3.5 ★
PPO
Humanachoice Snp-De H5525-045 (PPO D-SNP)
$0.00/mo
$9,250
3.5 ★
PPO D-SNP
Humana Gold Plus H5619-071 (HMO)
$0.00/mo
$5,450
3.5 ★
HMO
Humana Dual Select H5619-075 (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Humana Gold Plus Chronic Kidney Disease (HMO C-SNP)
$0.00/mo
$9,200
3.5 ★
HMO C-SNP
Humana Usaa Honor Giveback With Rx (PPO)
$0.00/mo
$9,150
4.5 ★
PPO
Humanachoice Giveback H7617-049 (PPO)
$0.00/mo
$9,150
4.5 ★
PPO
Humanachoice H7617-050 (PPO)
$0.00/mo
$6,250
4.5 ★
PPO
Humanachoice H5216-188 (PPO)
$32.00/mo
$6,600
3.5 ★
PPO
Humana Together In Health Select (PPO I-SNP)
$90.20/mo
$4,900
3.5 ★
PPO I-SNP
Anthem Blue Cross And Blue Shield
Avg Star Rating
3.6 ★
6 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Anthem Medicare Advantage 3 (PPO)
$0.00/mo
$5,900
4.0 ★
PPO
Anthem Medicare Advantage (PPO)
$0.00/mo
$8,000
4.0 ★
PPO
Anthem Veteran (PPO)
$0.00/mo
$9,250
3.0 ★
PPO
Anthem Medicare Advantage (HMO-POS)
$0.00/mo
$6,300
3.5 ★
HMO-POS
Anthem Kidney Care (HMO-POS C-SNP)
$0.00/mo
$5,900
3.5 ★
HMO-POS C-SNP
Anthem Medicare Advantage (REGIONAL PPO)
$20.20/mo
$9,250
3.5 ★
Regional PPO
Unitedhealthcare
Avg Star Rating
3.5 ★
5 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Uhc Dual Complete Ky-S002 (HMO-POS D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO-POS D-SNP
Aarp Medicare Advantage Patriot No Rx Ky-Ma01 (PPO)
$0.00/mo
$6,700
3.5 ★
PPO
Aarp Medicare Advantage From Uhc Ky-0003 (PPO)
$0.00/mo
$6,700
3.5 ★
PPO
Uhc Dual Complete Ky-V001 (HMO-POS D-SNP)
$0.00/mo
$6,700
3.5 ★
HMO-POS D-SNP
Uhc Dual Complete Ky-S4 (HMO-POS D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO-POS D-SNP
Wellcare
Avg Star Rating
3.2 ★
9 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Wellcare Dual Access Sync (HMO-POS D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO-POS D-SNP
Wellcare Dual Liberty Sync (HMO-POS D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO-POS D-SNP
Wellcare Simple (HMO-POS)
$0.00/mo
$7,000
3.5 ★
HMO-POS
Wellcare Assist (HMO-POS)
$0.00/mo
$5,000
3.5 ★
HMO-POS
Wellcare Dual Reserve (HMO-POS D-SNP)
$0.00/mo
$5,000
3.5 ★
HMO-POS D-SNP
Wellcare Dual Access Sync Open (PPO D-SNP)
$0.00/mo
$9,250
2.5 ★
PPO D-SNP
Wellcare Patriot Giveback Open (PPO)
$0.00/mo
$6,000
2.5 ★
PPO
Wellcare Simple Open (PPO)
$0.00/mo
$7,500
2.5 ★
PPO
Wellcare Giveback (HMO-POS)
$0.00/mo
$9,000
3.5 ★
HMO-POS

Plan availability, premiums, and benefits shown are based on CMS data and may change. Always verify current details with the insurer and at Medicare.gov before enrolling.

Part D: Prescription Drug Plans (PDP)

Part D covers prescription drugs through standalone plans for those on Original Medicare, or as part of a Medicare Advantage bundle. Among the 10 standalone Part D plans in Calloway County, KY, some offer $0 annual deductibles while others charge up to the 2026 maximum of $590. 3 plans are at or below the regional premium benchmark, making them eligible for Low Income Subsidy auto-enrollment. The 2026 $2,000 out-of-pocket cap means drug costs are now more predictable regardless of which plan you choose, but formulary coverage still varies significantly—always verify your medications are covered before enrolling.

Part D Formulary Notice: Each Part D plan has its own formulary (list of covered drugs). The same medication may be on different tiers—or not covered at all—depending on the plan. Always check that your specific medications are covered before enrolling.
2026 Out-of-Pocket Cap: Thanks to the Inflation Reduction Act, your total out-of-pocket drug costs are capped at $2,000 per year in 2026. Once you reach this limit, you pay nothing more for covered Part D drugs for the rest of the year. This eliminates the old "donut hole" coverage gap that previously caused higher costs.
Low Income Subsidy (LIS / Extra Help): If you have limited income and resources, you may qualify for Extra Help paying Part D costs. Visit SSA.gov or call 1-800-MEDICARE.

Top Part D Drug Plans in Calloway County, KY

We organize Part D plans by CMS Star Ratings, premiums, and deductibles so you can find the best fit for your prescription needs. Part D premiums in Calloway County, KY range from $0 to $127/month. Remember: all Part D plans now cap your annual out-of-pocket drug costs at $2,000 thanks to the Inflation Reduction Act.

Highest CMS Star Ratings (Part D)

Part D Star Ratings measure drug pricing, customer service, member complaints, and pharmacy access.

Plan NameInsurerStar RatingPremiumDeductible
Wellcare Value Script (PDP)Wellcare3.5 ★$8.60/mo$615Enroll
Wellcare Classic (PDP)Wellcare3.5 ★$8.70/mo$615Enroll
Humana Value Rx Plan (PDP)Humana3.0 ★$9.90/mo$601Enroll
Silverscript Choice (PDP)Aetna Medicare3.0 ★$29.70/mo$615Enroll
Humana Basic Rx Plan (PDP)Humana3.0 ★$0.00/mo$615Enroll

Lowest Monthly Premium

Lower premiums help with monthly cash flow, but check drug tier costs and the deductible.

Plan NameInsurerMonthly PremiumDrug DeductibleStar Rating
Humana Basic Rx Plan (PDP)Humana$0.00/mo$6153.0 ★
Wellcare Value Script (PDP)Wellcare$8.60/mo$6153.5 ★
Wellcare Classic (PDP)Wellcare$8.70/mo$6153.5 ★
Humana Value Rx Plan (PDP)Humana$9.90/mo$6013.0 ★
Silverscript Choice (PDP)Aetna Medicare$29.70/mo$6153.0 ★

Lowest Annual Drug Deductible

The deductible is what you pay out-of-pocket before the plan starts covering drug costs. The 2026 maximum Part D deductible is $590. Many plans offer $0 deductible options.

Plan NameInsurerDrug DeductibleMonthly PremiumStar Rating
Humana Premier Rx Plan (PDP)Humana$0$125.30/mo3.0 ★
Aarp Medicare Rx Preferred From Uhc (PDP)Unitedhealthcare$130$127.10/mo2.0 ★
Humana Value Rx Plan (PDP)Humana$601$9.90/mo3.0 ★
Humana Basic Rx Plan (PDP)Humana$615$0.00/mo3.0 ★
Wellcare Value Script (PDP)Wellcare$615$8.60/mo3.5 ★
Understanding drug tiers: Part D plans organize medications into 5 cost tiers — Tier 1 (Preferred Generic) is cheapest; Tier 5 (Specialty) is most expensive. Two plans with the same premium can have very different costs for your drugs depending on tier placement. Learn more about drug tiers →

Choosing the Right Part D Drug Plan

The right Part D plan depends on your specific medications. Key factors to evaluate:

  • Formulary: Verify your drugs are covered before enrolling
  • Preferred pharmacies: Lower copays at certain locations—check your pharmacy is in-network
  • Total annual cost: Premium + deductible + copays for your drugs

Read our full guide on choosing Part D →
What is a formulary? See our Medicare Glossary →

Part D Drug Plan Insurers in Calloway County, KY

5 insurance companies offer standalone Part D drug plans in Calloway County, KY. Below, we group plans by insurer.

Wellcare
Avg Star Rating
3.5 ★
2 plans
From $8.60/mo
Plan
Premium
Deductible
Stars
Type
Wellcare Value Script (PDP)
$8.60/mo
$615
3.5 ★
PDP
Wellcare Classic (PDP)
$8.70/mo
$615
3.5 ★
PDP
Humana
Avg Star Rating
3.0 ★
3 plans
From $0.00/mo
Plan
Premium
Deductible
Stars
Type
Humana Basic Rx Plan (PDP)
$0.00/mo
$615
3.0 ★
PDP
Humana Value Rx Plan (PDP)
$9.90/mo
$601
3.0 ★
PDP
Humana Premier Rx Plan (PDP)
$125.30/mo
$0
3.0 ★
PDP
Aetna Medicare
Avg Star Rating
3.0 ★
1 plans
From $29.70/mo
Plan
Premium
Deductible
Stars
Type
Silverscript Choice (PDP)
$29.70/mo
$615
3.0 ★
PDP
Healthspring
Avg Star Rating
2.5 ★
2 plans
From $78.20/mo
Plan
Premium
Deductible
Stars
Type
Healthspring Extra Rx (PDP)
$78.20/mo
$615
2.5 ★
PDP
Healthspring Assurance Rx (PDP)
$117.80/mo
$615
2.5 ★
PDP
Unitedhealthcare
Avg Star Rating
2.0 ★
2 plans
From $90.30/mo
Plan
Premium
Deductible
Stars
Type
Aarp Medicare Rx Saver From Uhc (PDP)
$90.30/mo
$615
2.0 ★
PDP
Aarp Medicare Rx Preferred From Uhc (PDP)
$127.10/mo
$130
2.0 ★
PDP

Plan availability, premiums, and benefits shown are based on CMS data and may change. Always verify current details with the insurer and at Medicare.gov before enrolling.

Ready to Enroll in Calloway County, KY?

Compare plans side-by-side at Medicare.gov or speak with a licensed Medicare specialist.

Compare Plans at Medicare.gov Call 1-800-MEDICARE

📋 Print our Medicare Enrollment Checklist — gather your info before you compare.

📅 Enrollment Dates & Deadlines · 🩺 Questions to Ask Your Doctor

Medicare.gov is the official U.S. government site for Medicare. Available 24/7.

Pharmacy Access in Calloway County, KY

Part D plans have preferred pharmacy networks where you'll pay lower copays. Here's a look at pharmacy options in and around Calloway County, KY.

Total Pharmacies

15
within 5.0 miles

Chain Pharmacies

6
CVS, Walgreens, etc.

Independent Pharmacies

9
locally owned
PharmacyAddress & PhoneDistanceType
KROGER LIMITED PARTNERSHIP I808 N 12TH ST MURRAY, KY 420711666📞 270-075-12880.5 miChain
PHARMACY 18, INC.82 SPRUCE ST MURRAY, KY 420712150📞 561-149-92000.6 miIndependent
PHARMACY, INC.370 INDUSTRIAL RD MURRAY, KY 42071📞 866-628-34940.7 miIndependent
WALGREEN CO1000 S 12TH ST STE A MURRAY, KY 420719303📞 270-076-69600.8 miChain
WAL-MART STORES EAST LP809 N 12TH ST MURRAY, KY 420711648📞 270-075-02870.8 miChain
KENTUCKY CVS PHARMACY, L.L.C100 N 12TH ST MURRAY, KY 420711912📞 502-275-20440.9 miChain
WALGREEN CO1200 MAIN ST MURRAY, KY 42071📞 217-770-23860.9 miChain
ALEXANDRIA MAY MEHR PHARM D801 PARAMOUNT DR MURRAY, KY 420713617📞 270-091-14240.9 miIndependent
WALGREEN CO1205 MAIN ST MURRAY, KY 420711820📞 270-076-99920.9 miChain
S S BROWN ENTERPRISES LLC300 S 8TH ST MURRAY, KY 420712400📞 270-075-20110.9 miIndependent

Pharmacy data from CMS. Network participation varies by plan—always verify with your specific Part D plan.

Local Healthcare Access in Calloway County, KY

Before choosing a plan, consider the healthcare infrastructure in Calloway County, KY. Medicare Advantage plans restrict you to in-network hospitals, so understanding local hospital quality helps you pick the right plan — not just the cheapest one.

Note: The facilities below do not indicate which providers are in-network for any specific plan. Always verify network status with your plan before enrolling.

Hospitals Nearby

4
within 25.0 miles

Top-Rated Hospitals near Calloway County, KY

If hospital access matters to your plan choice, check quality ratings before you enroll. These are the highest CMS-rated hospitals near Calloway County, KY — click a hospital name to see its full profile and verify it's in your plan's network.

View all 4 hospitals near Calloway County, KY to check quality before you enroll →

Hospital data from CMS Hospital Compare and Provider of Services file. Distance calculated from center of Calloway County, KY.

Questions to ask your doctor about Medicare coverage →

Telehealth in Calloway County, KY: Is Your Internet Ready?

Many Medicare Advantage and some Part D plans now include telehealth benefits, making routine check-ins and prescription refills easier from home. But telehealth requires reliable internet—here's a look at connectivity in Calloway County, KY. For official guidance on virtual visits, see Telehealth.HHS.gov from the U.S. Department of Health & Human Services.

Internet Coverage in Calloway County, KY

Fiber Available
57.3%
of households
Cable/DSL Available
93.5%
of households
Top Provider
WK&T
31.0% coverage
No Broadband
6.7%
of households

Internet coverage data from ISP Reports. View full internet report for Calloway County, KY.

Medicare-Relevant Demographics in Calloway County, KY

Understanding Calloway County, KY's demographics helps contextualize why insurers offer the plans they do. Areas with more seniors and higher incomes tend to attract more insurer competition, while areas with higher Medicaid enrollment may have more Dual-Eligible Special Needs Plans (D-SNP) available.

Total Population
37,158
Population 65+
6,779
18.2% of total
Median Age
39
0.9 years older than the national average
Median Income
$57,295
23.8% below the National Average
On Medicare
5,782
15.6% of residents
On Medicaid
6,682
18.0% of residents
Uninsured
2,645
7.1% of residents
Social Security Recipients
11,993
32.3% of population

Demographic data from U.S. Census Bureau American Community Survey (2023). View full Calloway County, KY demographics (BestNeighborhood.org).

Local Medicare FAQ: Calloway County, KY

Common decision points based on Calloway County, KY's specific plan market and local healthcare landscape.

How does Calloway County, KY's Medicare Advantage market compare?

Calloway County, KY has 48 Medicare Advantage plans from 5 insurers. This is roughly in line with the national average of approximately 57 plans per area. The local mix includes 19 HMO and 29 PPO plans. Plan availability updates annually during the Medicare Annual Enrollment Period (October 15 – December 7).

Should I choose an HMO or PPO Medicare Advantage plan in Calloway County, KY?

With 4 hospitals nearby, a PPO plan may offer valuable flexibility if your preferred providers aren't all in the same network. HMO plans (19 available) cost less but limit your choices. In Calloway County, KY, PPO plans are more common, giving you more flexibility options to compare. Always verify your doctors are in-network before enrolling in any plan.

What's the real cost of $0 premium plans in Calloway County, KY?

45 plans (94% of available options) in Calloway County, KY charge $0 beyond the standard Part B premium. This high percentage reflects strong insurer competition in the area. However, $0 premium doesn't mean $0 cost. These plans may have higher copays, coinsurance, or out-of-pocket maximums. In Calloway County, KY, maximum out-of-pocket limits range from $4,000 to an average of $7,513. We recommend calculating your total expected annual cost (premium + copays + drug costs) rather than choosing based on premium alone.

How does the 2026 $2,000 drug cap affect Calloway County, KY beneficiaries?

The Inflation Reduction Act capped annual out-of-pocket drug spending at $2,000 starting in 2025, eliminating the old "donut hole" coverage gap. This applies to all 10 standalone Part D plans in Calloway County, KY.

What this means locally:

  • Cost predictability — No matter which of the 10 Part D plans you choose, your drug costs are capped at $2,000/year
  • $0 deductible options — Some local plans offer $0 deductibles, meaning coverage starts immediately
  • Low-income options — 3 plans meet the regional benchmark for Extra Help/LIS eligibility

While the out-of-pocket cap standardizes maximum costs, formulary coverage still varies significantly between plans. A drug that costs $5/month on one plan's formulary might cost $50 on another. Always check that your specific medications are covered and compare tier placement before enrolling.

See all Medicare FAQs in our complete guide → · Enrollment checklist →
Medicare Glossary · Enrollment Dates & Deadlines · Doctor Questions

About the Data & Editorial Team

Wes Ward

Wes Ward

Founder & Data Lead

Wes Ward is the founder of InsuranceDataNow.org and reviews all content for data accuracy and methodology compliance.

With 25+ years in data analytics — including work with highly regulated genomic data at Ancestry.com — Wes brings enterprise-level rigor to consumer data tools. He is also a co-founder of BestNeighborhood.org, CrimeGrade.org, and ISPReports.org.

Role: Reviews and approves all content for data accuracy, source verification, and methodology compliance.

View full profile →LinkedIn

Transparency & Disclosures

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TPMO Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (24 hours a day/7 days a week) to get information on all of your options.

Sources

All data is sourced from official government databases and trusted third-party providers. Data is updated regularly—see page header for last refresh dates.

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