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(These estimates are based on enrollment in March 2026 and factor in new plans for 2026, plan changes during open enrollment, and new enrollees, and therefore differ from other estimates published in a separate KFF brief, which are based on MedPACs projection of average monthly Part D premiums in 2026 using 2025 enrollment and not factoring in new plans, plan switching, or new enrollees.) The average premium for drug coverage in MA-PDs is heavily weighted by zero-premium plans because MA-PD sponsors can use rebate dollars from Medicare payments to lower or eliminate their Part D premiums

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