Part D

Can I be charged a higher premium for Medicare Part D plans if I have a pre-existing condition or if I smoke?

No. Part D plan premiums are not allowed to vary depending on your health status, whether you have pre-existing conditions, or are a smoker. The monthly premium that any given Part D plan charges is the same for any beneficiary who chooses to enroll in that plan.


While we have made every effort to provide accurate information in these FAQs, people should contact the health insurance Marketplace or Medicaid agency in their state for guidance on their specific circumstances.

The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270 | Email Alerts: | |

Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.