In most cases, you must pay your Part D plan's Initial Deductible before you receive Medicare Part D coverage - just as you would with other types of insurance, such as automobile insurance.
For example, the standard 2025 Initial Deductible is $590 ($615 in 2026) for Medicare Part D plans and people must satisfy their deductible before their Medicare plan coverage begins - unless they are enrolled in a Medicare plan that excludes certain drug tiers from the plan's deductible or their Medicare drug plan has a $0 deductible.

Also see:
• How does the Medicare Part D Initial Deductible work?
• Initial Deductible FAQs
• What is a Medicare Part D plan? Section: How does a Medicare Part D plan actually work?