Once you have enrolled in a 2026 Medicare Advantage Plan or Prescription Drug Plan, you can opt-in to the Medicare Prescription Payment Program. Opting in online will require you to register or sign in to Caremark.
If you’d prefer to enroll using a paper form instead of completing the process online, you can download and submit the form below.
Medicare Prescription Payment Plan Participation Request Form (2026) [PDF]
Here you’ll find:
- Program information
- Frequently Asked Questions
- Balance and transaction history
- and more!
If you have questions about the Medicare Prescription Payment Plan, please call Member Services at the number on the back of your ID Card. We’re available 8am–8pm, every day from Oct. 1–Mar. 31 and weekdays from Apr. 1–Sep. 30.
Retroactive enrollment protections
If you request to enroll in the Medicare Prescription Payment Plan and provide all required information, but we are unable to process your request on time due to no fault of your own, your enrollment will be applied retroactively.
In these situations, your participation will be effective as of the date you should have been enrolled. Any out-of-pocket prescription costs you paid on or after that date will be reimbursed and included in your monthly payment plan, as required by Medicare.