Changes to Medicare Part D drug plans for 2025.
Due to the Inflation Reduction Act, there will be changes to your Medicare Part D drug plans in 2025. Regardless of whether you are on a Stand-Alone Medicare Part D drug plan or receive your drug plan through a Medicare Advantage Plan.
The following are the changes to Medicare Part D drug plans.
- Maximum out-of-pocket: You will not pay more than the maximum of $2,000 for prescription drugs in 2025. (This will include your deductible and initial coverage phase.)
- Deductible Phase: $540 (Your cost will be determined by the plan you are on.)
- During the Initial Coverage Phase: The maximum you will pay for a drug will be 25%. (Your cost could be lower depending on your Part D drug plan.)
- Cover Gap (Donut Hole): The Donut Hole has been removed, and there will be no coverage gap.
- Catastrophic Coverage: Once you have paid $2,000 including your Deductible Phase and Initial Coverage Phase. You now pay $0. You no longer pay for your medications.
- 60% will be paid by the drug plan.
- 20% will be paid by the manufacturer.
- 10% will be paid by the government.
- You will pay $0 in the Catastrophic Coverage Phase.
- Part B drug plan: Some drugs are covered by your Part B drug plan, such as:
- New Alzheimer’s drugs.
- Some infusion drugs used by DMR (Durable Medical Equipment)
Conclusion:
Each year you should review your ANOC (Annual Notice of Change), for your Medicare Part D drug plan or your Part C Advantage Plan. It is important during this AEP (Annual Enrollment Period) for 2025 to review your plans and compare other plans to your options.
If you would like to compare Medicare Advantage Plans, Medicare Supplement Plans, or Part D drug plans in your area and live in one of the following states tap on the state: Arizona, California, Nevada, Oregon, or Washington.
Call 800-641-3315 and ask for Roy.
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