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Exciting feature for Medicare prescription drug coverage in 2025

Writer's picture: Salisa WestrickSalisa Westrick

Since the Inflation Reduction Act went into effect in 2023, we’ve seen significant improvements in the affordability of prescription drugs for people with Medicare. This legislation has been a game-changer, making essential medications more accessible to those who need them most.


Looking Ahead to 2025: A New Provision

In 2025, another exciting provision will be launched: the annual out-of-pocket prescription drug costs will be capped at $2,000. Also, the Medicare Prescription Payment Plan will allow Medicare Part D enrollees to spread out their prescription drug costs over the year. This is fantastic news for Medicare beneficiaries, as it will provide much-needed financial relief and predictability in managing healthcare expenses.

The Importance of Plan Comparisons

I can’t stress enough the importance of conducting plan comparisons. Recently, I reviewed the 2025 Medicare Prescription Drug Plans (PDPs) and entered some common medications that beneficiaries might take, including Jardiance and Eliquis. Among the 14 PDP plans available in my area, the least expensive plan costs $1,678 per year (including premiums), while the most expensive plan costs a staggering $2,937 for the same medications filled at the same pharmacy.

Similarly, for Medicare Advantage Prescription Drug plans (MA-PDs), the least expensive plan costs $473, compared to the most expensive one at $2,480 for both drug and premium costs. These differences highlight the critical need for beneficiaries to compare plans carefully to find the best option for their needs and budgets.

Remind Your Patients About Medicare Plan Comparisons

As the Medicare Annual Enrollment Period approaches, from October 15 to December 7, it’s crucial to remind your patients about the importance of comparing Medicare plans. Encourage them to seek assistance from the State Health Insurance Assistance Program (SHIP) to navigate their options and make informed decisions.



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