Changes to Medicare Prescription Coverage in 2025: part # 1

Big changes are coming to Medicare’s prescription drug coverage (known as Part D) in 2025. This could impact how you pay for your medications — and how much you pay.

Here’s what you need to know as we head into 2025:

— Out-of-pocket drug costs will be capped at $2,000
The biggest change coming in 2025 is a new $2,000 cap on annual out-of-pocket prescription drug expenses. This will help an estimated 3.2 million people in Medicare prescription drug plans save money on their covered medications next year. Part D enrollees who reach the cap will save an average of $1,500 in 2025, and some will see savings of $3,000 or more.

Someone who takes a pricey cancer drug, for example, may hit the $2,000 limit in the first month or two of the new year. Once they do, they won’t have to pay anything out-of-pocket for the remainder of the year.

Historically, Part D plans have not had a ceiling on out-of-pocket spending. This, combined with rising drug prices, has saddled many older Americans with expenses so great that some have skipped doses or missed refills because they can’t afford to take their medication as prescribed. Nearly half of people polled by AARP reported not filling a prescription due to its cost.

The new $2,000 cap takes effect January 1st and will be adjusted each year along with the other parts of the Part D benefit.

JD Miller

About JD Miller

John D. Miller is the founder/owner of Home Care Partners, LLC, a Massachusetts business providing private duty, personalized in-home assistance and companion care services to those needing help in daily activities and household functions. Phone: (781) 378-2164 Email: [email protected] Website: https://homecarepartnersma.com
SHARE IT:

Leave a Reply