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Five 2025 Medicare Part D changes
With the introduction of the Inflation Reduction Act (IRS) we saw significant changes to some prescription drugs in 2024. More vaccines were covered at no cost and the $35.00 cap on a one month supply of Part B & D covered insulins were put into effect.
In 2025 we are going to see a significant change again. This time we are going to see the following 5 changes that affect Medicare Part D and might affect you.
- Newly designed Part D structure with removal of the “donut-hole” coverage gap.
- Lower out of pocket cost: There will be a $2,000.00/year maximum out of pocket cost that you will pay for your prescriptions.
- There will be a Part D manufacturer’s discount program. This will affect those who have “Extra Help” on their prescription drugs by covering more prescription for people with limited incomes. Help with drug costs | Medicare
- Reduced co-insurance for certain Part B drugs. If the price of a drug covered by Part B (Medical Insurance) increased faster than the rate of inflation, you might pay less than 20% coinsurance for that drug. The specific drugs that are impacted and the potential savings may change every quarter. ASP Coin Adj Fact Sheet for Part B Inflation Rebate Program_July-Sep2024-508.pdf (cms.gov)
- Medicare prescription drug payment plan. For the first time, beginning 2025, all Medicare prescription drug plans are required to offer a capped monthly payment plan at the pharmacy. Medicare Prescription Payment Plan | CMS
For more information: Saving money with the prescription drug law | Medicare
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