Medicare Drug Coverage Changes:
EVALUATING NEW OPTIONS FOR 2025
Are you or a loved one using a Medicare drug plan in 2025?
You’ll want to know about some upcoming changes
$2,000 a year
In 2025, Medicare will limit everyone’s out-of-pocket expenses for covered prescription drugs to
and introduce the Medicare Prescription Payment Plan, an option to spread prescription costs across the year instead of paying upfront.
This can be especially helpful for those with high-cost prescriptions or chronic conditions.
The new payment plan is voluntary, flexible, and available to opt in through your drug plan at any time during the year. While it may not lower overall costs, it can make budgeting for important prescriptions easier.
Answer a few questions below or check out this chart to see how these changes might impact the Medicare drug plan you or your loved one choose.
Is your 2024 annual income below $22,590 for an individual or $30,660 for a married couple?
You may be eligible for the MedicareExtra Help program. Learn more on Medicare.gov.
Are your drug costs manageable in a single payment?
Medicare’s new $2,000 out-of-pocket limit on prescriptions will help if your costs unexpectedly increase. You can also still opt into monthly payments through your plan at any time.
Opting into the new Medicare Prescription Payment Plan could help make your prescriptions more manageable to afford and budget
Do you plan to sign up for the Medicare Prescription Payment Plan?
Opt in to monthly payments through your Medicare Part D plan.
Opting into the new Medicare Prescription Payment Plan could help make your prescriptions more manageable to afford and budget
Talk with your family or health care professionals and review your financial situation to find the best Medicare plan for you. Visit nationalhealthcouncil.org/big-changes-to-medicare-drug-coverage to learn more.