Big Changes for Medicare in 2025

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AIS Medicare & More

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Posted on

May 24, 2024

Book/Edition

Colorado - Southern Colorado

Some years the annual enrollment period brings little change and plans stay relatively the same as the year prior. The annual enrollment period this year will not be one of those calm years. We are expecting to see a lot of change as multiple Medicare reforms are implemented.

One of the biggest changes will be to prescription drug coverage. The Inflation Reduction Act will cap the annual out-of-pocket costs for those with Medicare Part D to $2000 annually. Additionally, the Part D Redesign will change the requirements placed on plans for the number of drugs covered per category in the drug formulary, prior authorization requirements and the availability of interchangeable prescriptions that become available midyear.

We will also see plans reacting to multiple other changes affecting how they operate, services provided, reimbursement rates and more. These changes have been called reform and redesign, but the main reason plans will be affected is the broad scope of the changes and the multiple areas affected in one year. There will be changes to the prescriptions covered, changes to copays for procedures, maximum out of pockets and to the providers and hospitals in your plans network.

Every year the plans are required to send you an annual notice of change outlining what has changed from the current year to the next year. It can be tempting to ignore those notices.

During the annual enrollment period, I encourage you to read through the plan changes, gather your list of healthcare providers, your list of current medications and your list of preferred hospitals and contact your local agent or the carrier directly to review your coverage for next year.

If you need assistance reviewing your plan or are struggling to find a plan that meets your needs, feel free to contact AIS Medicare & More at 719-404-3202 to be connected to an agent near you. Our services are provided at no cost to you. For more information visit: aismedicareandmore.com

Editor’s Note: This article was submitted by Jolynn Allen, with AIS Medicare & More.  She may be reached at 719-404-3202.

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Local Services By This Author

AIS Medicare & More

Medicare Advantage Plans 3030 North Hancock Avenue, Colorado Springs, Colorado, 80907

AIS Medicare & More has been serving Southern Colorado seniors since 2008. We have started to spread all throughout Colorado, to broaden our reach and help more Colorado seniors. Our complimentary Medicare appointments are available in office, at your home, by phone or by computer. We believe in educating you about your Medicare options and both Medicare systems, so you can make an educated and informed decision that meets both your health insurance needs and fits your budget. Our agents are with you for life. We provide annual policy reviews, lifetime claims service, account management and prefer if you call us not the carriers. We want to know what is going on in order to better assist you with any of your needs in the future. We help you with State and Federal programs, Medicare Savings Reimbursement, Extra Help, Pharmaceutical Assistance Programs, Veterans Programs, Long Term Care Medicaid and more. By combining all of the programs available to you with your Medicare plan benefits, we can improve your overall coverage and reduce your out of pocket expenses. We are on your team! We want to ensure that you are taking advantage of all of the benefits available for you.