What the 2025 Medicare Part D Changes Mean for You: Closing the “Donut Hole” and More
Patricia Powers, PharmD, BCPS, Director, Clinical Services
As part of the Inflation Reduction Act, exciting changes are coming to Medicare Part D prescription drug plans in 2025. Let’s look at these changes and how they may affect you as a member of a prescription drug plan.
1. Lower Out-of-Pocket Costs
One of the biggest changes is the limit on how much you have to pay for your prescription drugs each year. Starting in 2025, you won’t have to pay more than $2,000 out of your own pocket for your medications. The coverage gap or donut hole has been eliminated. This means you will save money if you need a lot of expensive medications.
2. Monthly Payment Plan Option
Another change is that you will be able to spread out your drug costs over the year. Instead of paying a big amount all at once at the pharmacy, you can choose to make smaller monthly payments. This can make it easier to manage your budget and ensure you can afford your medications. If you are interested in signing up for the monthly payment plan option, contact your Medicare Part D health plan for more information.
3. More Help for Low-Income Individuals
If you have a low income, you might qualify for extra help with your Medicare Part D costs. In 2025, more people will be able to get this extra help. This means lower premiums and co-pays, making it easier to afford the medications you need. Contact your Medicare Part D health plan for more information and to see if you are eligible for this support.
By staying informed and taking advantage of these new benefits, you can save money and ensure you have the best coverage for your health needs.
Reference:
• Centers for Medicare and Medicaid Services Part D Improvements | CMS, Accessed 12/27/2024.
About Mosaic Pharmacy Service
At Mosaic, we are committed to providing personalized care and support to help you navigate these changes. Our team of expert pharmacists is here to work with you and your doctors to find the best options for your health. Contact us to learn more about becoming a new patient at Mosaic.
