Facing high out-of-pocket costs as insurance deductibles reset?
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Facing high out-of-pocket costs as insurance deductibles reset?

At the start of a new year, insurance deductibles reset for most private, commercial, and Medicare plans. While this can be a routine part of insurance coverage, it often catches people off guard. Reset deductibles mean you’ll need to pay more out-of-pocket before your insurance starts to cover certain costs. For individuals on expensive medications,…

What is the Medicare Prescription Payment Plan?
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What is the Medicare Prescription Payment Plan?

Starting in 2025, Medicare is introducing a new way to pay for your prescription drugs: the Medicare Prescription Payment Plan. This optional program aims to make medication costs more predictable and manageable, especially for those with high drug expenses. How the Medicare prescription payment plan works This program fundamentally changes how you pay for your medications:…

Will specialty medications still be covered by Medicare Part D in 2025?
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Will specialty medications still be covered by Medicare Part D in 2025?

The average annual cost of specialty drugs can exceed $10,000, creating a significant financial burden for many patients. If you’re one of the millions of Americans relying on specialty medications to manage serious health conditions like cancer, rheumatoid arthritis, or multiple sclerosis, you’re likely facing high drug costs. The good news is certain classes of…

$2,000 and you’re done: How the Medicare Drug cap works
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$2,000 and you’re done: How the Medicare Drug cap works

Starting in 2025, Medicare Part D is getting a major upgrade with the introduction of a $2,000 annual out-of-pocket cap on prescription drug costs. This is a game-changer for many beneficiaries, especially those who rely on expensive specialty medications. Let’s break down what this cap means for you and how you can make the most…

Is your Medicare Part D coverage changing in 2025?
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Is your Medicare Part D coverage changing in 2025?

Big changes are coming in 2025 designed to make prescription drugs more affordable, especially for those with high drug costs. While these changes are mostly positive, it’s essential to understand how they might affect you. Let’s break down the key updates: 1. $2,000 out-of-pocket cap One of the biggest changes is the introduction of a…