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Writer's pictureReese Phillips II

Are There Big Changes to Medicare Plans for 2025, and Should You Review Your Plan Now?


If you’re approaching 2025 with Medicare questions, you’re not alone. Each year, Medicare adjusts to better support those who rely on it, and some of these changes can significantly impact your benefits, costs, and coverage choices. With the Annual Enrollment Period (AEP) currently open, now is the perfect time to determine if your Medicare plan still meets your needs or if it’s time to explore new options. At Preferred Senior Benefits, we’re here to help you make sense of these updates—whether it’s in person, over the phone, or via Zoom.


What’s Changing in Medicare Plans for 2025?

Medicare plans, including Medicare Part C (Medicare Advantage) and Medicare Part D (prescription drug coverage), undergo yearly updates. For 2025, several modifications focus on expanding coverage, adjusting out-of-pocket costs, and ensuring prescription drug affordability. Here’s what you need to know:


  • Medicare Part D Changes: One of the biggest shifts involves Medicare Part D. To make prescription drugs more affordable, Medicare is capping out-of-pocket expenses for prescription drugs at $2,000 per year. This is a significant change that could reduce costs for people with high drug expenses.

  • Expanded Medicare Advantage (Part C) Benefits: Medicare Advantage plans (Part C) may include expanded benefits, particularly for seniors with chronic conditions. You might see more offerings for vision, dental, and even fitness benefits within these plans.

  • Prescription Drug Coverage Enhancements: Beyond Part D, certain plans are adding coverage for essential medications that some plans previously excluded. Additionally, many plans are making tiered pricing more transparent, allowing beneficiaries to better understand which prescriptions will cost less at the pharmacy.


If any of these changes sound like they could impact you, a plan review is essential. But even if you’re unsure how these changes affect you personally, a review can ensure your coverage remains aligned with your health and financial needs.


Why Reviewing Your Medicare Plan Matters

Medicare plans can be tricky to navigate, especially with each plan structured to offer different benefits. By taking the time to review your plan, you’re investing in your own peace of mind, and there are good reasons why it’s worth doing each year:


  • Potential Cost Savings: Plans adjust premiums, copays, and deductibles yearly. A review may reveal that you can reduce your costs by switching to a different plan.

  • Better Coverage: If your current plan doesn’t cover new medical needs or treatments you require, a different option might be available that includes those benefits.

  • Prescription Drug Price Changes: Each year, Medicare reviews its prescription drug coverage and costs, and those changes could mean different copays for your medications.

  • New Benefits: Many Medicare Advantage plans add new benefits each year—by reviewing your options, you could access services you didn’t have before, like expanded dental or vision care, transportation to medical appointments, or at-home support.


Key Factors to Consider During a Medicare Plan Review

As you consider your options, here’s a quick checklist to keep in mind:

  • Current Health Status: Are there new health needs, treatments, or prescriptions? Be sure to account for any medical changes that could impact your coverage needs.

  • Preferred Providers: If you have a trusted network of doctors or specialists, you’ll want to ensure your plan continues to cover them.

  • Out-of-Pocket Limits: Does your current plan provide cost protections that align with your budget? The new cap on Medicare Part D out-of-pocket drug expenses may benefit you.

  • Prescription Drug Coverage: Since Part D premiums and out-of-pocket costs are changing, review how these might impact your medication expenses.


At Preferred Senior Benefits, we’ll guide you through each step, helping you identify the most important factors for your situation. From understanding local plan options to factoring in your unique needs, we’re here to simplify this process.

How Preferred Senior Benefits Can Help You Prepare for 2025

Navigating Medicare doesn’t have to be confusing or overwhelming, especially when you have experts ready to help. Here’s how Preferred Senior Benefits can support you:


  • In-Person, Phone, or Zoom Consultations: Whether you prefer a face-to-face meeting, a call, or a Zoom session, we’re here to assist with Medicare plan reviews in the way that’s most convenient for you.

  • Experienced Advisors: Our team stays on top of Medicare changes each year, especially in Idaho and Utah, so we can provide the most relevant insights.

  • No-Cost Medicare Reviews: We offer no-cost Medicare plan reviews to help you assess your options without the pressure of making an immediate decision. Our goal is to empower you to choose confidently.


If you’re feeling uncertain about the updates for 2025 or have questions about Medicare Part C, Medicare Part D, or your prescription drug coverage, we encourage you to reach out. Our advisors at Preferred Senior Benefits are ready to help you explore the best options.


Don’t Miss Out on Medicare Savings—Schedule Your Review Today

The Medicare Annual Enrollment Period ends soon, and with some important changes coming in 2025, now is the time to ensure your plan meets your needs. With Preferred Senior Benefits by your side, you don’t have to tackle this alone. Contact us today for a no-cost, no-obligation Medicare plan review in Idaho or Utah. Together, let’s make sure you’re ready for the changes and positioned for a healthy, secure year ahead.


About Preferred Senior Benefits in Meridian, Idaho

Medicare is a federal program that provides healthcare coverage to individuals 65 years or older. Original Medicare coverage is broken into two parts—Part A and Part B—and is accepted by nearly every doctor and hospital in the country. Medicare Part A covers inpatient or hospital stays, while Part B covers outpatient or medical care. Together, Part A and B cover about 80% of the typical healthcare costs seniors face. This leaves a few significant gaps in coverage. Medicare Supplement (Medigap) and Medicare Advantage plans are policies designed to help extend coverage, lessen costs, and ultimately give beneficiaries peace of mind. If you or someone you know would like more information about how to enroll in Original Medicare or one of the Medicare Advantage plans, call now to speak with a licensed agent (208) 818-2523. We can’t wait to help you learn about your options.

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