Important Upcoming Changes for Medicare Beneficiaries in 2025

As we approach the fall season, both Medicare and Marketplace health insurance plans are preparing for key changes that could affect your coverage and costs in 2025. Whether you're a current beneficiary or newly eligible, it's crucial to stay informed so you can make smart, timely decisions about your healthcare.

Medicare: What to Know for 2025

1. Expanded Drug Cost ProtectionsOne of the biggest changes coming to Medicare in 2025 is the $2,000 annual cap on out-of-pocket prescription drug costs under Medicare Part D. This is a major win for beneficiaries who rely on costly medications. If you've ever found yourself in the "donut hole" or surprised by end-of-year costs, this change could bring significant relief.

2. Insulin and Vaccine Savings ContinueThe $35 cap on insulin remains in effect, and many vaccines recommended by your doctor (like shingles and pneumonia) continue to be free under Part D. These improvements make preventive care more accessible and affordable.

3. Annual Enrollment Period (AEP) Is KeyThe Annual Enrollment Period runs from October 15 to December 7. This is the time to:

• Compare Medicare Advantage, Prescription Drug and Medicare Supplement plans

• Review drug formularies

• Ensure your doctors and prescriptions are still covered

Don't wait until the last minute — plans can change year to year, and what worked for you in 2024 might not be your best fit for 2025. Reach out to Pierce Insurance today to schedule your AEP appointment! Doctor networks and drug coverage changes every year, don’t get left behind and work with an agent who listens to you.

Why This Matters Now

Healthcare isn’t one-size-fits-all, and choosing the right coverage affects more than just your wallet — it impacts your access to doctors, prescriptions, and peace of mind. Whether you're on Medicare or an ACA Marketplace plan, reviewing your options ahead of these key dates ensures you're ready when enrollment opens.

At Pierce Insurance, we make this process simple and personalized. We’re here to walk you through your options, explain new benefits, and help you avoid costly surprises — all at no cost to you.

Give our office a call at (515) 257-6663 today to schedule your appointment!