What’s changing in Medicare for 2025?

Medicare plans can change from year to year, so it’s important to stay informed. Here’s what you need to know about Medicare plans in 2025.

Prescription Drug Costs and Coverage

Medicare Part D (Prescription Drug Plan) Changes

Similar to Medicare Part C, Medicare Part D plan cost changes depend on your carrier and plan. For 2025, the annual out-of-pocket maximum is $2,000 and the deductible, which can vary depending on your plan, will be no more than $590 for Medicare Part D. Previously you would pay a copay or a 5% coinsurance fee for brand-name and generic prescription drugs covered by Part D. As a result of the Inflation Reduction Act, previous copays and coinsurance no longer apply to covered Part D drugs.

Telehealth and At-Home Care Expansions

Through March 31, 2025, Medicare beneficiaries can receive telehealth services at any location in the U.S., including your home. Beginning January 1, 2025, you must be in an office or medical facility located in a rural area (in the U.S.) for most telehealth services.

Learn more about telehealth and Medicare.

Understanding Annual Changes to Your Medicare Advantage Plan

Changes to Medicare Advantage plans can be a surprise, but they're a normal part of the annual cycle. Every year, plans can adjust their costs, benefits, and/or provider networks, and sometimes a plan may be discontinued entirely. Your first step should be to carefully review your Annual Notice of Change (ANOC), which your carrier is required to send by September 30. This document will detail all the upcoming changes for the next year. If you find that the changes won't meet your needs—for example, your doctor is no longer in-network, or your prescription drugs are no longer covered at the same cost—you have a chance to review the options available in your area during the Medicare Annual Enrollment Period (October 15 to December 7). In some cases, such as if you move out of your plan's service area or a plan is terminated, you may qualify for a Special Enrollment Period, which allows you to make changes outside of the standard enrollment times.