There are many important changes coming to Medicare in 2025, and these changes will affect most people on Medicare. This video covers many of these 2025 changes.
There are federal requirement that state that Part D Explanation of Benefits (EOB) materials must be easier to understand and more accurate. Medicare drug plans must follow these new rules and make sure their 2025 materials meet these guidelines.
In 2025, some clinics and doctors in Minnesota will stop accepting certain Medicare Advantage plans. This means that if your clinic or doctor is affected, you may need to switch to a different Medicare Advantage plan to keep seeing them. It’s important to review your options and choose a plan that still includes your current doctors.
Starting in 2025, Medicare will limit how much you have to pay for prescription drugs to $2,000 a year. This means once you've spent $2,000 on your covered prescriptions, you won't have to pay any more for the rest of the year. You don’t need to do anything to get this benefit—it will happen automatically.
The Medicare Prescription Payment Plan (MPPP) lets you pay for your prescriptions in smaller monthly payments instead of paying all at once. But you need to contact your Medicare Part D or Medicare Advantage plan to sign up. You'll still pay your regular monthly premium, but instead of paying at the pharmacy, you'll get a monthly bill from your Medicare Advantage or drug plan for your prescription costs. There's no extra charge to join, and you can sign up anytime during the year.
Medicare now covers PrEP, a medication that helps prevent HIV. The coverage includes up to eight counseling sessions, eight HIV tests and a Hepatitis B test each year, along with the PrEP medication.
Medicare has a new program called GUIDE, which helps people with dementia and their caregivers. It provides care coordination, caregiver support, and respite services to help people with dementia stay at home. Some Minnesota providers in the program include:
