Annual Enrollment Period
Reviewing Your Prescription Drug Plan
Important! Changes to HTA’s Part D services
Changes in the Prescription Drug Plan industry have limited HTA’s ability to service and shop Part D Plans.
In 2025, HTA will have access to less than 50% of Part D plans, requiring adjustments to how we assist clients.
Step 1: Enter your Pharmacies and Drugs into Medicare.gov
Watch: Guide to Entering Pharmacies and Drugs on Medicare.gov video
Download the Step-by-Step manual to guide you through the process.
Login to your Medicare.gov Account
Don’t have a Medicare.gov account? Click here for instructions on how to create an account.
Part 1- Guide to Entering Pharmacies and Drugs on Medicare.gov
Step 2: Review your plan on Medicare.gov
Watch: How to Shop Part D Plans on Medicare.gov to learn:
- How to evaluate your current plan for the upcoming year
- How to explore other plan options
- Key factors to consider when comparing plans
- Steps to take after finalizing your selection
Download the Step-by-Step manual to guide you through the process.
Part 2- How to Shop Part D Plans on Medicare.gov
Step 3: Review and Decide
If you want to keep your current coverage for 2025, no action is needed. It will automatically renew without notifying the insurance company.
If you still have questions or would like to verify your decision after reviewing your plan on Medicare.gov
Click to Schedule a 15-minute call with an HTA Medicare Advisor.
Please have your Medicare.gov login details ready for the call so we can assist you.
Changes to Medicare Part D in 2025
$2,000 Maximum Out-of-Pocket
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All Part D plans will have a $2,000-a year-out-of-pocket limit for prescription medications.
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$2,000 cap includes deductibles, copayments and coinsurance for covered drugs.
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Does not apply to premiums, non-covered drugs or Part B Drugs.
Removal of Coverage Gap Phase
- Part D plans can have a deductible up to $590.
- Then you pay up to a 25% copayment for your medications until your total out-of-pocket costs reach $2,000.
- Once the $2,000 cap is reached, you pay nothing.
Medicare Prescription Payment Plan
- Option to pay out-of-pocket prescription costs in monthly amounts over the plan year.
- Once enrolled, no payments are made at the pharmacy, instead receive a monthly bill for drugs from Part D plan.
- Monthly bill is based on your cost sharing and the remaining months in the plan year.
Do I need a Prescription Drug Plan?
Increases to Medicare Part D plan premiums may have you considering dropping a Prescription Plan altogether. Here are some things to consider before making that decision.
Late Enrollment Penalty
- A 1% penalty will be added for every 1 month you go without creditable drug coverage.
- If you decide to enroll in a Part D plan later on, you will pay the new plan premium + the penalty.
- You’ll have to pay the penalty for as long as you have Medicare drug coverage.
- Learn more about the Part D Late Enrollment Penalty
Enrollment Deadlines
- If you do not have creditable drug coverage and suddenly need to enroll due to a health event, you will need to wait until the AEP to enroll.
- New Part D plan will not go into eff until 1/1 of the following year.
- Example: Unexpected health event in April, requiring expensive medications. Unable to enroll until AEP (10/5-12/7). Plan does not take effect until Jan, leaving you to pay full out-of-pocket cost for medications from April- Dec 31st.