@@guermeisterdoodlebug7980 Well don't worry. By the time you turn 65+, there won't be any medicare. Y'all can possibly get in line to make Soylent Green. Won't need healthcare. Canada is already encouraging disabled and others to check into euthanasia. You know, so they won't keep putting young people through problems.
it isn't "the system" that is doing this it is mainly the insurance companies. even when we were still working the insurance choices through work were just as crazy. no system was involved. if it wasn't for "the system" we wouldn't even have any drug plans period. definitely needs work but thank some congress people and senators for fighting for us lowly people.
Every year there are changes to Part D coverage. For the elderly who no longer enjoy the mental sharpness they once had, it's a pain trying to keep up with those changes.
Exactly, I’m in that category, they intentionally make it confusing, I have no idea if I should change my part D to another, good or bad idea, I’ve no clue, can one trust that "star" rating thingy or is it a scam like Amazon ratings?
The reason SSA is like IRS to keep the elderly from being able to figure out all rules/regulations is to keep them from Alzheimer to "HELP" you to exercise your brain. It is like two electric shock. One in April and one in November to keep your brain healthy. LOL
I’m approaching retirement. Currently 64. 5 years ago I took 5 meds for BP, Gout and CVD. I converted to a Ketogenic diet and am down 75 lbs to normal BMI and only take one med now. The answer is to get off of these meds.
Yeah, my SilverScript SmartSaver Prescription drug program went from $9.80/month with a deductible of $280.00 dollars for 2024 to $44.80/month with a $590 deductible for 2025. Yeah, that is a real savings for me; NOT!!! Thanks a lot for nothing!!! So the insurance companies are getting richer and we are paying more for less.
SANE HERE WITH US! SO SICK OF THIS THEFT UPON AVERAGE MEDICARE RECEPIANTS WHO TAKE NO DRUGS & WORK AT BEING HEALTHY LIKE NEVER EATING OUT. OUTFREAKINGREAGEOUS TO SAY THE LEAST
Same here. Like I said in an earlier comment. Greedflation. It's out of control. Companies are so used to just raising prices to make ridiculous profits. I guess if you are invested in the markets you'll make money but you pay it right back with rampant inflation. We need a change in our leaders. The current regime is hurting hard working and retired Americans and Legal immigrants.
agree, but you can switch plans. time to do more research or contact someone in your area you does what this lady does to help you find the best plan for you
We are now going to be paying for those who have high medication costs starting in 2025. The drug plans are significantly increasing the monthly premium payment! Ours went from $5.30 to $43.00! My husband is not on any meds, and my meds are minimal costs! I can't believe it!
Got my ANOC in the mail a couple days ago and was surprised to see the $0 premium on my Part D plan is staying at $0 for 2025. A few minor copay increases but not nearly as much as I expected.
That’s great! Many of those $0.50/month or $0/month plans are staying at a similar premium in most states. This CMS “stabilization” program has kept many premiums lower than originally anticipated. www.cms.gov/files/document/july-29-2024-parts-c-d-announcement.pdf
@@bills1779It is $.40 per month this year but it will be $17.40 per month in WellCare. I got the mail from them already and I plan to check on Medicare web this year to change the part D plan company
My company AETNA, raised my premiums from $9.90 to $44 and dropped one of my drugs. I will have to change again this year. I usually have to change every year anyway so nothing new. A few years ago, BCBS tried to raise my premium to $62. I passed thank you.
Yes, you DO Stephanie. I am thinking of calling your team ( wish I could talk with you ) instead...lol. You're someone so likable, knowledgeable, and kind. I may go from Plan G which I have been on for a year to Plan N but the drug plan confuses me. I am on 4 meds, all cheap except one generic. I am very healthy and live a healthy lifestyle. I am a senior in Oregon for many years now. lol
To lower the drug cost for diabetic drugs the drug companies are raising the cost of the part D drug plans (ours is going from $78.90 per month to $102.30 almost a 30% increase) would have helped all seniors if the government had also capped the percentage of increase the drug companies could charge per year .
good suggestion. perhaps we seniors need to be writing and calling our representatives and senators that we voted in. or we could sit back and complain that the system sucks. I write often
It was hard for me to follow your explanations of 2025 because you continued comparing 2024 to 2025. If I were much younger, I would have easily understood the explanations. However, I wish you would have just explained 2025 all by itself, without any comparisons. Like the part about spreading payments with your drug company, I understood that clearly. Thanks
VERY Important: NON-formulary drugs will not be covered after the $2,000 out-of-pocket cap in 2025 for Medicare Part D plans; the cap only applies to drugs listed on your plan's formulary, meaning you will still have to pay the full cost of any non-formulary medications even after reaching the cap.
So far in my research for a stand alone plan D Humanna is looking good for my meds have been on Silver Scripts but their deductible has really going up in 2025 and the tiers are changing for the worse!
During this open enrollment period, can you do a video regarding difference between "basic" and "enhanced" Part D plans? It is my understanding (from another Medicare You Tuber) that "enhanced" plans will have less TROOP (true out-of-pocket) costs because the TROOP is based on the "standard benefit cost calculation" and with an "enhanced" Part D plan you will have lower ACTUAL out of pocket copays/coinsurance/and 0 deductibles and reach the $2000 cap without actually having incurred the full $2000 cap since it is based on "standard benefit cost". Confusing, isn't it? Need you to explain all the differences between the two different types of Part D plans.
I received my plan notice and my premium payment quadrupled for 2025. I don't have to take any medications at this time, Thank the Good Lord. I have been trying to look at premium prices for 2025 from the different companies to change but I cannot find them. Is there somewhere special to look?
great videos ......fyi my plan there is good amount of increase in monthly payments for part D from $57 (2024) to $ 92 (2025 ).. it almost double ,so much for inflation reduction THANKS JOE/KAMALA
They say they are saving Medicare recipient money by closing this donut hole. And of course, the insurance companies have to get there money from someone else which is us, their customers. My advantage plan is going up $11 a month but my benefits have been slashed. Higher deductibles for specialists, dental coverage cut, OTC cash gone. One of my wife's prescriptions is being moved from a tier 2 back to a tier 4 due to a manufacturers price increase, it was costing $770 a year, now it will cost almost $2000. According to the insurance agent my wife and I use, the changes are going to save only about 5% of the Medicare recipients money. The other 95% will pay more fore less.
Question regarding the $2000 cap. If I’m prescribed a drug that is not on my Part D plan formulary and I pay full price for the medication at the pharmacy does that count towards my $2000 cap?
I recieve my meds from VA....why do I need this plan? I'm 61 now and planning on moving to a developing country on receipt of my first social security deposit. About half of my ss payment will go to the monthly payment. Where is the advantage to successfully retire in this country.
I get so confused with all this stuff. Six years ago when I signed up Medicare I don't recall a plan G option. There were options but I don't remember specific names. I was "guided" to and chose plan D. So was I a sucker? Is plan D even a smart choice today?
@@CapeCodBelle it has been , but many things are changing; changes from the Federal government because they have seen that Medicare Advantage companies have too large profits and that is why so many new MA plans have popped up each year. Who knows what will happen but everyone has to carefully examine their current plan as of Oct 15 and determine what will be best for them.
I moved out of state a year ago, not realizing I needed to change my Part D to my new state. After realizing a refund was added back to my social security payment, I found out my part D was no longer available until the enrollment period. I’m a client, do I contact you in October to get a new plan?
Medicare is the failed program. It rewards those who do nothing to stay healthy while those who are conscientious pay for our obese population. It should be paid based on your metabolic health to make sense.
Seniors are brilliant and come from and Era when life was simple. Go to the Dr. get seen ,get meds . Go home. Now. Geez Everything is A.I. and skyrocketing prices on meds. Inflation.
Mine did too but it may work out for me anyway because my most expensive drug dropped down to me just having to pay 18% so it may even out for me. All of this depends your total yearly picture. You may end up paying less in the end. In any case they dropped one of my scripts so, as usual, I am going to have to go shopping.
MINE TOO SAME SITUATION! I AM LIVID & NOT SURE WHAT TO DO. WE HAVE SOME SAVINGS BUT THATS FOR A NEW ROOF ON HOUSE & MAYBE A NEWER CAR. OUR IS 22 YRS OLD & CANT GET PARTS FOR IT. THEY COULD CARE LESS ALL IN THE BIG CLUB TOGETHER INS. CEOS & THIS CORRUPT REJIME
This week the San Angelo, Texas City Council learned that the United Healthcare Medicare Supplement premiums for their retirees were going to increase 62% for 2025 because of the Inflation Reduction Act.
I am on original Medicare part D but I use no drugs and have not for most of my life. Even the cheapest coverage is close to $500/yr for no benefit for me at all. Can I opt out of part D?
"The late enrollment penalty is an amount that can be added to your Medicare drug coverage (Part D) premium. You may have to pay a late enrollment penalty if at any time after your Initial Enrollment Period is over, there's a period of 63 or more days in a row when you don't have Medicare drug coverage or other creditable prescription drug coverage. You’ll generally have to pay the penalty for as long as you have Medicare drug coverage. The cost of the late enrollment penalty depends on how long you went without Part D or creditable prescription drug coverage. Medicare calculates the penalty by multiplying 1% of the "national base beneficiary premium" ($34.70 in 2024)($36.78 in 2025) times the number of full, uncovered months you didn't have Part D or creditable coverage. The monthly penalty is rounded to the nearest $.10 and added to your monthly Part D premium. The national base beneficiary premium may increase or decrease each year, so your penalty amount may also increase or decrease each year." source: Medicare.gov So, going by this, if you went 24 months without qualified coverage and then get coverage, your penalty in 2025 would be: 24% (24 months X .01 = .24) X 36.78 = $8.83; or $8.80 per month added to your monthly premium. ***My question is, do all the coverage options, including those with $0 premium, which show up on the Medicare.gov comparison website qualify as "creditable prescription drug coverage"?
Part D sucks. . I can no longer afford my prescriptions for diabetes and heart related medications. I'll be taking some every other day or not at all. I'm convinced they want seniors to die.
I'm turning 65 soon but my husband is quite a bit younger than I am and we will have medical insurance through his company so why pay for prescription insurance?
I'm in the same boat. I've read that some employee plans may no longer be creditable because the deductibles and spending caps may be all inclusive. Many HR people aren't knowledgeable enough to help, either. Waiting to see if I need to buy a plan to prevent penalties.
It very well may. Please look out for notice from your employer - they MUST let you know by Oct 15 if your employer coverage is not creditable for Part D for 2025.
I lost my job in February this year. I have not taken any medical insurance. I am under unemployment. I am 64 years old. What should I do to go back to a medical insurance?
Omgosh I'm worn out from checking formularies and tiers. Looks like every drug on TV is either a 4 or 5. No wonder they keep making new ones. I think I'll just take aspirin and gummies 🤣
Thank you so much for the concise information. After calming down and watching this video again, I added several drugs and ran the comparison on a few plans so it makes more sense now. Since I'm not taking any prescriptions now, I'll probably choose a low premium Part D
For sure it would be an abomination, totally unAmerican, and too close to every other civilized country in the world to have every citizen’s healthcare and drugs taken care of by everyone in the society. How horrible. After all it is your fault if you are not perfectly healthy and if you ever get sick. Also 100% your fault if you are not a multi-billionaire who can pay for any needed expense, including your healthcare. So there!!
Good evening from Connecticut my wife and I have Omaha insurance and they sent us a letter saying that they no longer cover us .now do you have any other part d insurance that my wife and I can go with thank you
My mom also received a letter from Mutual of Omaha saying they are not offering this Part D. Wondering the same thing. She has BCBS, and United Health care. Will they offer this?
I have CIGNA plan G and part D with AARP united healthcare from the beginning when I was first on medicare Can I change my part D to CIGNA prescription plan? Thank you ahead!
@@AbtInsuranceAgency I take Synthroid 75mcg, Hydroxychloroquine 200 mg, Entecavir 1 mg, Losartan 50mg, Carvedilol 6.25 twice per day, Hydroxyzine 25mg Pravastatin 10mg every other day. Also Tizanidine, Alprazolam, Prednisone are taking only as needed. You see I take a lot of meds just not sure what plan is most beneficial. If you can find a plan would most cost affective worth to switch I would appreciate it. Thank you!
Seems only fair to point out that in saving “x” number of seniors money, it means costing someone else that amount. Expense is just being transferred to others.
The reason SSA is like IRS to keep the elderly from being able to figure out all rules/regulations is to keep them from Alzheimer to "HELP" you to exercise your brain. It is like two electric shock. One in April and one in November to keep your brain healthy. LOL
❤Harding Working Americans we deserve a free health plan with no more taxes and just as much as Medicade gets. It's a joke. We will see what Trump Administration does now. We definitely suffer was financial strain .
My United HC plan is ending by Dec.31 and I dread trying to find another plan. Health insurance in the country is all a big scam by these insurance companies and they have congress in their pockets so we get screwed all the time. I tried to call UHC to simply get a referral number and had to listen to a virtual assistant run through a confusing menu of options so I ended up hanging up. I hate this F ing BS!!!
I have Humana and I only take I med for BP just got A update for 25 going from 99 to 125. I don’t understand Insurance I’m 76 and I pay 249 for MED and 125 for D and a friend has Humana Gold Plus say they don’t pay Anything other than Medicare No premiums on either He a year older than me. It’s so confusing
Every year you need to go to the Medicare site, Sign in and check prices and, if necessary, select a new plan. What you have been paying and are going to be charged is ridiculous. You can do much better even with these changes. Open enrollment starts Oct. 15. If your friend is paying Zero for medicare he is on an Advantage plan or receiving some sort of subsidy. .
In 2023 i was paying $10.90/month. In 2024 it went up to $31/month. Im afraid what 2025 will be. Have Aetna and live in NY. I take no meds. Still have to work just to pay for insurance. Sickening!
So very sorry! My 70 yr old husband is going yo have to ho back to work at least part time to afford all the insurance we pay both supplement & part d and part b! It's freaking outreageous! They have to pay for all the illegals Healthcare now don't they? Screw the seniors! I AM SO livid
I am also 72 and still working to pay for insurance. Maybe the homeless have the best idea, kidding. The real DONUT HOLE is - I make too much to qualify for help - and to little to afford stopping work to afford living in this country. I am getting so frustrated and depressed thinking about what lies ahead for all of us. I have worked as an RN for almost 50 years, struggled through COVID-19 - for what. Just to struggle more....
Update from previous post. Plan N went to a whopping $66 a month for Aetna. I switched plans as of Jan 1, 2025. I chose Wellcare which will cost me $34.80 a month.
Try as I might I can never get my head around the concept of the "donut hole". Seems just about any other type of insurance plan pays *more* after the deductible is met. Yet in this case, the insured person pays more. Sheesh! Luckily I have no personal experience with it. Keeping my fingers crossed that I never will!
The insurance company does pay more in the donut hole (~75% of costs) and even more in the catastrophic phase (~95%). The real problem is that drug costs are crazy high in the US. Guess who is responsible for that?
All you people whining about this increase are just one medical emergency from joining the “freeloader” crowd. Afib will affect 1 in 4 adults in this country, I know as I became one of them two years ago. I was & still am in better shape than most 25yo in this country. That’s just one major health problem that is waiting for ALL of us. Maybe that Advantage plan wasn’t the best choice, sounds like the freebies (near freebies) are about to end. Who could have seen that coming in our system. But sure, keep railing against universal healthcare.
Did speaker really think this was clear concise information, or does she just enjoy the sound of her voice and waving hands side to side. Not particularly helpful beyond warning of much higher out of pocket costs. Hold these drug companies feet to the fire and they kick back, right in seniors, asses.
The donut hole is akin to a black hole. My essential medication jumped from $25 to $95 to $157 per month. 😡 I'm working with your team member Carter who has been very helpful. He'll be hearing from me again next week. 🙂
I saw I had no annual out of pocket . But there was a $350 deductible before it will start paying some on my eliquis. And then cost me $47. I hate this. I only pay $11.20 now. I have extra help but I’m in troulble if I can’t pay. It’s a mater of life or death
@@merylgorge636 just before obammy became pres my family healthcare costs was around $50/mo for a family.... with the dems running healthcare its now costing me $$$ thousands per person in the family... why do you like paying healthcare premiums for illegals.... my sollution... stop letting the illegals get healthcare and make them go home... simple... isn't it...
@@Linda-jo9ii We ALL received tax cuts under Trump. I know I did and I don't think I'm one of "Trump's billionaire cronies." They will be coming to an end as of 12/31/25. We'll see what happens then. Also, if you don't think that democrats have "billionaire cronies" as well, then you're living in a dream.
SO where are all the better cheaper plans that the Republicans were promising for many years and offered nothing! It is a complex mess that no one can easily improve. Start with the relatively high salaries...how many do you think would be willing to take a big wage cut. The drugs are just one part of the problem.
You're kidding, right. Or have the Democrats pulling the wool over your eyes too. Wake up!!! AS USUAL - the many that don't take RX drugs are paying for the few (2%) of seniors that are on expensive RX drugs. Thanks Dems for sneaking this law through - as usual. So we spent a lifetime taking care of ourselves, keeping weight down, not smoking, exercising and we pay more because we're somewhat healthy.
Look into this topic further. The republicans want to completely get rid of your Medicare. Beware. Look it up in their Project 2025. They want everyone to go to Medicare Advantage plans, the private insurance companies when your coverage can then be denied, denied, denied. Lots of money to be had for their shareholders and CEOs.
I get so confused with all this stuff. Six years ago when I signed up Medicare I don't recall a plan G option. There were options but I don't remember specific names. I was "guided" to and chose plan D. So was I a sucker? Is plan D even a smart choice today?
Absolutely terrible what the system puts seniors through.
Agreed.
Also terrible what seniors and the system put younger folks through.
@@guermeisterdoodlebug7980 Well don't worry. By the time you turn 65+, there won't be any medicare. Y'all can possibly get in line to make Soylent Green. Won't need healthcare. Canada is already encouraging disabled and others to check into euthanasia. You know, so they won't keep putting young people through problems.
it isn't "the system" that is doing this it is mainly the insurance companies. even when we were still working the insurance choices through work were just as crazy. no system was involved. if it wasn't for "the system" we wouldn't even have any drug plans period. definitely needs work but thank some congress people and senators for fighting for us lowly people.
Yes but because they are helping the immigrants coming to get our country usa😢😮
Every year there are changes to Part D coverage. For the elderly who no longer enjoy the mental sharpness they once had, it's a pain trying to keep up with those changes.
So very true.
better name, “the inflation act”
Exactly, I’m in that category, they intentionally make it confusing, I have no idea if I should change my part D to another, good or bad idea, I’ve no clue, can one trust that "star" rating thingy or is it a scam like Amazon ratings?
In addition, I understood maybe 10% of what this woman was trying to inform.
The reason SSA is like IRS to keep the elderly from being able to figure out all rules/regulations is to keep them from Alzheimer to "HELP" you to exercise your brain. It is like two electric shock. One in April and one in November to keep your brain healthy. LOL
I’m approaching retirement. Currently 64. 5 years ago I took 5 meds for BP, Gout and CVD. I converted to a Ketogenic diet and am down 75 lbs to normal BMI and only take one med now. The answer is to get off of these meds.
speak to your doctor not an insurance agent ............
Great presentation, Stephanie! Thanks.
You are so welcome!
In Ontario Canada, seniors pay nothing for prescription medications. Healthcare system picks up that cost.
Where does the healthcare system get the money?
and you wait forever to be treated good luck ...
Yeah, my SilverScript SmartSaver Prescription drug program went from $9.80/month with a deductible of $280.00 dollars for 2024 to $44.80/month with a $590 deductible for 2025. Yeah, that is a real savings for me; NOT!!! Thanks a lot for nothing!!! So the insurance companies are getting richer and we are paying more for less.
SANE HERE WITH US! SO SICK OF THIS THEFT UPON AVERAGE MEDICARE RECEPIANTS WHO TAKE NO DRUGS & WORK AT BEING HEALTHY LIKE NEVER EATING OUT. OUTFREAKINGREAGEOUS TO SAY THE LEAST
Same here. Like I said in an earlier comment. Greedflation. It's out of control. Companies are so used to just raising prices to make ridiculous profits. I guess if you are invested in the markets you'll make money but you pay it right back with rampant inflation. We need a change in our leaders. The current regime is hurting hard working and retired Americans and Legal immigrants.
I probably have your plan. It's crazy and last year did not need any medications. Now up 40.00
Same here!
agree, but you can switch plans. time to do more research or contact someone in your area you does what this lady does to help you find the best plan for you
Thank you for clarification on the changes
You’re so welcome!
We are now going to be paying for those who have high medication costs starting in 2025. The drug plans are significantly increasing the monthly premium payment! Ours went from $5.30 to $43.00! My husband is not on any meds, and my meds are minimal costs! I can't believe it!
After Oct. 15th be sure to check what else is available. I think there will be some plans that may cater to those on generics.
We can thank Biden/Harris for this increase!!!
Wow. Yes, many seniors will see exactly this. Shop your plan!!
Thanks for paying for me. It is greatly appreciated. I wouldn't be able to afford it if everyone else wasn't paying for my expensive medical.
Me too. 9.90/month to44.90/month & only 1 drug for cholesterol
Got my ANOC in the mail a couple days ago and was surprised to see the $0 premium on my Part D plan is staying at $0 for 2025. A few minor copay increases but not nearly as much as I expected.
That’s great! Many of those $0.50/month or $0/month plans are staying at a similar premium in most states. This CMS “stabilization” program has kept many premiums lower than originally anticipated. www.cms.gov/files/document/july-29-2024-parts-c-d-announcement.pdf
May I ask what company? Is it Wellcare Silver Scripts??
@@bills1779 Wellcare Value Script
@@bills1779It is $.40 per month this year but it will be $17.40 per month in WellCare. I got the mail from them already and I plan to check on Medicare web this year to change the part D plan company
My company AETNA, raised my premiums from $9.90 to $44 and dropped one of my drugs. I will have to change again this year. I usually have to change every year anyway so nothing new. A few years ago, BCBS tried to raise my premium to $62. I passed thank you.
Thank you!! You explain everything so well! 👌
You're so welcome!
Yes, you DO Stephanie. I am thinking of calling your team ( wish I could talk with you ) instead...lol. You're someone so likable, knowledgeable, and kind. I may go from Plan G which I have been on for a year to Plan N but the drug plan confuses me. I am on 4 meds, all cheap except one generic. I am very healthy and live a healthy lifestyle. I am a senior in Oregon for many years now. lol
@@andeeangel561 we would be more than happy to assist! 😁 888-465-9728
Fresh Fruit and vegetables. Life changing plan. Game changer.
Thank you for a wonderful update. 👍🏻
You bet!
To lower the drug cost for diabetic drugs the drug companies are raising the cost of the part D drug plans (ours is going from $78.90 per month to $102.30 almost a 30% increase) would have helped all seniors if the government had also capped the percentage of increase the drug companies could charge per year .
good suggestion. perhaps we seniors need to be writing and calling our representatives and senators that we voted in. or we could sit back and complain that the system sucks. I write often
biden/harris so proud the lower the cost of insulin what about all the other meds .
It was hard for me to follow your explanations of 2025 because you continued comparing 2024 to 2025. If I were much younger, I would have easily understood the explanations. However, I wish you would have just explained 2025 all by itself, without any comparisons. Like the part about spreading payments with your drug company, I understood that clearly. Thanks
Thanks for the feedback!
Please, Give us a BESTEST & SIMPLE way information,Thanks
Another ⭐️⭐️⭐️⭐️⭐️ Video! 💯
You have to file for extra help.
VERY Important: NON-formulary drugs will not be covered after the $2,000 out-of-pocket cap in 2025 for Medicare Part D plans; the cap only applies to drugs listed on your plan's formulary, meaning you will still have to pay the full cost of any non-formulary medications even after reaching the cap.
Who will receive the annual notice of change document? Just people on a stand alone PDP or People on MAPD will receive as well?
@@TaliaGomez-h1z both!
So far in my research for a stand alone plan D Humanna is looking good for my meds have been on Silver Scripts but their deductible has really going up in 2025 and the tiers are changing for the worse!
Ever who is in control of DC is killing me, but I guess that's the plan.... 😒😒
During this open enrollment period, can you do a video regarding difference between "basic" and "enhanced" Part D plans? It is my understanding (from another Medicare You Tuber) that "enhanced" plans will have less TROOP (true out-of-pocket) costs because the TROOP is based on the "standard benefit cost calculation" and with an "enhanced" Part D plan you will have lower ACTUAL out of pocket copays/coinsurance/and 0 deductibles and reach the $2000 cap without actually having incurred the full $2000 cap since it is based on "standard benefit cost". Confusing, isn't it? Need you to explain all the differences between the two different types of Part D plans.
I received my plan notice and my premium payment quadrupled for 2025. I don't have to take any medications at this time, Thank the Good Lord. I have been trying to look at premium prices for 2025 from the different companies to change but I cannot find them. Is there somewhere special to look?
Medicare.gov starting Oct 1st!
Our meds are usually cheaper while we're paying the drug deductible off than after it's paid off.
great videos ......fyi my plan there is good amount of increase in monthly payments for part D from $57 (2024) to $ 92 (2025 ).. it almost double ,so much for inflation reduction THANKS JOE/KAMALA
They say they are saving Medicare recipient money by closing this donut hole. And of course, the insurance companies have to get there money from someone else which is us, their customers. My advantage plan is going up $11 a month but my benefits have been slashed. Higher deductibles for specialists, dental coverage cut, OTC cash gone. One of my wife's prescriptions is being moved from a tier 2 back to a tier 4 due to a manufacturers price increase, it was costing $770 a year, now it will cost almost $2000. According to the insurance agent my wife and I use, the changes are going to save only about 5% of the Medicare recipients money. The other 95% will pay more fore less.
become an illegal migrant then you get everything free from our government ,,,,,,,,,,,,,so sad !
Question regarding the $2000 cap. If I’m prescribed a drug that is not on my Part D plan formulary and I pay full price for the medication at the pharmacy does that count towards my $2000 cap?
Probably not. After Oct.15th go to the Medicare page and look for a plan that does cover your drugs and change plans.
No unfortunately it does not.
❤Seniors deserve the best and the most❤
Is the deductible included in the $2000 annual cap? (Thank you)
Yes!
What else goes to $2000 max oop? Deductible, copay, coinsurance only? Not included the plan share of cost, right? Ty
I recieve my meds from VA....why do I need this plan? I'm 61 now and planning on moving to a developing country on receipt of my first social security deposit. About half of my ss payment will go to the monthly payment. Where is the advantage to successfully retire in this country.
I get so confused with all this stuff. Six years ago when I signed up Medicare I don't recall a plan G option. There were options but I don't remember specific names. I was "guided" to and chose plan D. So was I a sucker? Is plan D even a smart choice today?
@@robertfirek8994 plan D is rarely the best option - you should shop! 888-465-9728 😁
@@AbtInsuranceAgency I will. I'm not sure I would be able to pass medical underwriting. I might give you a call if I run into questions.
Already been they won't cover my husband's insulin he's on now so now we'll have to try another.
Is this going to be the same for Medicare Advantage plans?
Yes!
many advantage plans are making the drug part totally separate as it is for everyone else
@@merylgorge636 I thought that was one of the advantages of Medicare Advantage plans. I definitely need to learn more!
@@CapeCodBelle it has been , but many things are changing; changes from the Federal government because they have seen that Medicare Advantage companies have too large profits and that is why so many new MA plans have popped up each year. Who knows what will happen but everyone has to carefully examine their current plan as of Oct 15 and determine what will be best for them.
What company has $0 premium for part D plan? I’ve never seen one.
Wellcare
Wellcare is charging me 0
Wellcare but check to see if they cover your specific drugs.
@@susan06860Unfortunately, I read today that Wellcare is not offering plan d in Alabama. Ugh.
I moved out of state a year ago, not realizing I needed to change my Part D to my new state. After realizing a refund was added back to my social security payment, I found out my part D was no longer available until the enrollment period. I’m a client, do I contact you in October to get a new plan?
@@RhondasView call us or email! 888-465-9728 or stephanie@abtinsuranceagency.com
So ironic this doubling of Part D plans is part of the Inflation Reduction Act. Typical fed govt program😂
Right?!
We can thank Biden and the democrats.
Medicare is the failed program. It rewards those who do nothing to stay healthy while those who are conscientious pay for our obese population. It should be paid based on your metabolic health to make sense.
@@chloesbigadventure Gotta pay for those tax cuts TRUMP gave to the ultra wealthy!
I think it’s because of Medicare ATVANTAGE plan, private payer is government.
Stick with ORIGINAL Medicare😀
Wellpoint has a Awesome Health Plan for 2025
Seniors are brilliant and come from and Era when life was simple. Go to the Dr. get seen ,get meds . Go home.
Now. Geez Everything is A.I. and skyrocketing prices on meds. Inflation.
I just received ANOC as well and my premium jumped 35.00/month for 2025. What the heck is wrong with is picture?????
Mine did too but it may work out for me anyway because my most expensive drug dropped down to me just having to pay 18% so it may even out for me. All of this depends your total yearly picture. You may end up paying less in the end. In any case they dropped one of my scripts so, as usual, I am going to have to go shopping.
Lots of seniors will see exactly this happen.
@@AbtInsuranceAgency Not lots...maybe few.
@@karenkoe7096GoodRx instead
I’m currently paying $7.50 a month for Aetna Silverscript and it’s going to $52 a month in 2025. That’s insane
Thank you!
You're welcome!
Just got my new Antea silver script drug plan premium, up almost 400% $9.80 to $44.80!
MINE TOO SAME SITUATION! I AM LIVID & NOT SURE WHAT TO DO. WE HAVE SOME SAVINGS BUT THATS FOR A NEW ROOF ON HOUSE & MAYBE A NEWER CAR. OUR IS 22 YRS OLD & CANT GET PARTS FOR IT. THEY COULD CARE LESS ALL IN THE BIG CLUB TOGETHER INS. CEOS & THIS CORRUPT REJIME
This week the San Angelo, Texas City Council learned that the United Healthcare Medicare Supplement premiums for their retirees were going to increase 62% for 2025 because of the Inflation Reduction Act.
I'm really thinking positive for 2025
Key word is Changes ❤
I am on original Medicare part D but I use no drugs and have not for most of my life. Even the cheapest coverage is close to $500/yr for no benefit for me at all. Can I opt out of part D?
Yes, but if you ever go to enroll in a Part D plan again in the futures, penalties may be applied.
The pictures on the wall are hanging so symmetrically
Ha, thanks!
Im 69,have medicare a and b,is it mandatory to have part d?With out a penalty?
"The late enrollment penalty is an amount that can be added to your Medicare drug coverage (Part D) premium. You may have to pay a late enrollment penalty if at any time after your Initial Enrollment Period is over, there's a period of 63 or more days in a row when you don't have Medicare drug coverage or other creditable prescription drug coverage. You’ll generally have to pay the penalty for as long as you have Medicare drug coverage.
The cost of the late enrollment penalty depends on how long you went without Part D or creditable prescription drug coverage.
Medicare calculates the penalty by multiplying 1% of the "national base beneficiary premium" ($34.70 in 2024)($36.78 in 2025) times the number of full, uncovered months you didn't have Part D or creditable coverage. The monthly penalty is rounded to the nearest $.10 and added to your monthly Part D premium.
The national base beneficiary premium may increase or decrease each year, so your penalty amount may also increase or decrease each year." source: Medicare.gov
So, going by this, if you went 24 months without qualified coverage and then get coverage, your penalty in 2025 would be:
24% (24 months X .01 = .24) X 36.78 = $8.83; or $8.80 per month added to your monthly premium.
***My question is, do all the coverage options, including those with $0 premium, which show up on the Medicare.gov comparison website qualify as "creditable prescription drug coverage"?
Part D sucks. . I can no longer afford my prescriptions for diabetes and heart related medications. I'll be taking some every other day or not at all. I'm convinced they want seniors to die.
I’m 70, take no prescription drugs,pay $173.00 per month for part D. ?
Are you sure that’s not your Part B premium? It’s $174.70/month in 2024.
you picked a wrong plan.
I'm turning 65 soon but my husband is quite a bit younger than I am and we will have medical insurance through his company so why pay for prescription insurance?
You can delay it without penalty as long as it’s creditable!
@@AbtInsuranceAgency Do I have to let them know or just go with the A & B because it automatic since I'm already receiving social security?
I am still on my employer plan ,does the 2000.00 deductible for Part D impact what is considered a creditable employer plan?
The deductible on a Part D plan maxes out at $590. Then your Max out of pocket is $2000.
I'm in the same boat. I've read that some employee plans may no longer be creditable because the deductibles and spending caps may be all inclusive. Many HR people aren't knowledgeable enough to help, either. Waiting to see if I need to buy a plan to prevent penalties.
I currently don't have any daily medications either.
It very well may. Please look out for notice from your employer - they MUST let you know by Oct 15 if your employer coverage is not creditable for Part D for 2025.
@@AbtInsuranceAgency Thank you!!
I lost my job in February this year. I have not taken any medical insurance. I am under unemployment. I am 64 years old. What should I do to go back to a medical insurance?
Omgosh I'm worn out from checking formularies and tiers. Looks like every drug on TV is either a 4 or 5. No wonder they keep making new ones. I think I'll just take aspirin and gummies 🤣
Thank you so much for the concise information. After calming down and watching this video again, I added several drugs and ran the comparison on a few plans so it makes more sense now. Since I'm not taking any prescriptions now, I'll probably choose a low premium Part D
For sure it would be an abomination, totally unAmerican, and too close to every other civilized country in the world to have every citizen’s healthcare and drugs taken care of by everyone in the society. How horrible. After all it is your fault if you are not perfectly healthy and if you ever get sick. Also 100% your fault if you are not a multi-billionaire who can pay for any needed expense, including your healthcare. So there!!
So sorry, its outreageous
Good evening from Connecticut my wife and I have Omaha insurance and they sent us a letter saying that they no longer cover us .now do you have any other part d insurance that my wife and I can go with thank you
My mom also received a letter from Mutual of Omaha saying they are not offering this Part D. Wondering the same thing. She has BCBS, and United Health care. Will they offer this?
I have CIGNA plan G and part D with AARP united healthcare from the beginning when I was first on medicare Can I change my part D to CIGNA prescription plan? Thank you ahead!
Your supplement plan and Part D plans should be independent choices.
Thank you so much!
You can but I would advise choosing the plan that best covers your medications - which may or may not be with Cigna!
@@AbtInsuranceAgency I take Synthroid 75mcg, Hydroxychloroquine 200 mg, Entecavir 1 mg, Losartan 50mg, Carvedilol 6.25 twice per day, Hydroxyzine 25mg Pravastatin 10mg every other day. Also Tizanidine, Alprazolam, Prednisone are taking only as needed. You see I take a lot of meds just not sure what plan is most beneficial. If you can find a plan would most cost affective worth to switch I would appreciate it. Thank you!
Shop prices on Medicare.gov after October 15th.
I take no medicine and my drug plan went to 48.00 a month! Switching for sure!
Wow!
@@AbtInsuranceAgency, I am 70, just started Medicare this year; have never taken any prescribed medications and my Part D is going up to $92 a month!
Thank you.
You're welcome!
Seems only fair to point out that in saving “x” number of seniors money, it means costing someone else that amount. Expense is just being transferred to others.
Wellpoint health plan you can see a specialist for $10
The reason SSA is like IRS to keep the elderly from being able to figure out all rules/regulations is to keep them from Alzheimer to "HELP" you to exercise your brain. It is like two electric shock. One in April and one in November to keep your brain healthy. LOL
❤Harding Working Americans we deserve a free health plan with no more taxes and just as much as Medicade gets. It's a joke.
We will see what Trump Administration does now. We definitely suffer was financial strain .
Trump takes office Jan.20. We have spoken out loud and clear.Seniors are the backbone of America.
My United HC plan is ending by Dec.31 and I dread trying to find another plan. Health insurance in the country is all a big scam by these insurance companies and they have congress in their pockets so we get screwed all the time. I tried to call UHC to simply get a referral number and had to listen to a virtual assistant run through a confusing menu of options so I ended up hanging up. I hate this F ing BS!!!
We can help!! 888-465-9728. Talk to a real human, here in the USA.
I have Aetna and have been very pleased with with them and the extra benefits
I thought there wasn’t going to be dount holes anymore.
I have Humana and I only take I med for BP just got A update for 25 going from 99 to 125. I don’t understand Insurance I’m 76 and I pay 249 for MED and 125 for D and a friend has Humana Gold Plus say they don’t pay Anything other than Medicare No premiums on either He a year older than me. It’s so confusing
Every year you need to go to the Medicare site, Sign in and check prices and, if necessary, select a new plan. What you have been paying and are going to be charged is ridiculous. You can do much better even with these changes. Open enrollment starts Oct. 15. If your friend is paying Zero for medicare he is on an Advantage plan or receiving some sort of subsidy. .
Call us!! We can help make sure you are on the best coverage for your needs. It is VERY confusing. We can help. 888-465-9728
Mine is going up from $11.20 to $47.00 after I pay $325 deductible
Humans sucks. Many focus on our area do not take this ins
If you don’t have the right plan and you get cancer not only do you have to worry about cancer but going broke and leaving your family nothing 🙁
In 2023 i was paying $10.90/month. In 2024 it went up to $31/month. Im afraid what 2025 will be. Have Aetna and live in NY. I take no meds. Still have to work just to pay for insurance. Sickening!
So very sorry! My 70 yr old husband is going yo have to ho back to work at least part time to afford all the insurance we pay both supplement & part d and part b! It's freaking outreageous! They have to pay for all the illegals Healthcare now don't they? Screw the seniors! I AM SO livid
@nanciwheatley-durando9342 I am 70 yrs old too.
I am also 72 and still working to pay for insurance. Maybe the homeless have the best idea, kidding. The real DONUT HOLE is - I make too much to qualify for help - and to little to afford stopping work to afford living in this country. I am getting so frustrated and depressed thinking about what lies ahead for all of us. I have worked as an RN for almost 50 years, struggled through COVID-19 - for what. Just to struggle more....
Update from previous post. Plan N went to a whopping $66 a month for Aetna. I switched plans as of Jan 1, 2025. I chose Wellcare which will cost me $34.80 a month.
Uhc disadvantage plan cut out all dental coverage for 2025
My premium went up 400%
Try as I might I can never get my head around the concept of the "donut hole". Seems just about any other type of insurance plan pays *more* after the deductible is met. Yet in this case, the insured person pays more. Sheesh! Luckily I have no personal experience with it. Keeping my fingers crossed that I never will!
The insurance company does pay more in the donut hole (~75% of costs) and even more in the catastrophic phase (~95%). The real problem is that drug costs are crazy high in the US. Guess who is responsible for that?
A relative of mine on Medicare just recieved a notice that her part D was going from $5.00/Month to $40.00/Month for her same coverage, what happened?
See the info in this video -- that's what happened sadly.
All you people whining about this increase are just one medical emergency from joining the “freeloader” crowd. Afib will affect 1 in 4 adults in this country, I know as I became one of them two years ago. I was & still am in better shape than most 25yo in this country. That’s just one major health problem that is waiting for ALL of us. Maybe that Advantage plan wasn’t the best choice, sounds like the freebies (near freebies) are about to end. Who could have seen that coming in our system. But sure, keep railing against universal healthcare.
Ok it’s gone 2025
Mutual of Omaha Rx Plan will not be offered in 2025. ¯\_(ツ)_/¯
Right,I got one also from them.
Yes, I just read that today, while browsing the Part D plans. Sad.
Did speaker really think this was clear concise information, or does she just enjoy the sound of her voice and waving hands side to side. Not particularly helpful beyond warning of much higher out of pocket costs. Hold these drug companies feet to the fire and they kick back, right in seniors, asses.
Thanks for the feedback. I’m Italian, I talk with my hands. 🤷♀️
@@AbtInsuranceAgencyI am a medicare part d prior auth pharmacist, video is really good , just ignore the nonsense.
❤Glad the donut hole is going away
The donut hole is akin to a black hole. My essential medication jumped from $25 to $95 to $157 per month. 😡 I'm working with your team member Carter who has been very helpful. He'll be hearing from me again next week. 🙂
So excellent to hear!
I saw I had no annual out of pocket . But there was a $350 deductible before it will start paying some on my eliquis. And then cost me $47. I hate this. I only pay $11.20 now. I have extra help but I’m in troulble if I can’t pay. It’s a mater of life or death
My premium went from 13.30 to 49.60
Bidenomics is working.....not.
That's part of "inflation reduction act"...for you.
just got our ANOC .... the price went up 300% and we don't even use prescription drugs... thanks biden/harris... ya putz
and you have a better sollution?
@@merylgorge636 just before obammy became pres my family healthcare costs was around $50/mo for a family.... with the dems running healthcare its now costing me $$$ thousands per person in the family... why do you like paying healthcare premiums for illegals.... my sollution... stop letting the illegals get healthcare and make them go home... simple... isn't it...
Thank you Joe and Kamala for removing the donut hole!
And replacing it with sky high monthly premiums for many more people instead.
@@tomm7505 And capping RX costs. You do know we need to cut the deficit because of TRUMP'S outrageous tax benefits for his billionaire cronies.
@@tomm7505 exactly... Take from Peter to pay Paul...
@@Linda-jo9ii We ALL received tax cuts under Trump. I know I did and I don't think I'm one of "Trump's billionaire cronies." They will be coming to an end as of 12/31/25. We'll see what happens then. Also, if you don't think that democrats have "billionaire cronies" as well, then you're living in a dream.
...and increasing the hell out of most seniors' Part D premiums!
Thank Obama medical plans for that .
SO where are all the better cheaper plans that the Republicans were promising for many years and offered nothing! It is a complex mess that no one can easily improve. Start with the relatively high salaries...how many do you think would be willing to take a big wage cut. The drugs are just one part of the problem.
Thank you, President Biden and the Democrats in Congress for making this happen in 2025. Huge for seniors!
??? Wait till you see how much your Part D premium will increase (44% for me).
I hope you are being sarcastic.
Election year semantics Biden and Kamala pay more ofr illegals than for Americans who paid in their entire life…. TRUMP 🇺🇸💪
You're kidding, right. Or have the Democrats pulling the wool over your eyes too. Wake up!!!
AS USUAL - the many that don't take RX drugs are paying for the few (2%) of seniors that are on expensive RX drugs. Thanks Dems for sneaking this law through - as usual. So we spent a lifetime taking care of ourselves, keeping weight down, not smoking, exercising and we pay more because we're somewhat healthy.
@@tomroche8091 That's a small cost to keep our democracy and have a party that supports Medicare and our veterans.
You can thank Biden Harris for the higher drug prices.
Look into this topic further. The republicans want to completely get rid of your Medicare. Beware. Look it up in their Project 2025. They want everyone to go to Medicare Advantage plans, the private insurance companies when your coverage can then be denied, denied, denied. Lots of money to be had for their shareholders and CEOs.
Thank you for your stupid comment.
But if you're on government assistance its all free so we pay twice pathetic
I get so confused with all this stuff. Six years ago when I signed up Medicare I don't recall a plan G option. There were options but I don't remember specific names. I was "guided" to and chose plan D. So was I a sucker? Is plan D even a smart choice today?