4月4日,美国医保局(CMS)发布了2025年的Medicare Advantage和Medicare Part D的最终版规则,其中对生物类似药替代的要求明显降低,Medicare Part D的所有生物类似药替换不再明确要求CMS的提前批准,而此前这一原则仅适用于可互换的(interchangeable)生物类似药。 在此之前,任何生物药处方的变更中,CMS规定保险公司、PBM或...
DETROIT LAKES — With Medicare open enrollment now underway, big changes are coming for 2025, according to a news release from the Minnesota Board on Aging. Starting in January, some health care providers may no longer be “in-network” for certain Medicare Advantage Plans. New benefits from ...
Expanding benefits in Medicare Advantage could help patients, physicians and other health providers, according to AMGA. The association endorsed some policy and technical changes proposed for 2025 for MA, also known as Medicare Part C, and the Medicare Prescription Drug Benefit Program (Medicare Part...
This year's Medicare open enrollment season is extra important due to changes that will impact 2025 Medicare Part D and Medicare Advantage plans. Many, or all, of the products featured on this page are from our advertising partners who...
Project 2025 proposes several reforms to “strengthen and improve” the Medicare Advantage program, though details are sparse beyond the broader directives. The proposal states that reforms should be done that would give Medicare Advantage beneficiaries “direct control of how they spend Medicare dollars...
Medicare Advantage will look different in 2025, due to changes from the government and from providers themselves. There’s a new $2,000 cap on out-of-pocket costs for prescription drugs, and some Medicare Advantage providers are reducing benefits and discontinuing plans. It’s crucial that ...
Annual Enrollment Period (AEP): If you’re already enrolled in Medicare but wish to switch to a Medicare Advantage plan, you can do so during the AEP, which runs from October 15 to December 7 each year. This window allows you to review your current coverage and make changes for the foll...
Annual Enrollment Period (AEP): If you’re already enrolled in Medicare but wish to switch to a Medicare Advantage plan, you can do so during the AEP, which runs from October 15 to December 7 each year. This window allows you to review your current coverage and make changes for the foll...
If you qualify for Medicare, you’ll be automatically enrolled in Part A and Part B when you turn 65. If you want prescription drug benefits, or you want to enroll in Medicare Advantage, you have to proactively opt in. Why Original Medicare is not enough Original Medicare (consisting of...
One of Rubin’s biggest concerns for 2025 was that some Medicare Advantage and stand-alone Part D plans would remove costly drugs from their formularies (lists of covered prescription medications). Thankfully, that didn’t happen. However, insurers could still make changes that force you...