Medigap premium increases of 15%? Drug formularies changing? Have you checked your Medicare notice of changes for 2025?

Working in the Medicare space I keep running quotes on clients with expensive drugs such as Eliquis, Jardiance, Brilinta, Entresto, Mounjaro, Ozempic, Hadlima, Humira, Revlimid, Xarelto, Trulicity, etc. Its crazy how low the actual out of pocket expenses are for these drugs next year if they are in the correct plan. These annual reviews are more important than ever. I am seeing advantage policies with Blue Cross, Priority Health, Humana, etc increasing their hospital stay copays on several plans and reducing coverage on tier 1/2 medications while the tier 3/4/5 drugs that are more expensive are covered better. Its an interesting year for Medicare for sure. Dental networks changing, over the counter allowances changing, etc. Who out there is seeing some big changes on their Medicare plans? Don't forget to review your ANOC's (Annual Notice of Change) letters! Good luck out there!

10 costliest Medicare Part D prescription drugs

Eliquis, a blood thinner, $12.6 billion

Revlimid, treats cancer, $5.9 billion

Xarelto, a blood thinner, $5.2 billion

Trulicity, treats diabetes, $4.7 billion

Januvia, treats diabetes, $4.1 billion

Jardiance, treats diabetes, $3.7 billion

Imbruvica, treats cancer, $3.2 billion

Humira (CF) Pen, treats rheumatoid arthritis, $2.9 billion

Lantus Solostar, treats diabetes, $2.8 billion

Ozempic, treats diabetes, $2.6 billion

submitted by /u/RochesterMiMedicare
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