Reply to Retired Fed - Switch to FEP Medicare Prescription Drug Program?

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[quote=Anonymous]OP here - just doing and posting some research

https://www.govexec.com/pay-benefits/2023/03/medicare-part-d-changes-federal-annuitants/383469

Part D Premium Increase Limits

Starting in 2024 and lasting through 2030, the IRA limits Part D premium growth to no more than 6% per year. Part D premiums increased 10% on average from 2022 to 2023, so the 6% cap offers some protection from large price hikes in the future.

Catastrophic Coverage Coinsurance Dropped

Once total spending between the Part D enrollee, Part D plan, and drug manufacturers reaches $7,400 in a year, catastrophic coverage begins. Currently, the enrollee pays 5% of expenses in the catastrophic coverage phase. Beginning in 2024, Part D plans will eliminate the 5% enrollee share.

2025 Change

Out-of-Pocket Spending Cap

In 2025, there will be a new $2,000 enrollee out-of-pocket spending cap in Medicare Part D plans. Additionally, enrollees will have the ability to spread out the $2,000 of out-of-pocket costs over the course of a year.

This Part D change will produce substantial savings for annuitants with high out-of-pocket drug costs. For those needing expensive brand or specialty drugs to treat cancer, multiple sclerosis, or other medical conditions, joining a Part D plan will be a huge cost saver, unless FEHB plans modify their offerings to match this benefit.

Why such big savings? Because the soon-to-be $2,000 out-of-pocket maximum in Part D is significantly lower than almost all catastrophic limits seen in FEHB plans, which range from as low as $1,500 to as high as $9,100 when using in-network providers for self-only enrollment.

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