Medicare open enrollment begins Oct. 15, and runs until Dec. 7. In 2025, Medicare will undergo some of the most significant changes in a generation. Most of these changes result from the Inflation Reduction Act.
There is a new out-of-pocket spending cap for Medicare Part D plans with prescription drug coverage that will have a $2,000 limit. This is the first time in Medicare history that there is a cap on out-of-pocket costs. Also, Medicare Part D plans will offer a new payment plan that allows enrollees to pay for prescription drugs in monthly installments instead of all at once.
Medicare will eliminate the “donut hole” coverage gap. There will be expanded benefits for family caregivers and increased access to mental health providers. Starting Jan. 1, U.S. Postal Service employees, retirees and their families will get coverage through a new benefits program.
Medicare Advantage beneficiaries will receive a letter in the middle of 2025 about unused benefits. There will also be stricter marketing rules and midyear coverage notices.
This may seem confusing, but AASC participates in the Virginia Insurance Counseling & Assistance Program and can help you navigate the Medicare system. AASC counselors are not licensed to sell insurance but are trained to explain the various Medicare plans, costs, coverages and benefits. 
They will help educate and empower individuals to understand the different insurance plans.
If you need assistance or have any questions, call Appalachian Agency at 276-964-4915, and ask to speak with a VICAP counselor.
Low-income seniors in Buchanan, Dickenson, Russell and Tazewell counties may sign up now for the Farm Market Fresh program. This Senior Farmers’ Market Nutrition Program helps low-income seniors obtain free fresh produce. Appalachian Agency for Senior Citizens administers the program locally.