Welcome to another Annual Open enrollment Period (AEP)!
The Annual Election Period (AEP) begins October 15th and runs through December 7th, 2024. During this period, you are allowed to enroll in or change to a new Medicare Prescription Drug Plan for the 2025 plan year.
2025 Part D Plan Facts & Figures
- Next year there will be five fewer plans available (18). One carrier, Mutual of Omaha, is leaving the market and another has been sanctioned by CMS with plans currently unavailable (Clear Spring Health).
- The average monthly prescription drug plan premium in CA will increase 16% (from $81.38 to $94.31)
- Six plans will see premium decreases and eleven will see increases.
- The standard deductible will increase from $545 to $590. (Plans can choose to have a lower deductible)
- CIGNA Healthcare will offer the lowest premium plan at $1.80 per month (Cigna Assurance Plan).
- The Coverage Gap or “donut hole” will be eliminated next year and your total out-of-pocket will be capped at $2,000.
- A new Medicare Prescription Payment Plan offers the option to pay out-of-pocket costs in monthly installments, rather than all at once. Your drug plan will share more about this.
- Medicare Part D plans will cover many vaccines at 100% including RSV and Shingles (no copay or deductible). Note! Medicare Part B covers flu and COVID shots. For a complete list of Covered Vaccines
- Financial Assistance called Extra Help is available to those who qualify and can help pay premiums, deductible and copays related to Medicare drug coverage.
We offer several free resources and tools to help you evaluate and enroll in a Part D plan on your own. See below for more.
Use our Medicare Part D 2025 Drug Plan List: see below
- Provides a list of all drug plans with link to drug formularies and websites.
Watch our Medicare Part D Plan Finder How-To Video: 2025 Open Enrollment Video
- Step-by-step do-it-yourself video of Medicare’s Plan Finder tool to compare, evaluate and enroll in a drug plan.
New! Follow Along With Phil: Sign-up for one of these free Zoom seminars
- Follow along with Phil as he demonstrates how to evaluate plans using the screen share feature on zoom. Live Q&A throughout.
2025 AEP Part D Drug Plan List
Carrier | Premium | Deductible | Special Features | Overall Star Rating | Formulary |
$1.80 | $590 |  | |||
Clear Spring Health Value | $4.00 | $590 | Sanctioned plan: not available at this time | Sanctioned plan: not available at this time | |
$16.80 | $590 |  | |||
$17.40 | $590 | Deductible waived for Tier 1 and 2 drugs | | ||
$20.60 | $590 | Deductible waived for Tier 1 and 2 drugs | | ||
$53.60 | $590 | | |||
Clear Spring Health Premier | $70.60 | $590 | Sanctioned plan: not available at this time | Sanctioned plan: not available at this time | |
$94.00 | $573 | Deductible waived for Tier 1 and 2 drugs | | ||
$110.20 | $590 | | |||
$115.40 | $0 |  | |||
$117.60 | $590 | Deductible waived for Tier 1, 2, and 3 drugs | | ||
$124.80 | $590 | | |||
$135.60 | $590 | | |||
$140.90 | $175 | Deductible waived for Tier 1 and 2 drugs | | ||
$161.70 | $590 | Deductible waived for Tier 1 drugs |  | ||
$164.20 | $0 | | |||
$164.90 | $120 | Deductible waived for Tier 1 and 2 drugs | | ||
$183.50 | $0 | |
All the best through the Holiday Season!
Phil Dougherty and the OnlyHealthInsurance team