So with all these 2025 Medicare changes, should I be switching plans or staying put?

Question

Clarence &quot;Mark&quot; Christiansen · Accepted Answer

This answer is provided in a video format. Watch the agent's video response here: https://medicareagentshub.com/questions/2025-medicare-changes-switch-plans-or-stay#clarence-christiansen

John Stagner · Answer

That’s really on an individual basis. If you have a Medicare Supplement, those don’t change from year to year, so the only thing you need to review with your agent is your Prescription Drug Plan.

Medicare Advantage plans DO change from year to year. The two questions you should ask your agent:
1) Are there any negative changes to my plan, and
2) Any positive changes, or better options for me?

The one thing you should NOT do is assume that staying in the same Medicare Advantage or Prescription Drug Plan will give you the exact same coverage from one year to the next. They can change - even if you don’t.

Scott Sims · Answer

Currently in April, we can't change plans unless we move or have some other Special Enrollment Period, like having a chronic condition (change Medicare advantage plans). So it depends on what time of the year you are talking about. If we are talking currently in April, then we would need an SEP.

Answered by Scott Sims on April 21, 2025

Broker Licensed in OR, AZ, CA & 15 other states

Answered by Scott Sims Medicare Insurance Agent

Diana Salisbury · Answer

You should work with an agent or broker to go over what changes might impact you.  This is a good every year practice to get starting doing.

Rebecca Bilbrey · Answer

Every individual has their own situation. Some people will need to change while others will not. Talking with an agent will help you figure that out.

Gary Henderson · Answer

The biggest change was to prescription drug plans and you can only change those during the open enrollment. October 15th through December 7th 
It's a good idea to look at those cuz a lot of companies drop their lower cost plans and switch people to the higher plans. And if you did not notice that in time for the ability to switch policies, then you're stuck with it for the entire 2025 year. So watch for those annual notice of change letters that come out in September or October each year and then you'll know what to expect

Sam Silva · Answer

​Given the recent changes in Medicare for 2025, it's a good idea to review your current coverage to ensure it aligns with your healthcare needs.

The Trump administration has approved a significant $25 billion increase in payments to Medicare Advantage plans for 2026, providing a major financial boost to health insurers. This could lead to enhanced benefits or lower costs in some plans.

Kelly Linster · Answer

It never hurts to take a look. By all means you don’t have to make a switch if you don’t want to.  But it’s not a bad idea to see what other competitors are offering.

Betty McCarty · Answer

Medicare is undergoing significant changes in 2025, including:

1. A $2,000 annual limit on out-of-pocket Part D drug costs.
2. Elimination of the prescription drug coverage gap, commonly known as the "donut hole."
3. An optional payment plan for Part D expenses.
4. Expanded coverage for various services and medications.

During the Medicare Annual Enrollment Period (AEP), it was crucial to review your potential costs and plans for 2025. If you missed the last AEP, you can prepare for the next one, which begins October 15th and ends December 7th. 

Starting your research early in October will give you more time to evaluate your options as new plans become available for the upcoming year.

If you'd like assistance reviewing your available benefits or guidance through the review process, feel free to reach out via email at bkconnections@comcast.net. We're happy to help!
Let me know if you'd like further refinements!