07/30/2026
I’ve had a sneak peek into what the drug plans are going to look like for next year. Of course I won’t be able to see the full details until October 1 with enrollment starting on October 15. But here’s a few details that I do know. They are merging tier one and tier 2 together which are your common generics. Tier 2 are preferred name brand and tier 3 will be non-preferred name brand. Tier 4 will now be injectables which is something they’ve never done before, tier 5 will be your specialty medication’s and tier 6 are the selected care drugs, which they will say will be zero co-pay and no deductible for. I’m understanding tier 6 to be like common drugs for blood pressure, cholesterol, etc. which were normally in tier one and tier 2. So not quite sure how that’s going to look. They are raising the deductible up to $700 which will be for Tiers 2, 3, 4, 5 and the max out-of-pocket for the year is being raised to $2400.
Medicare has expanded the list by 15 new medication‘s for those that they have gone out and negotiated the price for and also they are now including prescription strength vitamins on tier one such as B12, D2 and folic acid, which were not covered in the past.
It is always recommended that you review the annual notice of change on the plan that you are currently with,and if that plan no longer suits your needs with your medication that you are taking, check out the other plans that are available. All my clients can always count on me contacting them sometime between October 1 and December 7 to review their medication‘s and their plans. 
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