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Payment Updates

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"2025 Medicare Advantage and Part D Payment Updates: What You Need to Know"

Originally Published 1 year ago — by CMS

The Centers for Medicare & Medicaid Services (CMS) has finalized the Calendar Year 2025 Rate Announcement for the Medicare Advantage (MA) and Medicare Part D Prescription Drug Programs, with payments to MA plans expected to increase by 3.70 percent. The finalized policies include improvements to the Medicare Part D drug benefit, capping annual out-of-pocket costs at $2,000 for 2025, and updates to Medicare managed care plan payments. These changes aim to lower prescription drug costs and ensure access to affordable healthcare options for people with Medicare.