Making Medicare Part D More Affordable for Patients - Alliance for Patient Access

Making Medicare Part D More Affordable for Patients

The Issue

Medicare patients in the Part D prescription drug program often face significant out-of-pocket costs, especially early in the year while trying to meet their deductible. New changes to the Medicare Part D program could help.

Beginning in 2025, Medicare will cap out-of-pocket expenses for Part D medications at $2,000 per patient, per year. No patient will pay more than $2,000 out of pocket in combined expenses for all their medications during a single year.

In addition, Medicare patients may opt in to a new program that spreads out-of-pocket costs for Part D medications evenly throughout the year. Known as the Medicare Prescription Payment Plan, the program may help make prescription drug costs more manageable by breaking them into 12 equal monthly payments.

Patients can opt in during the open enrollment period, beginning October 15, 2024, or at any point thereafter. Learn more about the Medicare Prescription Payment Plan to decide if enrolling is the right decision.

Resources

Medicare Part D Changes: Frequently Asked Questions

Changes to Medicare Part D: A Patient’s Guide

Medicare Prescription Payment Plan Graphic 1

Medicare Prescription Payment Plan Graphic 2

Medicare Prescription Payment Plan Graphic 3

Medicare Prescription Payment Plan Graphic 4

Blogs

Find recent blogs here.

State Updates

Below is a list of current legislation that supports patients with serious mental illness.

Arizona

SB 1083 HB 2449

Read the bill Contact your legislator Read the bill Contact your legislator

Colorado

SB 24-110

Read the bill Contact your legislator

Florida

SB 268 HB 491

Read the bill Contact your legislator Read the bill Contact your legislator

Georgia

HB 1179

Read the bill Contact your legislator

Illinois

SB 1636 HB 2456

Read the bill Contact your legislator Read the bill Contact your legislator

Maryland

SB 990 HB 1423

Read the bill Contact your legislator Read the bill Contact your legislator

Massachusetts

H 989 S 631

Read the bill Contact your legislator Read the bill Contact your legislator

New Jersey

S 1192

Read the bill Contact your legislator

North Carolina

HB 680

Read the bill Contact your legislator

Wisconsin

SB 618 AB 654

Read the bill Contact your legislator Read the bill Contact your legislator

Contact Form

Join AfPA’s mental health mailing list to stay updated.

First Name Last Name Credentials Email Address State