Tuesday, November 18, 2025
Medicare’s annual Open Enrollment Period runs from October 15 through December 7, 2025. Changes will take effect on January 1, 2026. This is the only window each year when most beneficiaries can review and adjust their coverage options.
Why It Matters
Medicare plans change every year. Premiums, provider networks, drug formularies, and out-of-pocket costs can all shift. Failing to review coverage could mean higher costs or lack of access to preferred doctors and medications. Nearly seven in ten beneficiaries skip comparing plans, which can result in unnecessary expenses.
What You Can Do During Open Enrollment
- Switch between Original Medicare and Medicare Advantage (Part C)
- Change or add a Part D prescription drug plan
- Review and update coverage based on health or budget changes
You can review your plan options on Medicare.gov or call AgeGuide (630-293-5990) to help you find local assistance through the Senior Health Insurance Assistance Program.
Key Updates for 2025
- Prescription Drug Savings: All Medicare drug plans now include a $2,100 annual out-of-pocket cap for covered medications.
- Preventive Care Expansion: More screenings and vaccines are covered at no cost under Original Medicare and many Advantage plans.
- Medicare Advantage Trends: While premiums for some Advantage plans may remain stable, expect network changes and fewer stand-alone Part D options.
Tips for Older Adults
- Review your Annual Notice of Change (ANOC) to understand plan changes for 2026.
- Check drug coverage to confirm your medications are still included.
- Compare costs beyond premiums. Look at deductibles, copays, and out-of-pocket maximums.
- Verify provider networks to ensure your doctors and pharmacies remain in-network.
- Use free resources like State Health Insurance Assistance Programs (SHIPs) for unbiased help.
Financial Assistance
If your income is below $24,000 annually, you may qualify for Extra Help, a program that reduces prescription drug costs. Apply here.
Final Thoughts
Medicare Open Enrollment is your yearly opportunity to ensure your coverage meets your health and financial needs. Even if you are satisfied with your current plan, reviewing your options could save you hundreds or even thousands of dollars.
