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Medicare enrollees face higher drug costs despite $2,000 cap

Medicare patients may have noticed a cost increase in prescription drugs due as drug insurers respond to a cap placed on out-of-pocket costs.

“It’s a complicated story,” said Rich Daly, a senior editor with the Healthcare Financial Management Association. The Inflation Reduction Act of 2022 implemented a range of changes to Medicare that affected medications, including a $2,000 cap on out-of-pocket costs for enrollees with prescription drug plans.

“Drug insurers have responded to the new rules by implementing out-of-pocket costs short of that costs,” he said. “The overall effect is, a small number – about 5% of enrollees – will be protected by that $2,000 cap, but a much larger number of enrollees have much larger out-of-pocket costs than they used to have.”

Daly said there are two main things affected enrollees can do, given that prices are expected to go up in 2026 as well.

  1. Look for a notification from your drug plan with details about upcoming changes. Keep a copy of that notification in case your plan is cancelled.
  2. Review drug plan options for next year as you prepare for the open enrollment period beginning Oct. 15.

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