Video Summary
In this webinar, we explore the latest Medicare Part D changes for 2025, covering adjustments to coverage, drug costs, the impact on members and broker, and more. Learn how to prepare yourself for the new changes, from understanding the impact on prescription medication costs to making informed decisions for your clients.
Click here to view the Q&A summary.
Timestamps
(3:01) Part D Benefit Redesign
Deductible phase, catastrophic phase, coverage gap
(7:41) TROOP vs. MOOP
True out-of-pocket cost (TROOP), Maximum out-of-pocket limit (MOOP)
(9:53) Copay Smoothing
Explaining copay smoothing, examples
(14:31) Direct Subsidy
Calculating the direct subsidy
(19:40) Premium Stabilization
Adjustments
(28:08) Impact for Part D Members
Premium increase, formulary adjustments
(31:56) Impact for Brokers
Spending more time with members, using Simply Enroll to calculate MOOP
(35:46) Voluntary Part D Premium Stabilization Demonstration
CMS voluntary demonstration test
(39:10)
New Retention Program
(41:09) Broker Compensation
Proposed compensation
(41:56) Duel-Eligible/LIS SEPs
Changes for 2025
