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Millions of Medicare enrollees are likely to see relief in 2025 when a $2,000 cap on out-of-pocket prescription drug-spending goes into effect.
If you have Part B questions, look for answers on Medicare’s site or by calling Medicare (1-800-MEDICARE) or your doctor. Additional reporting by Margie Zable Fishe r. More on Medicare:
Coverage is available only through insurance companies and HMOs, and is voluntary. Enrollees paid the following initial costs for the initial benefits: a minimum monthly premium of $24.80 (premiums may vary), a $180 to $265 annual deductible, 25% (or approximate flat copay) of full drug costs up to $2,400.
Without insurance or discount programs, Ozempic can cost around $1,000 a month. Most insurance providers only cover the cost when it’s used to treat type 2 diabetes.
Drug companies can price new medicines, particularly orphan drugs, i.e. drugs that treat rare diseases, defined in the United States as those affecting fewer than 200,000 patients, at a cost that no individual person could pay, [73] [74] [75] because an insurance company or the government are payors. [76]
Other costs. The Medicare Part B deductible for 2025 is $257. The coinsurance is the amount a person will pay for the service after they have paid the deductible.
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