As we head into the 2025 Medicare season, you’ll be receiving your Medicare Annual Notice of Change (ANOC). This letter brings important updates about your plan, including changes to coverage, costs, and provider networks. Let’s walk through what to look out for and how to make sure your plan continues to fit your healthcare needs.
Why You Should Pay Attention to Your ANOC
Each fall, Medicare Advantage and Part D plan members receive the ANOC, which outlines any upcoming changes to their plans for the next year. These changes might include adjustments to premiums, co-pays, coverage, or even which doctors and pharmacies are in-network.
By reviewing your ANOC, you’ll get a heads-up on whether your current plan will still work for you in 2025, or if you might need to consider making a switch during the Annual Enrollment Period (AEP), which runs from October 15 to December 7.
What’s in Your ANOC? Here’s What to Watch For
When you get your ANOC, it’s important to take a little time to look it over. Here are some key things to focus on:
- Premiums and Out-of-Pocket Costs Check if your monthly premium, deductibles, or out-of-pocket maximums are changing. Even a small bump in these numbers can add up over the year. For example, if your premium jumps by $10 a month, that’s $120 more annually. You’ll also want to note any changes in co-pays for doctor visits or prescription medications.
- Changes to Covered Services If you rely on specific treatments or medications, make sure they’re still covered. For example, some plans may move certain prescriptions to a higher cost tier, which could mean higher co-pays. Or they might adjust coverage for things like physical therapy or diabetic supplies. It’s always good to know ahead of time if your costs for these services are going up.
- Provider Networks and Pharmacies Make sure your preferred doctors, specialists, and pharmacies are still in-network. If your plan drops a provider you use, you could face higher costs for out-of-network care, or you might have to find a new provider. It’s the same with pharmacies—if your go-to pharmacy is no longer in-network, it could mean higher costs or added inconvenience.
Reading Your ANOC: A Simple Process
According to surveys, less than half of Medicare beneficiaries find the ANOC easy to understand, so you’re not alone if it seems confusing. Try setting aside about 30 minutes to carefully go through the letter. This should give you a clear idea of what’s changing in your plan and helps you decide if staying with your current plan is the best option.
You might notice small changes, like a slight premium increase or a small tweak to benefits. That’s not necessarily a reason to switch plans.
But if there are bigger changes—like a doctor you rely on no longer being covered—it could be time to shop around.
What’s Changing in 2025? Here’s a Big One:
One of the most significant changes coming in 2025 is a new $2,000 cap on out-of-pocket prescription drug costs for Part D plans. This means that no matter how much medication you need, you won’t pay more than $2,000 out-of-pocket for your prescriptions. While this is great news for those with high prescription costs, it could lead to higher premiums or co-pays as insurance companies adjust.
How the Annual Enrollment Period (AEP) Fits In
Once you’ve reviewed your ANOC and know what’s changing, the next step is deciding if your plan still fits your needs.
The Annual Enrollment Period (AEP) is your window to make changes if necessary. From October 15 to December 7, you can switch Medicare Advantage plans, change Part D prescription drug plans, or return to Original Medicare.
If you notice big changes—like a doctor being dropped from your plan or a hike in costs—it’s a good idea to start looking at other options. Resources like Medicare.gov can help you compare plans, or you can reach out to a Medicare expert for personalized advice.
Need Help? We’ve Got Your Back
We know Medicare can be confusing, especially when plans change. If you need help understanding your ANOC or comparing plans for 2025, our team of Medicare experts is here for you. We’ll walk you through the process and help you find the right plan for your health and budget.
Frequently Asked Questions:
- When will I receive my Annual Notice of Change?
You should get your ANOC by the end of September. If you haven’t received it by early October, contact your plan provider or Medicare.
- What if I don’t receive my ANOC?
If it doesn’t arrive, call your plan provider right away. They are required to send it to all members.
- How do I switch plans after reviewing my ANOC?
You can make changes during the Annual Enrollment Period. If you want personalized help, we can assist you in comparing plans and enrolling in one that better suits your needs.
By staying informed and taking action when necessary, you can make sure your Medicare plan is still working for you. Got questions or need help reviewing your ANOC? Feel free to reach out to us — we’re always here to help you navigate the world of Medicare.
You can also switch plans by working directly with your insurance provider or Calling 1-800-MEDICARE.