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Medicare Part D Prescription Changes
The Centers for Medicare and Medicaid Services (CMS) has made significant changes to Medicare Part D plan design for prescription drug coverage starting January 2025. The changes are intended to make drugs more affordable and accessible. Key highlights include monthly payment options for covered high-cost medications and the elimination of the coverage gap after patients reach certain thresholds, reducing out-of-pocket cap on drug spending from $8,000 to $2,000. For higher cost medications, depending on plan coverage, some patients may see substantial increases to charges for the first refills of the year. The new monthly payment option can mitigate this situation.
We encourage patients to review their plan options to ensure their needs are met. You can learn more about what the changes may mean for you through your Medicare Part D plan using the contact information located on back of your insurance card. Patients who are insured by Network Health can contact advisors there at 866-845-1803. For general information, visit medicare.gov or call 1-800-Medicare. Pharmacy team members can also provide a broad overview of the changes.
As your trusted health care provider, we want to make sure you have the resources you need to explore your Medicare plan options. Medicare is health insurance for people age 65 and older and you are first eligible to sign up for Medicare three months before you turn 65.
You can find more information about Medicare basics, how Medicare works, Medicare plan types and when and how to sign up at medicare.gov.
Connect With a Medicare Expert
For person-to-person assistance reviewing your Medicare plan options and help enrolling in a plan, call a local Medicare advisor, right here in Wisconsin.
FHK Insurance Milwaukee 866-642-0493 fhkinsurance.com | Transition Health Benefits Brookfield 844-556-6854 transitionhealthbenefits.com | ePlatinumHealth Menomonee Falls 844-725-1382 eplatinumhealth.com | |||
McNamara & Thiel Insurance Fond du Lac 920-923-2626 mtins.net | Midwest Insurance Brokerage Appleton 920-731-2100 mibsga.com | Next Step Insurance Plymouth 920-268-1600 nextstep-insurance.com |
See a list of local Medicare insurance agencies.
Network Health Medicare Advantage Plans
Network Health, a Wisconsin-based health plan, provides a patient-centric, fully integrated approach to Medicare health insurance.
- Owned by Froedtert Health
- The largest provider-owned Medicare Advantage plan in Wisconsin (70,000+ Medicare Advantage members)
- Founded in 1982 by a small group of physicians
For more information about Network Health Medicare Advantage Plans, visit networkhealth.com, schedule an appointment or call 844-201-0047
Accepted Medicare Insurance
Froedtert & the Medical College of Wisconsin health network accepts most Medicare insurance. Holy Family Memorial is part of the Froedtert & the Medical College of Wisconsin health network.
See Lists of Accepted Insurance Plans
We contract with Medicare Advantage plans and Part D sponsors. The provider network may change at any time. You will receive notice when necessary. Enrollment in any Medicare plan depends upon contract renewal. For a complete listing of available Medicare plans, please contact 1-800-Medicare (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult medicare.gov.