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What's Changing in 2025
In 2025, several changes are expected to take place that will impact the healthcare industry. One of the biggest changes is the implementation of the Inflation Reduction Act, which will affect Medicare Part D benefits. This act aims to reduce the cost of prescription drugs by limiting the price increases that drug manufacturers can make each year. The Prescription Payment Plan will also be introduced, providing financial assistance to low-income seniors who struggle to afford their medications. These changes will significantly impact seniors who rely on Medicare Part D benefits to manage their prescription drug costs. While the Inflation Reduction Act may lower prices, it may also reduce access to certain medications. The Prescription Payment Plan, however, will provide much-needed financial relief to those who need it most. These changes highlight the ongoing need for healthcare reform and the importance of ensuring that all Americans have access to affordable, high-quality healthcare.​
Medicare Part D Basic Benefits for 2025
2025 CMS proposed benefits for Medicare Part D
Congress made significant changes to the Part D program through the Inflation Reduction Act, which impacted various aspects of the program. Some of the changes included modifications to the coverage gap, introducing a catastrophic coverage threshold, and implementing a new payment structure for drug plans that:
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Eliminates the coverage gap phase from the standard Part D benefit structure
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Caps beneficiary out-of-pocket costs at $2,000
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Adds the Medicare Prescription Payment Plan that provides an option to pay out-of-pocket Part D prescription costs in monthly amounts
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Source: CMS Updates for 2025 Medicare Advantage and Medicare Part D Programs
2025 HSA and HDHP Limits
The Internal Revenue Service (IRS) announced health savings accounts (HSA) contribution and high deductible health plans (HDHP) limitations for 2025.
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2025 HSA contribution limits
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The maximum annual single HSA contribution limit will increase to $4,300 for 2025, up from $4,150.
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The maximum annual family HSA contribution limit will increase to $8,550 for 2025, up from $8,300.
2025 HDHP non-HSA maximum limits
Non-HSA Plans
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Single - Family Deductible – Embedded $9,200 - $18,400
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Single - Family Deductible – Non-embedded $9,200 - $9,200
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Single - Family Out-of-Pocket Maximum – Embedded $9,200 - $18,400
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Single - Family Out-of-Pocket Maximum – Non-embedded $9,200 - $9,200
2025 HDHP HSA ranges
HSA Plans
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Single - Family Deductible – Embedded $3,300 to $8,300 - $3,300 to $16,600
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Single - Family Deductible – Non-embedded $1,650 to $8,300 - $3,300 to $9,200
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Single - Family Out-of-Pocket Maximum – Embedded $3,300 to $8,300 - $3,300 to $16,600
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Single - Family Out-of-Pocket Maximum – Non-embedded $1,650 to $8,300 - $3,300 to $9,200
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Source: IRS
