Medicare 2025 Discussion

This site may earn a commission from merchant affiliate links, including eBay, Amazon, and others.

KOPBET

Duck of Death
Supporting Member
Special Hen Supporter
Joined
Jun 28, 2008
Messages
14,017
Reaction score
11,012
Location
N36º11.90´ W95º53.29´
My part D plan with Blue Cross is going from $24.80 to $59.80, so I'm looking at the medicare website: there is a Wellcare Value Script plan for $0 monthly premium. Yep: $0
I'm searching to find out why it's zero dollars, haven't found anything bad yet, just that Wellcare is basically a good company.
I've tried the online plan comparison and I don't see any big differences.
Any thoughts? Hard to pass up $0 premium. I don't take any prescriptions at this time.

Edit: just found this on https://www.bogleheads.org/forum/viewtopic.php?t=438783;
"What allowed WellCare to do this was the total elimination by WellCare of commissions for brokers in 2025 (for both new policies and existing policies) and the implementation of the newly-created $5-$8 billion Premium Stabilization Demonstration Program by CMS (Google it and then click on “News”).

Since you don't have any scripts at this time it may be a good fit. For those with higher tier drug scripts, not so much perhaps. Mine would be nearly $2000 per year with a $590 deductible.
 

SKATA

Leave the gun, take the cannoli
Supporting Member
Special Hen Supporter
Joined
Jun 8, 2023
Messages
294
Reaction score
459
Location
Central Oklahoma
My part D plan with Blue Cross is going from $24.80 to $59.80, so I'm looking at the medicare website: there is a Wellcare Value Script plan for $0 monthly premium. Yep: $0
I'm searching to find out why it's zero dollars, haven't found anything bad yet, just that Wellcare is basically a good company.
I've tried the online plan comparison and I don't see any big differences.
Any thoughts? Hard to pass up $0 premium. I don't take any prescriptions at this time.

Edit: just found this on https://www.bogleheads.org/forum/viewtopic.php?t=438783;
"What allowed WellCare to do this was the total elimination by WellCare of commissions for brokers in 2025 (for both new policies and existing policies) and the implementation of the newly-created $5-$8 billion Premium Stabilization Demonstration Program by CMS (Google it and then click on “News”).
I have the same numbers as you. (FYI I started this tread). Wellcare is trying to monopolize the whole market and push everyone out.
BCBA Basic might be my next choice based on only a couple generic drugs.
 
Joined
Apr 14, 2009
Messages
10,068
Reaction score
13,269
Location
Owasso
1729022166338.png
 

JD8

Sharpshooter
Supporting Member
Special Hen Supporter
Joined
Jun 13, 2005
Messages
33,327
Reaction score
47,033
Location
Tulsa
My part D plan with Blue Cross is going from $24.80 to $59.80, so I'm looking at the medicare website: there is a Wellcare Value Script plan for $0 monthly premium. Yep: $0
I'm searching to find out why it's zero dollars, haven't found anything bad yet, just that Wellcare is basically a good company.
I've tried the online plan comparison and I don't see any big differences.
Any thoughts? Hard to pass up $0 premium. I don't take any prescriptions at this time.

Edit: just found this on https://www.bogleheads.org/forum/viewtopic.php?t=438783;
"What allowed WellCare to do this was the total elimination by WellCare of commissions for brokers in 2025 (for both new policies and existing policies) and the implementation of the newly-created $5-$8 billion Premium Stabilization Demonstration Program by CMS (Google it and then click on “News”).

So if you have no formulary then it's likely a good choice. If you had a formulary then you could see if you would fall into a "donut hole" but those are closing in 2025.
 

Snattlerake

Conservitum Americum
Special Hen
Joined
Jan 19, 2019
Messages
22,486
Reaction score
36,379
Location
OKC
ALSO

There is a penalty for not choosing a Part D plan in time.

The penalty for not choosing a Medicare Part D plan is called the Part D late enrollment penalty (LEP). The penalty is calculated by multiplying 1% of the national base beneficiary premium by the number of months you were eligible for Part D but didn't enroll. The penalty is rounded to the nearest 10 cents and added to your monthly Part D premium.


In 2024, the national base beneficiary premium is $34.70, so the penalty is $4.90 per month. The penalty amount may increase each year as the national base beneficiary premium changes.


You may be able to avoid the penalty in some circumstances, including:

  • If you receive Extra Help, the penalty will be permanently removed
  • If you are under 65 and have Medicare, the penalty will end when you turn 65
  • If you qualify for a state pharmaceutical assistance program (SPAP), it may pay your penalty

The penalty is intended to encourage Medicare beneficiaries to have adequate drug coverage. You may need to pay the penalty for as long as you have Medicare.
 

Snattlerake

Conservitum Americum
Special Hen
Joined
Jan 19, 2019
Messages
22,486
Reaction score
36,379
Location
OKC

Centerwell is the former Humana Pharmacy.

They have a finance program when you call this number for specialty Rx.

Finance Department team for that concern at 1-888-893-6905.

See this thread for another method of payment for drugs




it is best to apply at the beginning of the year.

This is a grant

 

Latest posts

Top Bottom