AEP 2025: Affordable, high-quality care, and benefits that matter to our members

With more than 8.5 million members nationwide through Medicare Advantage plans, stand-alone Prescription Drug Plans and Medicare Supplement insurance, Humana prioritizes the health and well-being of seniors and other individuals eligible for Medicare every single day.?

The Humana team has worked tirelessly for nearly a year to prepare its Medicare Advantage and Prescription Drug Plans for 2025 and ensure our members have access to affordable plans, high-quality care, and benefits they have told us really matter to them. I am thankful for the thousands of employees from across the company – product design, actuarial, analytics, research, provider networks, finance, market teams and many more – who came together to think about the experience of our members and design affordable plans that include the benefits they truly value.??

In just a few weeks, Medicare beneficiaries will be able to choose their health plan for next year during the Medicare Advantage and Prescription Drug Plan Annual Election Period (AEP), which happens Oct. 15-Dec. 7.???

Every year, Medicare Advantage plans adapt to changes in the healthcare environment and regulations. This year, there’s a shift in the Medicare market overall to focus on things like enriched pharmacy benefits. In 2025, we will see the most change to the Part D benefit since the addition of the Medicare prescription drug benefit in 2006. While these changes will provide benefits to members through streamlined cost sharing and the addition of a new Part D out-of-pocket cost limit, it comes with more plan responsibility.??

Key changes to Part D under the Inflation Reduction Act that will take effect in 2025:?

• Members with prescription drug coverage – whether it’s part of a Medicare Advantage plan or a stand-alone Prescription Drug Plan – will have a lower cap on out-of-pocket drug costs.??
• The coverage gap phase is being eliminated. Part D members will not see a change in their cost sharing between the initial coverage phase and the coverage gap phase.?
• The new Medicare Prescription Payment Plan requires both Medicare Advantage plans with prescription drug coverage and stand-alone Prescription Drug Plans to offer their members a payment plan option rather than paying for their medications up front at the pharmacy. The Part D sponsor will bill program participants for any cost-sharing they incur through capped monthly installments, allowing enrolled members to spread their prescription drug expenses throughout the year.??

While designing plans each year, we seek to balance the benefits our members value most while recognizing premium dollars needed to support their medical costs. Because plans change every year, it’s important for Medicare beneficiaries to understand what might be different about their plan from one year to the next. Medicare beneficiaries receive an Annual Notice of Change in September outlining any plan changes, so they can determine if the plan still meets their personal health needs.?

At Humana, we have listened to our members and created plans that are affordable and include the benefits they have told us matter most to them. In addition to the benefits we offer, we are proud of the emphasis we place on quality care and customer service.??

Humana’s ongoing commitment to our members is demonstrated in many ways. Here are just a few examples:?

• We’ve had the highest percentage of members in 4+ star contracts of all national health plans for six consecutive years, as rated by the Centers for Medicare & Medicaid Services (CMS).?
• We were named U.S. News & World Report’s Best Overall Medicare Advantage Plan Company in both 2023 and 2024.??
• Our value-based care model results in fewer inpatient admissions and fewer emergency room visits when compared with Original Medicare.??
• Humana provides the best customer experience to its members, according to Forrester’s “U.S. Health Insurers Customer Experience Index Rankings” for 2024.?

Whether it’s AEP or another time of the year, we remain focused on the health of our members, access to and quality of care, and options so our members can choose a plan that fits their budget and lifestyle.?