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Medicare drug plan choices dropped and premiums rose in 2025 due to price caps, prompting subsidies and insurer exits.
Seniors enrolling in Medicare’s prescription drug program in 2025 face fewer plan options and reduced support, with premiums rising sharply due to the 2022 Inflation Reduction Act’s price caps.
Insurers increased premiums to offset new financial burdens, prompting the Biden administration to implement temporary federal subsidies that hid cost increases from beneficiaries at a $5 billion taxpayer cost.
Despite efforts to stabilize the program, insurer participation has declined, reducing the average number of available plans from 30 in 2021 to 8 to 12 by 2026, depending on location.
Insurers also eliminated broker fees, limiting seniors’ access to professional guidance during enrollment.
While the law aimed to improve affordability, critics argue it disrupted a previously stable system without resolving core issues, though data on its impact on medication access or health outcomes remains limited.
Las opciones de planes de medicamentos de Medicare cayeron y las primas subieron en 2025 debido a los límites de precios, lo que provocó subsidios y salidas de las aseguradoras.