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Home / News / Health / Report: New prescription drug cap for Medicare means big savings

Report: New prescription drug cap for Medicare means big savings

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By Suzanne Potter, Producer, Public News Service

Hundreds of thousands of older Californians will see huge savings on prescription drugs starting in January, according to a new report from AARP.

The Biden administration’s Inflation Reduction Act caps prescription drug costs at $2,000 per year for people on Medicare, starting in 2025.

Nina Weiler-Harwell, associate director of advocacy and community engagement for AARP California, said an estimated 271,000 people in the Golden State will hit the out-of-pocket maximum next year.

“Medicare drug plan enrollees nationwide who reach the new out-of-pocket cap will see an average savings of roughly $1,500,” said Weiler-Harwell, “or 56% in 2025 for new prescription drugs.”

On average, 40% of people on Medicare who reach the cap will save at $1,000 a year. And 12% will see savings of more than $3,000.

Every year from 2025 to 2029, between 3 and 4 million Part D plan enrollees are estimated to benefit from the new out-of-pocket cap.

Weiler-Harwell said the Inflation Reduction Act introduced a number of new policies to cut costs for Americans on Medicare.

“Copays for insulin capped at $35 a month,” said Weiler-Harwell. “Vaccines such as shingles and pneumonia are free. The Inflation Reduction Act did allow Medicare to negotiate the price of high-cost prescription drugs. But we won’t really start to see that until 2026.”

Also thanks to the IRA, drug companies will have to pay a penalty if they raise their prices higher than inflation.

Disclosure: AARP California contributes to Public News Service’s fund for reporting on Health Issues, Senior Issues. If you would like to help support news in the public interest, visit https://www.publicnewsservice.org/dn1.php.

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