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Request An Affordable Care Act Quote!
Call today for quotes on health insurance for
Medicare beneficiaries
or any other type of health or life insurance!

Medicare-Eligibles call:

561-734-3884 (TTY: 711) 877-734-3884 (TTY: 711)

All Others:

786-970-0740 (CELL)

Medicare - November 2024

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IN THIS ISSUE...

2025 SOCIAL SECURITY COLA ANNOUNCED

WHAT HAPPENED TO STAR RATINGS IN 2025?

WHAT’S THE MEDICARE PRESCRIPTION PAYMENT PLAN?

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2025 SOCIAL SECURITY COLA ANNOUNCED

The Social Security Administration announced on October 10 that the Social Security Cost of Living Adjustment for 2025 will be 2.5%. This is the first time since the late 1990’s that the COLA adjustment has exceed 2% for four straight years.

The increase in the Medicare Part B Premium for 2025 has not yet been announced; however, under the “hold harmless” provision the increase in the Medicare Part B premium cannot exceed the amount of a beneficiary’s Social Security increase UNLESS that person has had to make a Part B Income Related Adjustment (IRMAA) payment in any prior year.

The following changes are expected to be announced before the next newsletter is published in December:

Medicare Part B Premium
Medicare Part A Deductibles and Copays
Medicare Part B Deductible
Part B IRMAA and Part D IRMAA
Deductible For Medicare Supplement Plans HDF and HDG
Out-Of-Pocket Maximum for Medicare Supplement Plans K and L

Note: Changes in the Medicare Part B premium; Medicare Part A deductibles and copays; and the Part B deductible will have no effect on Medicare Advantage plans. Medicare Advantage plan benefits are a contractual agreement between the insurance carrier and Medicare, and these benefits are NOT affected by any changes in Medicare Parts A and B. Part B reductions obtained through Medicare Advantage plans will NOT be adjusted for any changes in the Medicare Part B premium for 2025.

WHAT HAPPENED TO STAR RATINGS IN 2025?

Medicare also announced the 2025 star ratings on October 10.

2025 Star Ratings for Medicare Advantage Plans

In 2025, the number of Medicare Advantage (MA) plans receiving high star ratings continued to drop for the third consecutive year. Only seven MA plans with prescription drug coverage received five-star ratings in 2025, a decrease from 74 in 2022, and 38 in 2024. Only 40% of MA-PD (Medicare Advantage Prescription Drug) plans earned four or more stars, down from 68% in 2022.

The average plan star rating decreased from 4.07 in 2024 to 3.92 in 2025. In 2022, the average plan star rating was 4.37.

Approximately 62% of enrollees in Medicare Advantage plans with prescription drug coverage (MA-PD) are projected to be in contracts with four or more stars in 2025. Approximately 90% of MA-PD enrollees enrolled in plans with four or more stars in 2022.

Seven MA-PD contracts secured the prestigious 5-star rating in 2025, including plans from Alignment Health Plan, HealthSun Health Plans (Elevance Health), Highmark Blue Cross Blue Shield, Leon Health, MCS Advantage Classicare, Network Health Medicare Advantage Plans, and Optimum HealthCare (Elevance Health). Health Sun, Leon Health, and Optimum are based in Florida. These plans benefit from year-round marketing opportunities, unlike plans with lower ratings. Additionally, plans with 4-star or higher ratings receive quality bonus payments, which allow them to offer enhanced benefits; lower copays, coinsurance, or deductibles; and/or provide additional services not covered by traditional Medicare.

Read More About Medicare Advantage Star Ratings.

2025 Star Ratings For Stand-Alone Part D Prescriptions Drug Plans

Only 27% of stand-alone Medicare Part D Prescription Drug Plans (PDPs) — or 11 contracts — earned 4 stars or higher for the 2025 plan year, according to CMS’s 2025 Medicare Advantage and Part D Star Ratings. The 2025 star ratings also resulted in nine contracts receiving 2.5 stars or lower, compared with six in 2024, and the average overall rating for PDPs dropped from 3.34 to 3.06.

About 4.5% of all PDP members are enrolled in contracts that earned 4 stars or higher in 2025, a steep decline from 23.5% of members in 2024.

WHAT’S THE MEDICARE PRESCRIPTION PAYMENT PLAN?

Read this information published by medicare.gov to learn more about the new Medicare Prescription Payment that begins in 2025.

Please see the following video that provides additional information about how the program works:

About Paul Cholak

Paul is a licensed, independent health and life insurance agent and has over forty years of benefits experience and specializes in helping Medicare beneficiaries obtain health insurance. However, he offers a complete array of life and health insurance products to individuals of all ages.

He guides Medicare beneficiaries through the steps of getting insurance and is available to help clients both BEFORE and AFTER they've made their purchase decision.

Disclaimer for Part C and D plans: "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY: 1-877-2048) to get information on all your options."

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Schedule For 2025
Affordable Care Act Enrollment

Affordable Care Act open enrollment for 2025 plans began November 1, 2024 and ends January 18, 2025 (extended from January 15)
on the Federal Facilitated Marketplace (https://www.healthcare.gov)

You DO NOT need a Qualifying Life Event to qualify.
There are no pre-existing condition limitations.

Call Us At 786-970-0740 (Cell)
to determine what kind of plan you may be eligible for.

2025 Annual Enrollment Period For Medicare Beneficiaries

The Annual Enrollment Period (AEP) for enrolling in plans effective January 1, 2025 has ended. The AEP runs from October 15 to December 7 annually.

Enrollment in a Medicare Advantage, Medicare Advantage Prescription Drug, or stand-alone Part D Drug plan can now occur ONLY if a Medicare beneficiary is eligible for another election period [e.g., the Individual/Individual Coverage Election Period (ICP or ICEP)] when first becoming eligible for Medicare; a Special Election Period (for those who experience qualifying life events like an involuntary termination of their existing plan, moving outside of the plan’s service area, losing or becoming entitled to Medicare or Extra Help, declaration of a weather related emergency, etc.), or the Open Enrollment Period. Except for individuals desiring to enroll in a Chronic Special Needs Plan, there are no health questions to qualify.

Medicare beneficiaries can enroll in a Medicare Supplement plan within 6 months of their Part A and B effective dates without answering health questions. Generally, individuals with Medicare Supplement plans can change plans at any time but in many cases will need to answer health questions to qualify. Individuals with Medicare Advantage plans can enroll in Medicare Supplement plans during the Annual Enrollment Period or Open Enrollment Periods but in most cases will have to answer health questions. There are special rules for individuals with “trial rights” or eligibility for guaranteed issue policies that don’t require answering health questions.

Call us at 561-734-3884 or 877-734-3884 (TTY: 711) for details.

Request An Affordable Care Act Quote!

We offer a comprehensive set of Affordable Care Act (“Obamacare”) plans

to individuals and families qualified to buy health (tax- and non-tax subsidized) insurance and dental/vision and/or hearing plans through the Federal marketplace (this is called buying “on-exchange” or “on-marketplace”) or directly from insurance carriers (this is referred to as buying “off-exchange or -marketplace”). Our Affordable Care Act policies comply with the Affordable Care Act and contain all of the “essential health benefits” required by that law.

We offer association group health insurance plans

to those who can qualify and are looking for less expensive alternatives to Affordable Care Act plans.

The dental/vision and/or hearing insurance

products are available both on an insured or discount basis.

We offer short-term health insurance policies

for those who are looking for coverage for a maximum of four months.

We offer Medicare Supplement, Medicare Advantage, and Part D Drug plans

to Medicare-eligibles. Our site is compliant with federal, state, and carrier guidelines in selling these policies. See the Medicare-eligibles section of this site for details.

We represent many carriers that offer supplemental benefits

to both individuals and families and Medicare beneficiaries, and the site contains information about hospital indemnity, cancer, critical illness, accident, and international medical insurance offered by many different carriers. This section of the site also contains valuable information and tools about lowering the cost of prescription medications. Call us if you want more information about or would like to enroll in one of these products.

We also offer Short- and Long-Term Disability products

and can also help you meet the costs of long-term care, nursing home, or short-term (recovery) care needs.

Finally, we have a complete array of Life, Final Expense, and Annuity products

and offer pre-need services in Florida, as we have both life insurance and pre-need licenses in that state.

You pay nothing for our services:

we’re paid directly from the carriers we represent, Premiums are NEVER EVER marked up to include paying us for our services: you pay the same whether you order directly from the carrier or the marketplace on your own or directly through us or from our site.

We ONLY offer alternatives that are suitable for you and for which we feel meet YOUR needs.
When or if we feel a product or service is not appropriate for you from either a cost or benefit point of view we will tell you so.

We’re fully compliant with privacy and security guidelines, have signed all required privacy and security agreements, have developed a privacy and security policy, and take extraordinary steps to safeguard your protected health and personal information.
In short, we’re experts in all aspects of health and life insurance and also have relationships with professionals who can help you with very specialized situations.

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561-734-3884
or
877-734-3884 (TTY:711)

A licensed insurance agent contracted with multiple carriers offering Medicare Advantage
and Prescription drug plans each with a Medicare contract.
Enrollment depends on contract renewal.
Contact may be made by a licensed insurance agent or insurance company.

This is a solicitation of insurance. Contact may be made by an insurance agent or insurance company.
Not affiliated with or endorsed by any government entity or agency.

We do not offer every plan available in your area.
Currently we represent 19 organizations which offer 8 products in your area.
Any information we provide is limited to those plans we do offer in your area.
Please contact Medicare.gov or 1-800-MEDICARE (TTY: 1-877-486-2048)
24 hours a day, 7days a week, or your local State Health Insurance Program (SHIP)
to get information on all your options.