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Medicare AdvantageAdministrativeLow impact

Medicare Prescription Payment Plan

Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Medicare is launching a new Prescription Payment Plan starting in 2025 that allows Part D beneficiaries to spread their out-of-pocket drug costs across the entire calendar year instead of paying large amounts upfront. All Medicare Part D and Medicare Advantage plans with drug coverage must offer this voluntary payment option to members.

Action Required

Action needed
By January 1, 2025: Front desk and billing staff should be aware that Medicare Part D members may be using the new prescription payment plan to spread drug costs throughout the year. No billing system changes required as this is a pharmacy benefit program, but staff should be prepared to answer patient questions about the voluntary payment option.