Medicare

Inflation Reduction Act

The Inflation Reduction Act is a federal law that aims to reduce out-of-pocket medication costs.

Lower out-of-pocket medication costs

The Inflation Reduction Act reduces the cost of insulin and vaccines. These benefits apply regardless of your plan's drug tier and deductible.
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$35 insulin cap
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With the law, people with Medicare pay no more than $35 for a month’s supply of insulin. This applies to Medicare Part B and Part D insulins.
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$0 vaccines
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With the law, people with Medicare will pay nothing out-of-pocket for adult vaccines recommended by the Advisory Committee on Immunization Practices (ACIP). Some examples of vaccines covered include RSV, shingles, and tetanus / diphtheria / pertussis.
Other changes include lower cost-share for some drugs and expanded access to premium help.
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Catastrophic Phase
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No copay for your covered drugs in the Catastrophic Coverage Phase

Medicare limits your out-of-pocket covered Part D medication costs each year. Once you reach the $2,400 limit, you enter the Catastrophic Coverage Phase. That means you'll pay nothing for your covered Part D medications for the rest of the calendar year.

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Extra Help
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Check your eligibility⁠ for the “Extra Help” or low-income subsidy (LIS) program

People with Medicare who earn less than 150% of the federal poverty level are now eligible for the low-income subsidy (LIS), or “Extra Help” program. Everyone who qualifies for Extra Help will pay $0 in premiums, $0 in deductibles, and a lower cost for generic and brand-name medications.

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Part B medications
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Pay less for eligible Part B medications

Drug companies that raise the prices of certain medications faster than the rate of inflation are now required to pay Medicare a rebate. Those savings lower your cost-share for some Part B medications. To learn more and find out if your medication is included, ask your pharmacist. These medications may change each quarter. This change doesn't apply to Part D drug coverage.

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Medicare Prescription Payment Plan

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is working to make health care more affordable, easier to navigate, and accessible for all. That work includes ensuring Medicare enrollees have access to affordable prescriptions when they need them.

Medicare Part D enrollees will have the option to pay their out-of-pocket prescription drug costs in monthly payments, spread over the year, rather than all at once.

How to enroll

Blue Cross NC Medicare Advantage plan members can opt in to the Medicare Prescription Payment Plan if they prefer to pay in monthly installments.

There are three ways to enroll for 2026:

There are three ways to enroll for 2027:

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Additional resources