Healthcare affordability is a growing concern in our islands, especially for seniors and those living in rural areas. But starting in 2025, major changes under the Inflation Reduction Act are bringing relief to Medicare beneficiaries throughout Hawaii. If you or a loved one relies on prescription medications, here’s what you need to know to save more and stress less.
One of the most impactful changes coming in 2025 is a dramatic drop in the out-of-pocket limit for prescription drug costs. Currently set at $8,000, that annual cap will fall to just $2,000 per calendar year. This change will help thousands of kupuna better manage their healthcare costs without worrying about going into debt for necessary medications.
The dreaded Medicare “Donut Hole”—a coverage gap that made some pay more for their prescriptions—is being eliminated. This is a huge win for people who take high-cost medications, as they will now have continuous support throughout the year.
More Hawaii residents will also become eligible for “Extra Help”, a program through the Social Security Administration that provides additional financial assistance for prescription costs. This expansion means that more kupuna, especially those living on a fixed income, will get the support they need.
Looking ahead, 10 of the most expensive prescription drugs will have their prices reduced starting in 2026. While this is still a year away, it’s part of a larger effort to make healthcare more affordable for all Medicare beneficiaries.
Beginning in 2025, Hawaii residents can also opt into a voluntary payment plan to help spread out the cost of prescriptions over the year. Rather than paying large sums at the pharmacy all at once, you’ll receive a monthly bill from your provider, helping to make your healthcare costs more predictable.
Want to give back to your community while staying active? The Hawaii State Health Insurance Assistance Program (SHIP) is looking for compassionate volunteers to help others navigate Medicare.
As a Hawaii SHIP volunteer, you can:
Learn Medicare at your own pace
Discover local resources
Improve your computer and communication skills
Make new friendships
Help kupuna and caregivers make informed healthcare decisions
Join the Crew in Blue!
Contact:
📞 808-586-7299 | 📱 Toll-Free: 1-888-875-9229
📧 info@hawaiiship.org
🌐 hawaiiship.org
The changes coming to Medicare in 2025 represent a major step forward for Hawaii’s seniors and their caregivers. With lower out-of-pocket costs, more financial aid, and free local support from Hawaii SHIP, navigating your Medicare options has never been more empowering.
If you have questions or want to learn more, reach out to Hawaii SHIP today. Their expert team is here to help you understand your benefits—and make the most of every opportunity to save.
