Parnter Post: Big changes are coming to Medicare Advantage plans nationwide in 2025 — here’s what you can expect from Regence

October 11, 2024

By Regence

October 08, 2024

medicare card

Medicare’s annual enrollment period (AEP) is here. As you choose your Medicare coverage for 2025, you’ll likely notice some big changes in Medicare plans across the nation. These changes are coming in response to financial headwinds facing the industry due in part to dramatically rising health care costs, increased member utilization and changing national policies.

Plans are responding to these headwinds in various ways, and some health plans are even choosing to leave the Medicare Advantage market entirely. Regence isn’t immune to these industry challenges, and we’ve made big changes to our 2025 plan offerings. It’s very important for you to pay close attention to your Annual Notice of Change (ANOC) document so you aren’t surprised by any changes on Jan. 1, 2025.

As long as your Regence plan is renewing next year, you can stay on your current plan without doing anything. If you choose a Regence Medicare Advantage plan for 2025, you can count on:

  • A broad provider network that includes doctors, specialists, medical centers, pharmacies and hospitals that share our commitment to high-quality health care.
  • Caring local customer service professionals that offer reliable guidance about your benefits and care options, and provide next level support for exploring treatment options, arranging medical services or finding community resources.
  • Coverage for medical emergencies anywhere in the world with no yearly or lifetime coverage limits.

If you’re enrolled in Medicare, you can sign up or switch to a Medicare Advantage plan during AEP, which runs Oct. 15 to Dec. 7. Your 2025 plan would be effective Jan. 1.

Before choosing a plan, it’s important to know the differences between HMO and PPO plans so you can choose the plan that’s right for you.

HMO plans are budget-friendly with predictable out-of-pocket costs. Our HMO plans offer patient-centered care, which allows your primary care provider to coordinate your care within a local provider network. However, some services may require a referral.

PPO plans give you the flexibility to see any doctor or specialist who accepts Medicare, in or out of network, without a referral. You’ll also have access to a nationwide PPO network so you can get in-network coverage when you’re away from home.

Regence Medicare Advantage plans give you more for your money

Simplify your life by having your hospital, doctor and prescription coverage all in one budget-friendly plan. Plus, our plans include extra benefits like:

  • Prescription drugs: Our preferred generic drugs come with a $0 copay when filled at a preferred network pharmacy. In addition, insulins are available at $35 per month or less and all Part D vaccines are available at no cost when received at an in-network retail pharmacy. The out-of-pocket maximum on Part D drugs has dropped to just $2,000 in 2025. If you have high drug costs, you can opt to use the Medicare Prescription Payment Plan to spread payments on your Part D drugs throughout the year rather than paying all at once.
  • Dental: All Medicare Advantage plans cover dental services—from routine care like cleanings, exams and X-rays to major procedures—up to the plan’s yearly coverage limit. There’s no deductible, no waiting period, no referrals and no prior authorizations needed to receive dental services.
  • Vision and hearing: Annual vision and hearing exams are covered at no cost, as well as an annual vision hardware allowance and hearing aid benefits.
  • 100% covered preventive care: Includes a no-cost annual physical exam, plus all your Medicare-covered preventive services and immunizations, so it’s easy to maintain your good health.
  • Over-the-counter (OTC) supplies: Select plans include an OTC benefit card to purchase health and wellness products.
  • Healthy Rewards: All plans offer incentives for completing wellness activities, like health screenings and health assessments.
  • The Silver&Fit® program: Free standard gym membership at thousands of fitness center locations nationwide, along with unlimited access to on-demand workout videos and live streaming fitness classes and one-on-one coaching sessions by phone, video or chat.

Additional Regence Medicare coverage options and support

We continue to offer Medicare Supplement (Medigap) plans that cover costs beyond Original Medicare coverage. These plans also include $0 membership to the Silver&Fit program and all its features.

For more information and to see all plans offered in your area, go to regence.com/medicare.

Regardless of the plan, all members have access to additional resources and support at no additional cost. This includes the Regence mobile app and personalized online member portal, along with the Advice24 nurse line that offers 24/7 access to a registered nurse, via computer or mobile device.

We’re here to help

Current members can call the number on the back of their member ID card with questions about their Medicare Advantage plans or 2025 options. Customer Service can be reached 8 a.m. to 8 p.m. seven days a week from Oct. 1 through March 31; otherwise, hours of operation are 8 a.m. to 8 p.m. Monday through Friday.

If you’re not a member, but have questions about our plans, call our Regence Medicare plan advisors at 1-844-REGENCE (1-844-734-3623) (TTY: 711) 8 a.m. to 5 p.m., Monday through Friday or visit regence.com/medicare/how-to-pick-plans for a list of plans to consider.


American Specialty Health is a separate company that provides discount wellness programs.
The Silver&Fit program is provided by American Specialty Health Fitness, Inc. (ASH Fitness), a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit is a registered trademark of ASH and used with permission herein. Participating facilities and fitness chains may vary by location and are subject to change.

Plan features and availability may vary by service area. Regence is an HMO/PPO plan with a Medicare contract. Enrollment in Regence depends on contract renewal. Out-of-network/non-contracted providers are under no obligation to treat Regence members, except in emergency situations. Please call our Customer Service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.