Medicare's open enrollment period starts tomorrow and runs through Dec. 7.

AARP Nebraska is encouraging Medicare recipients to review their supplements and Part D prescription drug plans. The good news for 2025 is the implementation of a $2,000 out-of-pocket cap for those on a Medicare prescription drug plan, which takes effect Jan. 1. It's one of several prescription cost-savings measures in the Inflation Reduction Act.

Todd Stubbendieck, state director of AARP Nebraska, said the cap should benefit a lot of Nebraskans.

"AARP fought to include this provision in a 2022 prescription drug bill that Congress passed," Stubbendieck pointed out. "About 15,500 Nebraskans will directly benefit, which means those people are currently paying more than $2,000 a year for their prescription drug coverage."

The Biden-Harris Administration estimated the cumulative out-of-pocket savings for Medicare Part D enrollees in 2025 will be more than $7 billion.

Stubbendieck reminded Nebraska seniors there can be considerable cost and coverage differences between plans, so it is important to review them during open enrollment. Nebraska's State Health Insurance Assistance Program and Volunteers Assisting Seniors can help, as can the online Medicare Plan Finder.

Stubbendieck stressed Medicare prescription plans can change from one year to the next.

"It's always important that you don't just assume what worked for you last year will work for you this year," Stubbendieck advised. "This is that moment of open enrollment where people should take that time. There are resources to help you go out there and review that plan to make sure you are getting the most cost-effective coverage."

In 2021, Volunteers Assisting Seniors helped 6,500 Nebraskans save a total of $1.2 million in Medicare costs.

Stubbendieck pointed to other money-saving provisions AARP helped secure in the 2022 Inflation Reduction Act Medicare prescription drug law.

"For the first time in our nation's history, Medicare is allowed to negotiate prescription drug prices," Stubbendieck emphasized. "The other thing that this bill did is it capped insulin prices for those on Medicare at $35 a month and a whole range of vaccinations are now free for folks who are on Medicare."

Some Nebraska seniors on expensive cancer, osteoporosis, pneumonia and Alzheimer's medications will also see lower co-payment costs from now to the end of the year because of another provision in the Inflation Reduction Act, the Medicare Prescription Drug Inflation Rebate program. And when the lower prices negotiated for the first 10 commonly used medications go into effect on Jan. 1, 2026, seniors nationwide are expected to save a cumulative $1.5 billion.

With 2025 almost here, Connecticut organizations are preparing for the next legislative session.

The 2025 session will not be as short as the one in 2024 and after some committee shortcomings, there is growing hope more legislation will be passed to help the state's older residents. AARP Connecticut said it will target topics like predatory lending, making utilities more affordable and improving nursing home care.

Nora Duncan, state director of AARP Connecticut, said they want to focus on 'pocketbook issues.'

"We need to fight for the priorities that can impact the most amount of people to help reduce their cost of living to make Connecticut a great place for people to live, age and retire," Duncan contended.

The latest ALICE update found salaries for most Connecticut jobs do not pay enough for monthly expenses like rent and utilities. ALICE stands for "Asset Limited, Income Constrained and Employed," referring to those who are working but still cannot cover their bills.

Electric utility Eversource has announced a 24% rate increase starting in 2025. Federal data show Connecticut has some of the highest energy costs in the country.

As important as cost-saving priorities are to residents, there could be challenges to achieving them. Some of them are political but Duncan acknowledged there will be many others.

"When there's a budgetary impact, the challenge is always what are the priorities of the General Assembly and other advocacy groups? What are the challenges to the state budget?" Duncan explained. "I know this year there'll be a lot of conversation around the fiscal guardrails."

New studies show some of the budget's fiscal guardrails are twice as restrictive as they are meant to be. A Connecticut Voices for Children report concluded the state's volatility cap is not using reasonable metrics, which has led to at least $755 million per year in revenue being restricted, or more than $5 billion between 2018 and 2024.

As winter sets in for Pennsylvania, it is crucial to be cautious of fall hazards, especially for seniors.

The Centers for Disease Control and Prevention reported in one recent year, more than 616,000 older adults took a fall in Pennsylvania.

Gwen Bergen, Safety Promotion Team leader at the CDC, said falls and motor vehicle crashes are the two leading causes of injury and death among seniors. She suggested getting an eye exam and doing strength-building exercises to improve balance and prevent injuries.

"It's very important to get annual vision checks, and make sure that your vision is good, you're wearing the best glasses for each activity you're doing," Bergen recommended. "Vision is very important in allowing you to drive safely and in preventing falls."

Bergen advised consulting with a health care provider about potential side effects of medications, which can affect balance or driving ability. There may be alternatives or adjustments to minimize risks.

Bergen added during the winter months, some older adults may feel especially isolated or disconnected from family or friends. She acknowledged it takes a little more effort to stay engaged when the weather is not cooperating but there are hobbies, classes and physical activities available in every community.

"Visit community areas near you such as parks, places of worship and senior centers, which all give you opportunities to connect with other people," Bergen emphasized. "You can also engage in new activities and hobbies with others. Some of these might include cooking and baking, sports or crafts."

She added it is important for seniors to maintain regular, in-person interactions and when it is not possible, phone calls or video chats are good options.

More middle-aged and older South Dakotans had financial concerns this year, especially around health care, according to a new survey.

Advocates for this age group hope policymakers will take note. A new AARP survey of South Dakotans ages 45 and up shows 81% are concerned about the price of prescription drugs. That's a nearly 10% jump from the last survey in 2021. There has been a 6% increase in the number of people concerned about their ability to afford health care costs, including premiums and co-pays.

Erik Gaikowski, state director of AARP South Dakota, said groceries are a big concern.

"That's one of the things that we've seen an uptick in, folks thinking about their financial future and what that looks like with rising costs of basically all things," Gaikowski explained.

This year will be the first in which the Vital Voices survey has published distinct data for American Indian and Alaska Native respondents. The groups had similar responses to the broader population.

Gaikowksi hopes elected leaders at all levels will use the data to inform their policymaking.

"We really want our elected leaders producing policy that's going to benefit those folks that want to age in their home, in their home community," Gaikowksi emphasized. "Concerned about their health care, are concerned about paying for groceries, paying for prescription drugs, things of that nature."

AARP South Dakota publishes weekly updates of its advocacy work during legislative sessions. The 2025 session starts Jan. 14.