Medicare users have prepared themselves for increases in premiums this coming year, but what they may not realize is that they will also be facing higher copayments as well. This can seriously affect the out of pocket expense for plan holders. Unfortunately, many of the specifics of these changes are buried deep in the Medicare literature, making it harder for consumers to be aware of these increased costs. Users of these plans need to learn to look carefully at their options and choose the plan that will work best for them. Sadly, many seniors simply stick with whatever they have and end up suffering the consequences. What can be done to educate seniors and prevent them from being victim to unexpected higher costs?