How will your other prescription drug assistance program work with your Medicare prescription drug coverage?:QuickMedicareSupplement.com

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How will your other prescription drug assistance program work with your Medicare prescription drug coverage?

How will your other prescription drug assistance program work with your Medicare prescription drug coverage?

Non-Medicare Drug Discount Card:

You might use a discount card or other pharmacy discount during your deductible period or whilst in the coverage gap. In a number of cases, a network pharmacy may agree to a discount card or present another cash price discount so that you can pay less for a prescription than your plan's negotiated price. This is considered a one-time "lower cash" or special price. If you are able to get hold of a cash discount to pay an amount that's lesser than your plan's price, you will need to send your receipt to your Medicare drug plan. This makes sure that your plan will count the amount you paid towards your out-of-pocket costs.

Illustration (One-time "lower cash" or special price):

You are in the coverage gap, so you have to pay for the total amount of your prescription. The plan generally charges $100 (its negotiated price) for the drug you require. By using a discount card, you may perhaps get that drug for $95. If you use your Medicare drug plan card, you will pay $100. If you don't use your Medicare drug plan card and use the pharmacy's savings card, you will pay $95. You can take benefit of the lower price, and send your receipt to your drug plan. Your plan will count the $95 toward your total out-of-pocket costs and total drug spending under the plan.

Patient Assistance Program (PAP):

Payments made by your Patient Assistance Program (PAP) might or might not count towards your true out-of-pocket costs (TROOP). You must check with your PAP to see how it will work with a Medicare prescription drug plan.

If your PAP is ending, Medicare did not force the program to end. On the other hand, Medicare cannot require a PAP to continue coverage if they choose not to do so.

Supplemental Health Insurance (not Medigap)

You ought to verify with your Supplemental Health Insurance Plan to see how it will compare to Medicare drug coverage.

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