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Seniors

In reply to the discussion: Who to contact about drug prices [View all]

TwilightZone

(28,835 posts)
21. Here's the tricky part.
Wed Feb 7, 2024, 01:31 PM
Feb 2024

A lot of the "free" coupons are only intended to cover deductibles for people who have insurance. That's often in the fine print.

For example, let's say that a drug is $1,000 and private insurance pays $700. The "free" coupon would cover the other $300 (but not the full $1,000).

In that same situation, but with Medicare, the coupon wouldn't be allowed because part of the cost of the medication is being paid by the government.

You could choose to use the coupon and pay the rest out-of-pocket. As long as none of it is being billed to Medicare, that would be OK.

It's basically either/or. If any part of it is billed to Medicare, coupons/discounts aren't allowed. If you're paying the amount not covered by the coupon, that's fine. If the coupon covers the entire cost of the medication, that's also fine.

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They certainly can apply the coupons NoRethugFriends Feb 2024 #1
I had a similar experience deRien Feb 2024 #4
No, they cannot. marybourg Feb 2024 #5
The pharmacy clerk tried and tried csziggy Feb 2024 #9
There's a statute that makes it illegal to use coupons with Medicare. TwilightZone Feb 2024 #13
Yes - that is what the clerk was told csziggy Feb 2024 #15
It's completely understandable. TwilightZone Feb 2024 #19
No, they cannot. TwilightZone Feb 2024 #12
Here is a fact sheet nocoincidences Feb 2024 #2
I even checked with Goodrx - my pharmacy prices are lower than most csziggy Feb 2024 #10
Your representative or your senator, but.... Voltaire2 Feb 2024 #3
I am NOT contacting my Senators or Representative csziggy Feb 2024 #11
I also think you should be able to apply the coupons gab13by13 Feb 2024 #6
That's the difference. Your Rx plan is private marybourg Feb 2024 #7
Yeah, I am using Medicare Part D csziggy Feb 2024 #8
There's a statute that makes it illegal to use coupons with Medicare. TwilightZone Feb 2024 #14
The shit that is part D is unfathomable. Voltaire2 Feb 2024 #16
This particular provision was added to reduce fraud. TwilightZone Feb 2024 #22
They always do, and somehow the 'unintended' side effects generally line the pockets of oligarchs. Voltaire2 Feb 2024 #24
I have medicare part D, and have often used GoodRx. NoRethugFriends Feb 2024 #17
That's OK because it's not billed to Medicare. TwilightZone Feb 2024 #18
Wow. That's a really screwed up system NoRethugFriends Feb 2024 #20
Here's the tricky part. TwilightZone Feb 2024 #21
Thank you for the explanation! NoRethugFriends Feb 2024 #23
Unfortunately since I am a private Medicare user csziggy Feb 2024 #30
Its appalling that we have to deal with all this crap mumbo jumbo. IcyPeas Feb 2024 #25
I was all set to use coupons XanaDUer2 Feb 2024 #26
There are industry-sponsored patient assistance programs The Blue Flower Feb 2024 #27
Apparently those are not available to Medicare csziggy Feb 2024 #29
Pharmaceutical prices are out of control. pandr32 Feb 2024 #28
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