Often times at appointments I have clients bring in marketing pieces. Sometimes they are discount prescription drug cards. So are they really worth it?
There are many different discount cards available… WebMD, WellRx, Drugs.com, the most well known being GoodRx and the newest being Clever Rx. They all work about the same in that it is at the PBM or pharmacy benefit manager level that the discounts occur. The pharmacy benefit manager is the layer between the manufacturer (drug company) and the retail pharmacy.
These discount cards offer lower cost off the cash price of a drug. Therefore, often times it is when a consumer does not have health insurance that covers medications or has coverage such as a high deductible health plan where the consumer pays the carrier’s ‘contracted’ amount for the prescriptions and the discount card price comes in lower than the contracted price.
Case in point. I know of someone who was travelling in Florida for vacation. He got the flu while there. First, he utilized his virtual visit app on his phone to talk with a doctor. He did not have to go to urgent care or find a physician in Florida and he could rest in his condominium while waiting for the provider to come online. Once they spoke via Skype, it was found he had the flu. To make sure his wife did not get the flu, the doctor suggested she take Tamiflu as a precautionary measure. They have a high deductible health plan, so they were going to pay the contracted price for the Tamiflu. He utilized another app on his phone for one of the discount programs. First, it assisted him in finding a pharmacy nearest him, and gave pricing for the Tamiflu at that and other nearby locations. Once at the pharmacy they used their current coverage information and asked to use the discount card info. To their surprise, they found the discount card price for the Tamiflu to be approximately $30 where it was about $110 through their carrier. They took the discount price. Upon returning to Iowa, they then found they could submit the claim to their carrier so it could apply to their deductible.
Not all carriers and especially those with Medicare Part D coverage, will support the discount cards. It is important to know if your coverage will work with a discount card or not. Give us a call at Health Insurance Advisor to discuss.
A little more about us:
The Business Warrior group has some of the industry’s top experts in all the areas your business needs to be successful. Amongst the contributors is Janis VanAhn, owner of Health Insurance Advisor, LLC. For 19 years Janis has worked in and around the health insurance industry initially providing service to agents and employers related to employee benefits, individual healthcare and Medicare, while more recently becoming appointed as an individual agent with various quality carriers to provide this service to individuals through her own business.
Four years ago Janis was ‘blessed’ with being let go from her job at an insurance agency. Staying within insurance was her path…but in what capacity. 2010 was the year Janis began her career as an independent insurance agent specializing in health insurance. Finding quality, cost-effective healthcare for individuals and families under age 65 as well as working with those who are Medicare eligible truly was her passion. She has made this a true specialty and positioned herself as someone to work with whether it is a financial professional or property & casualty agent with a client that needs assistance, to a group of seniors turning 65 and they keep receiving Medicare information and are confused about what to do.
Janis enjoys the one on one contact with clients as well as looking forward to speaking to groups about healthcare. Her excitement for this industry is what drives her to stay in tune with Healthcare Reform and what is currently happening and what will happen with coverage from now to past 2014.
‘Educating individual and Medicare consumers to make informed choices’ is her mission because if people are educated and understand, they will make informed choices that they are comfortable with.