Can I use GoodRx in place of Medicare Part D?

GoodRx Coupons and Medicare Part D cannot be used in conjunction. This is due to a federal government statute, also known as “anti-kickback”, that prohibits Medicare beneficiaries from using manufacturers or discount drug coupons with their drug plan. However, you can use GoodRx in place of your prescription drug plan.


Do I need Medicare Part D if I use GoodRx?

You can't use GoodRx and Medicare together. But you can use GoodRx as an alternative to Medicare. You may want to use GoodRx instead of Medicare in certain situations, such as when Medicare doesn't cover your medication, the GoodRx price is cheaper than your Medicare copay, or you won't reach your annual deductible.

Can I use GoodRx if I have a Part D plan?

Keep in mind that you cannot use GoodRx and insurance at the same time. However, you can use GoodRx instead of insurance or government-funded programs, such as Medicare or Medicaid, to pay for your prescription medications. GoodRx is not insurance.


Can seniors use GoodRx?

GoodRx is one of our top picks for seniors looking to save money on their prescription medications. They offer a free discount savings card and a monthly subscription that's valid at more than 70,000 pharmacies nationwide.

Do I have to have a Medicare Part D plan?

Is Medicare Part D optional or mandatory? It is not mandatory to enroll into a Medicare Part D Prescription Drug Plan.


GoodRX vs. Medicare Part D | Which Should You Get?



What happens if I don't want Medicare Part D?

To disenroll from a Medicare drug plan during Open Enrollment, you can do one of these: Call us at 1-800 MEDICARE (1-800-633-4227). TTY: 1-877-486-2048. Mail or fax a signed written notice to the plan telling them you want to disenroll.

What happens if I refuse Medicare Part D?

If you don't sign up for a Part D plan when you are first eligible to do so, and you decide later you want to sign up, you will be required to pay a late enrollment penalty equal to 1% of the national average premium amount for every month you didn't have coverage as good as the standard Part D benefit.

Why can't Medicare patients use GoodRx?

GoodRx Coupons and Medicare Part D cannot be used in conjunction. This is due to a federal government statute, also known as “anti-kickback”, that prohibits Medicare beneficiaries from using manufacturers or discount drug coupons with their drug plan.


Can you use GoodRx if you are on Social Security?

While you can't use GoodRx in conjunction with any federal or state-funded programs like Medicare or Medicaid, you can use GoodRx as an alternative to your insurance, especially in situations when our prices are better than what Medicare may charge.

Is Medicare Part D optional?

Enrollment in Medicare Part D plans is voluntary, except for beneficiaries who are eligible for both Medicare and Medicaid and certain other low-income beneficiaries who are automatically enrolled in a PDP if they do not choose a plan on their own.

What is the best prescription drug plan for seniors?

Our picks: Top Medicare Part D plans for 2023
  • Best overall. Best overall: Aetna/SilverScript. Best overall: Aetna/SilverScript.
  • Easiest to use: AARP/UnitedHealthcare. Easiest to use: AARP/UnitedHealthcare.
  • Best for cheap plans: Wellcare. Best for cheap plans: Wellcare.


Can pharmacy refuse to accept GoodRx?

Are pharmacies required to accept GoodRx coupons? Participating pharmacies are required to accept GoodRx through contracts with their pharmacy benefit managers (PBMs). An exception is for controlled medications. Accepting a GoodRx coupon for a controlled medication is always at the discretion of the pharmacist.

Why can't Medicare patients use drug coupons?

The explanation may offer you little comfort. Under the federal anti-kickback law, it's illegal for drug manufacturers to offer any type of payment that might persuade a patient to purchase something that federal health care programs like Medicare and Medicaid might pay for.

Does GoodRx help people on Medicare?

GoodRx users can now work with Chapter to receive the most comprehensive search on Medicare plans. Call to speak with a licensed agent M-F 8a-9p, Sa-Sun 8a-8p CT.


Can I change Medicare Part D plans anytime?

Medicare Advantage enrollment period

This takes place from Jan. 1 to March 31 every year. You may switch, drop or make changes to your Part D plan during this time. Any changes you make will take effect the first day of the following month after your current plan processes your request.

Does everyone accept GoodRx?

GoodRx coupons will help you pay less than the cash price for your prescription. They're free to use and are accepted virtually every U.S. pharmacy.

How to get cheaper prescriptions on Medicare?

Other ways to lower your prescription drug costs:
  1. Join Medicare drug coverage (Part D): Compare Medicare drug plans to find a plan with lower drug costs. ...
  2. Ask your doctor if you can take a generic drug, or a cheaper brand-name drug (if one's available).
  3. Check costs for mail-order pharmacies.


Why are prescriptions cheaper with GoodRx?

When these customers use a GoodRx coupon to get a prescription at a more affordable rate, they're not using their insurance—and so the PBM with the lowest contracted price at the pharmacy and GoodRx captures the revenue from the transaction, rather than the PBM that works with that individual's health plan.

When did Medicare Part D become mandatory?

Medicare did not cover outpatient prescription drugs until January 1, 2006, when it implemented the Medicare Part D prescription drug benefit, authorized by Congress under the “Medicare Prescription Drug, Improvement, and Modernization Act of 2003.”[1] This Act is generally known as the “MMA.”

Can you have Medicare Part D only?

You must be enrolled in Medicare Part A and/or Part B to enroll in Part D. Medicare drug coverage is only available through private plans. If you have Medicare Part A and/or Part B and you do not have other drug coverage (creditable coverage), you should enroll in a Part D plan.


Is AARP Part D good?

Medicare Part D plans from AARP/UnitedHealthcare are widely available and get solid ratings for quality from the Centers for Medicare & Medicaid Services. Pricing for the highest-coverage option can get expensive, however, and the plans' ratings for helping members with their medications are below average.

How much is Medicare Part D 2023?

The estimated average monthly premium for Medicare Part D stand-alone drug plans is projected to be $43 in 2023, based on current enrollment, a 10% increase from $39 in 2022 – a rate of increase that outpaces both the current annual inflation rate and the Social Security cost-of-living adjustment for 2023.

Is SilverScript a good Part D plan?

Medicare Part D plans through SilverScript offer low monthly premiums and copayments. Further, they provide coverage at thousands of pharmacies nationwide. Even with changes to the SilverScript formulary each year, prescription drug plans through this carrier provide excellent coverage and competitive prices.


How do I get rid of Part D penalty?

Part D Late Enrollment Penalty Reconsideration Request Form

An enrollee may use the form, “Part D LEP Reconsideration Request Form C2C” to request an appeal of a Late Enrollment Penalty decision. The enrollee must complete the form, sign it, and send it to the Independent Review Entity (IRE) as instructed in the form.