COLUMN: Tips for saving money on Medicare

Sep 25, 2024 at 3:30 PM

Unlocking Prescription Savings: A Comprehensive Guide for Medicare Beneficiaries

Saving money on prescription drugs can be a daunting task, especially for those on fixed incomes. However, with the right strategies and resources, Medicare beneficiaries can navigate the complex landscape of healthcare costs and find ways to reduce their out-of-pocket expenses. This comprehensive guide explores 12 practical approaches to help seniors maximize their savings and ensure they can afford the medications they need.

Unlock Your Prescription Savings Potential

Review Your Insurance Options

Medicare Advantage and prescription drug plans can vary significantly in their cost and coverage. During the annual open enrollment period from October 15 to December 7, take the time to compare your current plan against others in the market. Utilize the Medicare.gov website to explore your options and ensure you're getting the best value for your healthcare dollars.

Understand Your Covered Drugs

Keeping a close eye on your insurance coverage can help you avoid unexpected costs. If you're paying a high price for a particular medication, double-check that your plan covers that drug. Conversely, if you see an unusually high price on the Medicare.gov website, verify whether your insurance provides coverage for that specific drug.

Explore Generic Alternatives

Brand-name medications can be significantly more expensive than their generic counterparts. Speak with your pharmacist to determine if a lower-cost generic option is available for your prescription. This simple step can lead to substantial savings without compromising the effectiveness of your treatment.

Investigate Brand-Name Alternatives

Sometimes, multiple brand-name drugs are available to treat the same condition. Your pharmacist may be able to suggest a lower-priced, brand-name alternative that could provide the same therapeutic benefits as your current medication. Engage in a respectful conversation with your prescribing doctor to explore these options.

Utilize State-Sponsored Discount Programs

Oregonians can take advantage of the ArrayRx discount card, a state-negotiated program that offers significant savings on prescription drugs, particularly generics. You can request a card through the ArrayRxCard.com website or by calling 800-913-4146.

Explore Other Discount Card Options

In addition to the ArrayRx card, ask your pharmacist about any other free drug-discount cards they may accept. Some individuals have reported substantial savings using the GoodRx discount card, for example.

Consider 90-Day Prescriptions

If you're currently filling 30-day prescriptions, inquire with your pharmacist about the potential cost savings of switching to 90-day supplies. In some cases, the per-unit cost may be the same, allowing you to save on the overall expense.

Leverage Mail-Order Pharmacies

Many Medicare insurance plans offer the option to use a mail-order pharmacy, which can sometimes result in lower costs. Check the Medicare.gov website or contact your insurance provider to determine if this approach would be more economical for your specific medications.

Understand Preferred Pharmacy Networks

Insurance companies often have contracts with selected "preferred" pharmacies that may charge less for certain drugs. Your pharmacist can inform you whether the pharmacy is considered standard or preferred within your insurance network, and your insurance company can provide guidance on potential cost savings at preferred locations.

Explore Medicare Extra Help

The Medicare Extra Help program is designed to reduce prescription drug costs for individuals with limited incomes. Eligibility guidelines for 2024 include a monthly gross income of no more than $1,903 for a single person and $2,575 for a couple, as well as asset limits of $17,220 and $34,360, respectively. To apply, contact Oregon's Adult and Disability Resources Connection at 503-304-3420.

Leverage Manufacturer Discount Programs

Some pharmaceutical companies offer drug-discount programs for people with limited incomes. These programs can sometimes be more generous than the eligibility requirements for Medicare Extra Help. You can search for discount programs on the NeedyMeds.org website or by calling 800-503-6897.

Engage with Your Pharmacist

Building a relationship with your local pharmacist can be a valuable asset in your quest for prescription savings. Pharmacists possess in-depth knowledge about medications and insurance coverage, and they may be able to work with your prescribing doctor to identify less costly, insurance-covered alternatives that provide the same or similar therapeutic benefits.