How do discount cards and resources affect my Medicare Prescription Drug plan?
Answered by 81 licensed agents
There are State Resources available to help with Prescription costs. There are many generic medications that could be $0 copay in Medicare Advantage or Standalone RX plan. Brand Medications can have copays.
State programs have an application and can take up to 2 weeks to 4 months to be approved. These programs have income guidelines to qualify. Most do not consider assets.
NJ PAAD
PA PACE
If you have questions on the state resources, please contact me for more information.
Answered by Leslie Helene Sussman on March 31, 2025
Broker Licensed in NJ, FL & PA
Answered by Gary Church on May 30, 2025
Broker Licensed in Ca, AZ, NV & TX
Hi, thanks for watching. So the question is, how do discount prescription cards affect your Medicare prescription drug plan? They don't; the discount cards do not affect that at all. But they will give you a better rate if you don't have a prescription drug plan or if your prescription drug is not part of your drug plan formulary. GoodRx is one of them. There's a lot of different cards out there that give benefits to people who either don't have prescription drug coverage or maybe the particular drug is not in their formulary. That would be the only benefit. But typically, prescription drug plans are pretty comprehensive with most drugs.
Answered by Steve and Sue Brauer on August 27, 2025
Broker Licensed in AZ & CA
Answered by Lt Col Tim Brown on May 27, 2025
Broker Licensed in TN, AL, CO & 10 other states
Answered by Terri Reagin on October 12, 2025
Broker Licensed in OK, AR, CO & 6 other states
Answered by Christopher Boyd on March 4, 2025
Agent Licensed in IN, KY, MI, OH, PA & TN
The discount cards are normally great for inexpensive drugs, but they will not help you pay for expensive drugs.
For more information on Medicare supplement plans, contact George.
Answered by George Ibanez on November 30, 2025
Broker Licensed in AR, AL, AZ & 40 other states
Voss Speros here, Greek god of Medicare. But if it’s all Greek to you, you're in luck, 'cause I'm Greek. So the question is, how do discount cards and resources affect my prescription Medicare prescription drug plans?
If you use a good old Rx card when you're going to a pharmacy instead of your prescription drug card or your Medicare Advantage drug plan card, there are a couple things to consider. If you're not using your Part D, then that dollar amount is not getting counted towards your deductible or your $2,000 out-of-pocket maximum. That's not going towards that. At that point, you're going private pay.
The good thing about this card is that it has a deal made between the pharmacy from the cash side and the discount code on that. So then you pay the difference between the contracted rate and the discount. It could be less. Go to the good old Rx, then your Medicare.
But once you reach that $2,000 threshold—$2,100 this year on the Part D—then there are no co-payments past that. So really, you kind of weigh those options out to see if you're not going to pay the $2,000. If you go this route, it may be a little less, but if you're going to pay to get it and hit that mark, then you won't have any co-payments for the rest of the year.
I mean, you just kind of weigh out those options. If you have any questions, give us a call. We're more than happy to answer them.
Answered by Voss Speros on April 6, 2026
Broker Licensed in AZ, CA, CO & 20 other states
Answered by Mark Maliwauki on March 4, 2025
Broker Licensed in ID, AZ, CA & 13 other states
The question is, how do discount cards and resources affect my Medicare prescription drug plan? Well, the fact of the matter is that it doesn't. Your prescription drug plan is its own entity, as is a discount card or a resource, or using the Canadian pharmacy, or getting your stuff from Mexico or elsewhere. They're independent of one another. So the fact of the matter is that we've got a $2,000 cap on prescription drug costs now. That's effective January 1 of 2025. So as long as your medications are on your plan's formulary, if you spend up to $2,000 on your policy, after that everything is going to be covered. So the policy evaluation is what needs to be done. I want my clients to have the benefit of my skills to be able to go through and run the algorithm on the exact medications that they're taking currently so that we can project prescription drug costs for the following year or the reasonably foreseeable future, however long our time frame is. So sometimes my clients will see that a specific drug is best purchased from Canada Pharmacy or using a discount card. And that's factored into our analysis. So where people get into trouble is thinking that they can use a discount card in conjunction with their Medicare prescription drug plan. No, it's not going to work. It's one or the other. And some pharmacies won't even let you use the discount card at the same time. So just...
Answered by Charise Karjala on July 14, 2025
Broker Licensed in CA, AZ, CO, PA & WA
Answered by Edward Smith, ChFC, CRPS, AIF on June 22, 2025
Broker Licensed in OH, GA, IN, KY & TN
Answered by Lynn C Shurtleff on August 27, 2025
Broker Licensed in TN, AR, CO & 6 other states
If you were to use something like goodRX, you may get a discounted medication but there is no cap to what you may pay throughout the year. Everyone’s situation is different, so for some folks, I’m a huge fan of good RX but for others I strongly encourage sticking to using your Medicare prescription drug plan.
Answered by Gregg Matheny on March 25, 2025
Agent Licensed in AZ & UT
Answered by Vincent Murray on October 8, 2025
Agent Licensed in ME, FL & NH
Answered by Justin Doherty on September 26, 2025
Broker Licensed in PA, CO, CT & 11 other states
How do discount cards affect your Medicare prescription drug coverage? This is important to understand. In 2025, a new maximum out-of-pocket was introduced under your Medicare Prescription Drug plan for 2026. That maximum out-of-pocket is $2,100. However, only prescriptions that you obtain through your prescription drug plan and prescriptions covered by your prescription drug plan count towards that maximum out-of-pocket.
So if you use a discount card, you're going outside of your prescription drug plan, and any prescriptions you get covered using that discount card will not count towards that maximum out-of-pocket.
So what's important to do is at the beginning of the year, review your prescription drug coverage, compare it to other plans, and take a look at when you might hit that $2,100. Because it may be more advantageous to use your plan. Pay more money upfront, but have little or no co-payments at the back end of the year versus using a discount card.
Always review your prescription drug coverage. Understand what the different levels are. Understand what your prescription drug plan covers and does not cover. I hope that provides you some guidance. Until next time, be healthy and be well.
Answered by Andrew Firmin on April 8, 2026
Broker Licensed in MA, CT, DE & 13 other states
Answered by David Wiley on April 7, 2025
Broker Licensed in GA & NC
Discount cards and programs line GoodRx are separate programs that work very well with purchasing inexpensive generic drugs in case you didn’t have a Part D drug plan.
Answered by Joseph Bachmeier on March 29, 2025
Agent Licensed in PA, AZ, DE & 5 other states
Discount Cards -
Discount cards are programs offered by various companies and organizations, providing discounts on prescription medications. These cards can be used at participating pharmacies to reduce the out-of-pocket costs for medications. While discount cards are not insurance, they can provide substantial savings.
How Discount Cards Work -
- Discount cards are generally available to anyone, regardless of whether you have insurance.
- The savings can vary widely depending on the medication and the pharmacy. It is essential to compare the discounted prices with your plan’s copayments and coverage.
- Present the discount card at the pharmacy when filling your prescription. The pharmacist will apply the discount, and you pay the reduced price.
Benefits of Discount Cards -
- Lower Costs for Non-Covered Drugs - If your Medicare plan does not cover a particular medication, a discount card can significantly reduce your costs.
- Savings on High Copayments - For medications with high copayments, a discount card may offer a lower price than your Medicare plan’s copayment.
- No Impact on Coverage - Using a discount card does not affect your Medicare coverage or benefits.
Programs that maybe available to you -
Extra Help, State Pharmaceutical Assistance Programs (SPAPs), Drug Manufacturer Assistance Programs, Charitable Foundations. To find out more please visit - https://www.cms.gov/medicare/health-drug-plans/medicare-prescription-payment-plan
Answered by Mark Cunningham on May 26, 2025
Agent Licensed in CO, FL, GA & NE, VA, WI & WY
Answered by Randall Taylor on June 3, 2025
Broker Licensed in TX, MI & WI
Answered by Kate Spilsbury on October 20, 2025
Broker Licensed in FL, AZ, CA & 7 other states
Answered by Mitchell Jerome on August 14, 2025
Broker Licensed in TX
Answered by Ruben Trejo on March 4, 2025
Broker Licensed in TX, AL, AR & 44 other states
Answered by Jose Ramos on January 26, 2026
Agent Licensed in WA, AZ, CA, ID, OR & TX
Answered by Jason Hark, MBA, CMIP on June 4, 2025
Broker Licensed in IL, AL, AR & 17 other states
Answered by Bryan Smith on March 10, 2025
Broker Licensed in UT, AL, AR & 35 other states
Answered by Vincent Esposito on March 26, 2025
Broker Licensed in NY, FL & NJ
HOWEVER and aware that the money spent with a discount card does not apply to the Maximum drug cost cap (in 2026 = $2100) AND it does not apply toward the plans deductible.
Answered by Tony Spikes on April 29, 2026
Broker Licensed in GA, AL, FL & 9 other states
Please remember if you have a Social Security amount under $1,883 and Assets (not including your home and car) under $17,220 you may qualify for Extra Help. This means covered drugs will not cost more than $12.15 for a month's supply. These are 2025 income/asset numbers.
Answered by Jim Schueth on March 25, 2025
Broker Licensed in NE, AZ, CO & 8 other states
Answered by Steven Bleicher on May 26, 2025
Broker Licensed in AZ
Plans are insured or covered by a Medicare Advantage (HMO, PPO and PFFS) organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare to get information on all of your options.
Answered by Andrew Zurbuch, MBA on May 12, 2026
Broker Licensed in IN, FL, KY, MO, OH & TN
Answered by Ron Cronwell on March 9, 2026
Agent Licensed in TN
not use the discount coverage because I get a better shake for my dollar with my plan.
Answered by Frank Carta on March 9, 2026
Broker Licensed in MI
Answered by Anna Davis CIC-RSSA on August 6, 2025
Broker Licensed in CA
• These are not insurance but can sometimes give you a lower cash price than your Medicare Part D copay.
• If you use a discount card instead of your Part D plan, that purchase:
•Might save you money out of pocket.
•Will not count toward your Medicare plan’s deductible, coverage gap (“donut hole”), or out-of-pocket maximum.
Answered by Leslie Santos on September 19, 2025
Broker Licensed in FL & TX
Answered by Gretchen Morris on March 4, 2025
Broker Licensed in MN, AZ, FL & WI
Answered by Cathy Barnett on June 4, 2025
Broker Licensed in TX, AL, NC & SC
Answered by Michael Crocker on March 28, 2025
Broker Licensed in SC
You may not use the discount card in conjunction with your Prescription Drug plan .
Answered by Tammie Rutledge on April 3, 2025
Broker Licensed in WA, AZ, CA & 6 other states
There are generally five tiers of drugs. What is important to know is that the government does not define the tiers, each drug plan decides which drugs will be in each tier and very often , they plans do not agree. So one plan may call what most people would consider a generic drug a tier 1 or tier 2. Another plan may call it a tier 3. that could be a big out of pocket difference.
Enter the discount cards. for most tier 1 or tier 2 drugs a discount card won't mean much but for the other tiers it can be huge saving. what many people don't realize is even though you have to "have" a drug plan, you don't have to use it. Cards like Goodrx or Singlecare are among the many discount cards that can save you money.
Another option is to get a "cash" price. Many local pharmacies get beat up by the drug industry middlemen, the"PBM'S ..PHARMACY BENEFIT MANAGERS" who keep the saving from the customers an pharmacies. the next time you have to get a tier3 or 4 drug, just for fun ask about a cash price and see what the difference is
Answered by Brian Sanet on March 23, 2026
Broker Licensed in NJ, CT, MA & NC, NY, PA & VT
• If you use a discount card, that purchase won’t count toward your Medicare plan costs.
• You can’t use both your Medicare plan and a discount card for the same drug at the same time.
• Some people use discount cards for drugs their plan doesn’t cover, and that’s okay — it just doesn’t count toward your plan spending.
Simple rule:
Use whichever gives you the lower price — just remember that discount card purchases don’t count toward your Medicare costs.
Answered by Mary Manos-Mitchem on October 6, 2025
Broker Licensed in OH, IA, IL & 15 other states
Answered by Peter Yeh on March 21, 2025
Agent Licensed in CA & FL
Answered by Rebecca Jackson on November 14, 2025
Broker Licensed in TN, AL, AZ & 12 other states
Answered by Kathleen Allison on October 4, 2025
Broker Licensed in WA, AZ, CA & 7 other states
Answered by Donald Brown on March 16, 2026
Broker Licensed in OH & FL
Answered by Nicole Scholz on July 28, 2025
Agent Licensed in OR, CA & ID
Answered by David Schneider on November 25, 2025
Broker Licensed in OR
Answered by Mary Hiatt on February 11, 2025
Agent Licensed in NE, AZ, IA, MO & TX
Here's a more detailed explanation:
Discount cards and online resources (like GoodRx) offer discounts on prescriptions, but they are separate from Medicare Part D coverage .
You cannot combine discount cards with your Medicare Part D plan .
The Anti-Kickback Statute prevents pharmaceutical companies from offering incentives or discounts that are then paid for by Medicare .
If a discount card offers a better price than your Medicare Part D co-pay, you can choose to use the card instead of your plan .
Using a discount card means your prescription cost will not count towards your Part D deductible or out-of-pocket maximum .
Consider using a discount card if your medication is not covered by your Part D plan or if it's cheaper than your Part D co-pay .
Many discount cards are free, while some may have a small yearly fee .
You can find information about discount cards by searching online or asking your pharmacist .
Answered by Fred Manas on May 23, 2025
Agent Licensed in NY, CT, DC & 7 other states
Answered by Vachik Chakhbazian on June 14, 2025
Agent Licensed in CA, AL, AR & 22 other states
Answered by Mary Brown on March 30, 2026
Broker Licensed in NJ, DE, FL & NC, OH, PA & TX
Answered by Andrew Kramer on September 19, 2025
Agent Licensed in FL
Answered by Meghan Blankenship on November 16, 2025
Broker Licensed in FL, MD & OH
Answered by Mark Boone on December 17, 2025
Agent Licensed in MN, FL, MI & NC, OH, SC & VA
Answered by Dean Chiapetto on March 25, 2026
Broker Licensed in VA, MD, NC, TN & WV
Yes those RX cards work with your plan.
Sometimes it is less expensive.
And it does not affect your RX plans
Hope this helps
Answered by Pat Papson on December 15, 2025
Agent Licensed in NM
Answered by Jeffrey Sodikoff on June 1, 2026
Agent Licensed in FL
Answered by Robert Remin on July 28, 2025
Agent Licensed in NY, CT, FL & NJ
Answered by Michelle Ryan on September 23, 2025
Broker Licensed in GA, AL, CO & FL, NC, SC & TN
Answered by John L Herman Jr on April 2, 2025
Broker Licensed in MD, DE & PA
Answered by Jermaine Williams on September 15, 2025
Broker Licensed in TX, AL, AR & 12 other states
Answered by Aisha Saleem on March 13, 2025
Agent Licensed in MD & FL
These programs allow you to pay a lower "cash" price for medications by acting as a coupon, but you cannot combine them with insurance coverage. The savings come from the difference between the pharmacy's negotiated price and the higher "cash" price.
Answered by Jamie Blake on September 15, 2025
Agent Licensed in NV, AZ, CA & TX
However, they do not count towards your Rx deductibles or true out-of-pocket costs. They are not insurance plans, so they are just standalone discounts!
Answered by Ross Landon on April 10, 2025
Agent Licensed in UT
Answered by Stanley Wittenberg on October 8, 2025
Agent Licensed in CT
You must choose to use EITHER your Medicare plan OR the discount card for each prescription fill .
Answered by Rachida Silva on December 8, 2025
Broker Licensed in FL, AR, CT & 20 other states
Answered by Randy Hill on April 1, 2025
Broker Licensed in OH, AL, AZ & 7 other states
Answered by Erica Huffstetler on October 14, 2025
Broker Licensed in AZ, FL, OH, SC & TX
And purchases made with them do not count toward your plan's spending limits or out-of-pocket maximums. While you can choose to use a discount card instead of your plan for a specific prescription, this decision will not help you reach your plan's deductible or out-of-pocket cap. Instead, check if state resources or programs like Extra Help from Medicare can lower your costs for prescriptions covered by your plan.
Answered by John Weaver on November 4, 2025
Broker Licensed in CA, AZ, IL & 7 other states
Some of my customers use discount cards to pick up medicines that are not covered by the Medicare part D plan.
Most of the states if not every state have the assistant program. Like PAAD in NJ and PACE in PA, EPIC in NY. The Fed also the the low income subsidy plan (LIS) to help those who qualify to get medicines.
Answered by Charles Mai on May 5, 2025
Broker Licensed in NJ, CA, FL & 6 other states
Answered by Deborah Lee on June 30, 2025
Broker Licensed in WI, FL, IA & MN
Answered by LaShonda Smith on November 4, 2025
Agent Licensed in FL, AK, AL & 21 other states
Answered by Linda Bolan on March 12, 2025
Agent Licensed in IN
They Can’t Be Combined at the Pharmacy
Medicare Part D doesn’t allow you to use a discount card (like GoodRx, GlicRx, etc.) at the same time as your Medicare coverage for the same prescription. You have to choose one at the pharmacy counter:
Use your Part D plan (counts toward your deductible and out-of-pocket costs), or
Use a discount card (may be cheaper, but won’t count toward Medicare costs)
Discount Cards Might Be Cheaper for Some Drugs
Sometimes, a discount card price is actually lower than what your Medicare plan would charge, especially for generics.
But remember:
The purchase won’t count toward your plan’s deductible or coverage gap.
You’ll need to track what you spend separately if you use both in the same year.
Manufacturer Assistance Programs
Some drug companies offer patient assistance or copay programs, but most can’t be used with Medicare. These are usually for people without insurance or in very specific hardship situations.
The Extra Help Program
If you have limited income, you may qualify for Extra Help, a Medicare program that:
Lowers your copays for medications
Eliminates or reduces your deductible
Covers the “donut hole” coverage gap
Talk to Your Medicare Broker or Agent
A trusted agent can:
Help you compare retail and plan prices
Find the most cost-effective pharmacy or plan
See if a Supplemental plan or changing your Part D plan is a better fit
Always ask the pharmacist which option is cheaper, your Medicare plan or a discount card, and choose what saves you the most without missing long-term benefits from your plan.
Answered by Ryan Ross on May 29, 2025
Broker Licensed in FL, GA, KS & 9 other states
Answered by Mitchell Nunn on June 4, 2025
Broker Licensed in FL, MA & NC
Answered by Theresa Furth on October 30, 2025
Agent Licensed in VA, FL, ME & 5 other states
Answered by Brian Adelstein on June 1, 2026
Agent Licensed in OH
1. Supplementing Medicare Part D Coverage
Medicare Part D generally helps cover prescription drug costs, but there are times when it may not cover certain drugs or when a medication falls into a high-cost tier. In these cases, discount cards can help reduce the price of medications that aren't fully covered by your Part D plan or medications that fall into the Part D "donut hole" (the coverage gap).
These cards can offer savings on specific drugs, potentially lowering your copayments, coinsurance, or the full retail price of the medication. Some discount cards work with both generic and brand-name drugs, so they can fill the gaps in Part D coverage, especially for drugs that are expensive or not covered by your plan.
2. Savings During the Coverage Gap ("Donut Hole")
If you find yourself in the coverage gap or "donut hole," where you have already reached the initial coverage limit but haven't yet spent enough to get into catastrophic coverage, discount cards can provide relief. In the donut hole, beneficiaries often face higher out-of-pocket costs, and discount cards may offer a better deal on medications, potentially saving money on both generic and brand-name drugs. Some cards can even bring drug prices lower than the prices set by your plan during this gap, helping you save money while you wait for catastrophic coverage to kick in.
3. Medicare Part D and Discount Card Compatibility
While discount cards can offer savings, they generally cannot be combined directly with your Part D plan’s benefits.
Answered by Jim Towle on July 31, 2025
Broker Licensed in AL, FL, GA, LA, MS & TX
Answered by Michael Cantrell on June 8, 2026
Agent Licensed in TX
1. Using discount cards does not count towards your Medicare deductible or out-of-pocket maximum.
2. Discount cards can not used with Medicare part D. You can only use one or the other, not both.
3. You can use a discount card to help cover medication not covered by your Medicare Part D plan.
If you need co-pay assistance, you can apply for EPIC. EPIC is a program that helps Medicare participates lower their drug co-payment or even eliminates them.
Answered by Nydia Flores on May 9, 2025
Broker Licensed in NY
Here’s how it works:
Discount cards (like GoodRx, SingleCare, etc.)
When you use one, you’re paying outside your Part D plan.
The cost does NOT count toward your deductible, initial coverage, or coverage gap (donut hole).
It can be helpful for non-covered drugs or when the cash price is cheaper than your copay.
State or charitable assistance programs
Some approved programs can help lower costs and may still allow expenses to count toward your Part D totals, depending on the program.
Extra Help (Low-Income Subsidy) is a big one that does work with your Part D plan.
Pharmacy choice matters
Using out-of-network pharmacies or discount pricing instead of your Part D plan may mean those purchases aren’t credited to your plan’s cost tracking.
What this means for you:
Using a discount card can save money in the moment, but it might not help you reach the coverage stages of your Medicare drug plan. That’s why it’s smart to compare both options before filling a prescription.
👉 Tip: Always ask the pharmacy to price your medication both ways — with your Part D plan and with a discount card — so you can choose the better option.
Answered by Karenda Hawkins on January 26, 2026
Broker Licensed in GA, AL, AR & 15 other states
Tags: Advice for Seniors Medicare Part D Prescription Drug
Agents: Share Your Expertise
Have insights or experiences related to this topic? Help others by sharing your knowledge and answering this question.
Seniors: Ask a Question of Your Own
Questions are generally answered within 1 to 3 business days. Receive valuable perspectives from multiple licensed agents and brokers.
Ask a Question















































































