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Navigating Healthcare Costs: Insurance Copays vs. Prescription Discounts

Written and medically reviewed by Dorcas Morak, Pharm.D

Updated on December 16th, 2023

Save up to 88% on your medications

Are you on a quest to cut down your medication expenses? When it comes to saving on prescriptions, you might find yourself at a crossroads, torn between relying on your insurance or embracing the power of prescription discount cards. Navigating the intricacies of insurance terms can feel like deciphering a secret code. But fear not, we're here to demystify the jargon and help you make an informed choice about managing your healthcare costs.

What's the Difference Between an Insurance Copay and a Prescription Discount Program?

Let's start with the basics. An insurance copay is essentially a fixed out-of-pocket amount that you, as an insured individual, contribute towards covered services. These services can range from doctor visits to therapy sessions and, of course, prescriptions. Picture this: you head to the pharmacy to pick up your prescription, your insurance provider foots part of the bill, and you cover the remainder. That portion you pay is your copay. Keep in mind that copays don't chip away at your deductible, and they can vary depending on the service.

On the flip side, prescription discounts offer a lifeline to those paying for their medications in cash, regardless of their insurance status. Imagine wielding a prescription discount card like RxLess – you can revel in substantial discounts, often slashing prices up to a jaw-dropping 88% for both brand-name and generic drugs. How is this magic achieved, you ask? Well, RxLess conducts bulk negotiations with drug suppliers, securing lower prices that they pass on to you through their free card or handy mobile app.

Do Insurance Copays Really Save More Than Prescription Discount Cards?

It's easy to assume that with insurance, where you're only footing a portion of the total cost (like the 20% in an 80/20 plan), you'd save more on your prescriptions. However, there's a twist in this tale. Copays are susceptible to the influence of intermediaries, and the longer the supply chain, the more your medication costs can balloon. Insurance companies bring in pharmacy benefits managers (PBMs) to haggle with drug manufacturers, affecting the final copay amount you're stuck with.

But here's the kicker – when you opt to pay out-of-pocket with a prescription discount card like RxLess, you sidestep these intermediaries and their additional fees. This nifty maneuver lets you enjoy significant savings, potentially up to a whopping 88% on your prescription costs. Who doesn't love a good deal?

Do All Insurance Plans Come with Copays?

No, not all insurance plans require copays. Some plans, particularly those with low or no copays and coinsurance fees, may have higher monthly premiums. On the other hand, high-deductible health plans might offer minimal or no copays and coinsurance fees but may require you to cover a higher deductible before your insurance kicks in.

What Do Prescription Savings Programs Cost?

The good news is that many prescription savings programs, including RxLess, are completely free for consumers. You can hop onto rxless.com or the free RxLess mobile app to scout for the lowest, most accurate prescription prices in your neighborhood.

How Do You Actually Use a Prescription Discount Card?

Using a prescription discount card is a breeze. Simply snag your discount from the RxLess website or via the RxLess app. Next, choose your preferred local pharmacy and either download the card, have it emailed or texted to you, or save it in the app. When you're at the pharmacy counter, flash your card to the pharmacist and savor the sweet taste of the discounted rate.

Any Other Tricks Up Your Sleeve for Saving on Medications?

Sure, there are various other tricks in the book for curbing prescription costs, like opting for generics, exploring patient assistance programs, or filling a 90-day supply. But if you ask us, harnessing the power of programs like RxLess might just be the ace up your sleeve when it comes to wrangling those pesky medication expenses.

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