Medicare Part D Is Moving To Coinsurance

Published April 19th, 2016 by USA Rx
Fact Checked by
Chris Riley

When it comes to Medicare Part D, the part which specifically covers prescription medicine costs, the various plans offered to eligible seniors have used co-payments for most price tiers. These copays go up as the tier cost goes up to encourage thrifty behavior, but for the most part it was a flat rate for whatever happened to fall into that tier.

However, the top tier, the fifth, was reserved for expensive specialty drugs whose prices can vary wildly and occasionally take off into the stratosphere. Buying a drug in this tier means paying a coinsurance value instead of a copayment, the difference being that a coinsurance payment is a percentage of the cost instead of a flat rate.

Unfortunately, the line between tier five and the rest is now starting to blur. Perhaps it’s because the cost of prescription medication is constantly going up across the board, or perhaps it’s the fact that Medicare Part D is basically unable to bargain with the pharmaceutical companies. Perhaps the insurance companies who are partnered with Part D are simply feeling greedy. Whatever the reason may be, more and more Part D plans are switching to coinsurance payments instead of copays, and as a result most Medicare users are now paying more for their prescriptions than they were in the past.

Fortunately, at USARx we are allowed to bargain with the pharmaceutical companies, and you can enjoy the benefits of our negotiations with our pharmacy discount card. All you need to give us is your name and an email address and we’ll gladly send you your free card right away, a card you can use in over 60,000 pharmacies throughout the United States. Our card will entitle you to discounts of up to 75 percent on brand and generic medications, and you’re absolutely free to choose whichever price is lowest between your insurance, your Medicare/Medicaid coverage, and our discount. To find out more, you can send us an email at [email protected] or call us at 888-277-3911.

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