By Brandy Bauer | 8.18.2020
The average person with Medicare spends over $600 on prescriptions each year. If you have
multiple chronic conditions, chances are you’re paying even more. Affording
your medications can be expensive, but there are programs that can help you
save money.
Get help
from the government
If
you or a loved one has Medicare, the first benefit to consider is Part D Extra Help. This program from Social Security and Medicare
helps save money on Part D drug plan premiums and co-payments at the pharmacy.
To get Extra Help, you must have low income and resources. Learn more from
Social Security.
Don’t
qualify for Extra Help? Your state may also have savings programs. Currently,
20 states offer a State Prescription Assistance Program (SPAP) to people
who meet certain age, disability, chronic condition, and/or income
requirements. SPAPs may help pay your premiums, deductibles, or medication
co-payments.
Explore
your drug plan options
Sometimes
you can save money on medications by shopping around for different Medicare
coverage. From October 15 to December 7 each year is the Medicare Annual
Enrollment Period, which allows people with Medicare to join, switch, or leave
Medicare Advantage and Part D plans.
Here
are three ways you can find out what coverage may suit your needs:
·
The Medicare Plan
Finder is the official tool of Medicare.gov to shop for drug
and health plans.
·
Use NCOA’s free educational
tool, My Medicare
Matters, to learn about Medicare costs, take an assessment of your
needs, and get personalized advice on next steps.
·
Contact your State Health Insurance
Assistance Program (SHIP). SHIPs are federally funded to provide unbiased,
one-on-one assistance to people with Medicare and their families. Find your
local SHIP at shiptacenter.org or
by calling 1-877-839-2675.
Learn
about drug manufacturer discounts
You’ve
probably seen commercials for medications on TV that end with, “If you have
trouble affording your medication, Drug Company may be able to help.” That
assistance comes from Patient Assistance Programs (PAPs), which are run by drug
manufacturers to offer free or discounted brand-name medications to consumers.
PAPs may be especially helpful to those who lack insurance coverage or have
significant medication costs.
Most
of the major manufacturers offer PAPs and related resources for people who take
their medications. For example, Pfizer’s RxPathways program
connects people to insurance support, co-pay assistance, and medicines for free
or at a savings. Other PAPs are offered by Novo Nordisk, AstraZeneca,
GlaxoSmithKline, and several foundations that provide disease-specific
assistance, such as for people with diabetes. (Note: Some of these programs may
have limitations for people with other Medicare drug coverage.)
Discover
drug charity programs
Several
national charity programs exist that can help people with Medicare afford their
medications. Many of these specifically focus on assisting people with chronic
conditions and rare diseases. Get a list of programs and links to their eligibility
criteria.
Find
help all in one place
NCOA’s
free, confidential tool BenefitsCheckUp.org can help you screen for all of the
major PAPs, SPAPs, and Part D Extra Help. BenefitsCheckUp® also can identify
other programs that may allow you to free up money in your budget—from taxes to
food to home utilities and more.
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