Can I Use Goodrx Without Insurance

GoodRx vs. Insurance: Which Should I Use?

Posted on August 4, 2021 In Benefits & Healthcare

3 min read time

GoodRx vs. Insurance: Which Should I Use?

While individuals might accept prescription coverage through their employer-sponsored wellness plans, they might still face loftier costs for their medications depending on the drug they're prescribed and what kind of plan they have.

In some cases, there might be even more savings available to them through GoodRx, which allows individuals to save coin on prescriptions without whatever registration or membership cost.

How does GoodRx work, and can employees use information technology with their insurance?

How Does GoodRx Work?

GoodRx is a discount plan that helps consumers salve money on prescription drug costs past offering free coupons that they tin present at well-nigh local pharmacies.

Here's how information technology works. GoodRx is a database that catalogs electric current drug costs at pharmacies around the country. It too offers coupon codes to consumers, which lowers the price of prescriptions.

When a md or specialist prescribes a sure medication to a patient, the private can visit GoodRx's website to search for the drug and compare discounted prices available at different pharmacies.

The individual tin can then impress out the coupon or admission the coupon on their mobile device through the website or app and show it to the chemist at the checkout when they get their prescription filled.

Can I Use GoodRx If I Have Insurance?

While anybody tin can use GoodRx without membership or registration, GoodRx discounts cannot be combined with wellness insurance. It's also important to notation that GoodRx itself is not insurance.

According to the company, "Paying with a GoodRx coupon is considered an 'out-of-network' purchase, and information technology's up to the insurance company to decide if they'll pay you lot dorsum—or whether they'll count it toward your deductible." Therefore, employees tin can attempt to get reimbursed for the prescription through insurance post-purchase, but information technology's not always eligible.

With certain health insurance plans, employees might have a deductible for prescriptions that makes the program holder pay full price for the prescription until the out-of-pocket maximum is reached, according to GoodRx. The company also explained that employees might lack coverage entirely or take to pay a college copay if their medication is on a higher formulary tier or is a non-preferred drug.

When Should Employees Use GoodRx vs. Insurance?

So when should employees use GoodRx instead of their insurance?

Using GoodRx commonly ways that individuals cannot count the toll of the prescription toward their deductible and out-of-pocket maximum. Therefore, information technology makes sense to employ GoodRx to further bulldoze down the cost of inexpensive prescriptions or generic drugs if employees don't think they'll hitting their deductible.

Alternatively, employees should run the prescription through insurance rather than apply GoodRx when the cost of the medication is more expensive or when GoodRx doesn't have a coupon for the drug they need. Likewise, if an employee is close to coming together their deductible, they should also forgo using GoodRx in favor of running information technology through their insurance.

Finally, employees should ever cheque the insurance price of their prescription and GoodRx prices before going to the pharmacy.