GoodRx - What's the catch?

[myinsurebiz]

I am so glad we have this thread where folks can hype their "My card can beat up your card" contributions.

RXgo card is very competitive to GoodRx - easier to use and pays a nice commission.

 

[kstein]

I don't think anyone answered the actual question, but if they did, I apologize for the duplicate answer.

The catch is that none of it goes toward any of the deductibles, donut hole, or catastrophic coverage. In fact if they use GoodRx, it won't show up on Medicare.gov either.

So go ahead and tell your clients about GoodRx, HoneyBee Health, the plans that pay you a referral fee, whatever. But be sure to let them know that none of it "counts" toward their drug plan or you could be opening yourself up to a lawsuit.

And be sure to document that you did.

What lawsuit??

 

[vic120]

What lawsuit??

Was wondering too

 

[LostDollar]

Was wondering too

I believe she is suggesting that you are leaving yourself open to consumer lawsuits if you do not advise your customers that medication purchases using a discount card, rather than Part D, will not appear in, or count for, Part D cost record keeping.

 

[vic120]

I believe she is suggesting that you are leaving yourself open to consumer lawsuits if you do not advise your customers that medications purchases using a discount card, rather than Part D, will not appear in, or count for, Part D cost record keeping.

I mean How do you even talk about it without mentioning that

Regardless I sincerely doubt there will ever be an issue Most seniors know how it works too

Def not a concern in my mind

except for one thing, which I do explain well is that tier 3 and 4 drug go towards the deductible and if they go to the pharmacy and see $400 charge for Xarelto for instance and see a $250 price on Good RX (not actual figure for example purpose)


They sometimes need to be told that after deductible copay will be $40 Sometimes they don't get that unless I go over several times if they have not used before

I mean beyond normal explaining People somehow miss the deductible on drug plans though I am very careful to explain it and several times when talking about good rx

 

[scagnt83]

My concern is HIPAA compliance.

My understanding is that Good does NOT comply and makes most of it's money selling information about what prescriptions the card user is using.

Be sure to explain that to anybody you give the card I'd suggest.

I use RXGold - they pride themselves on being HIPAA compliant.

This is my affiliate link Prescription Discount Card Program Home | RxPrime - they pay something like a buck a prescription and have a training call every Tuesday, Wednesday and Thursday.

So your implication is that GoodRX is breaking the law? Your understanding is not correct.

GoodRX has no way of knowing personal info. Sure they track what prescriptions are being filled... its their network.... but all they know is a certain script was filled by some random person in your town.

The only way for them to know your personal info is if pharmacies pass that info along to them, which would be a violation of hipaa on the pharmacies part.

No pharmacy discount network sees your personal info unless you choose to share it with them by some sort of signup and opt-in. GoodRX does not require that.

 

[LostDollar]

Training Call to hand out a free Discount Prescription Card? Bahahahaha! [ no offense ]

Maybe they are enthusiasm meetings. Is there such a thing as a multi level marketing drug discount card program?

 

[myinsurebiz]

I believe she is suggesting that you are leaving yourself open to consumer lawsuits if you do not advise your customers that medication purchases using a discount card, rather than Part D, will not appear in, or count for, Part D cost record keeping.

" medication purchases using a discount card, rather than Part D, will not appear in, or count for, Part D cost record keeping. "

Which is a good thing since the retail price doesn't count toward the donut hole.

 

[myinsurebiz]

So your implication is that GoodRX is breaking the law? Your understanding is not correct.

GoodRX has no way of knowing personal info. Sure they track what prescriptions are being filled... its their network.... but all they know is a certain script was filled by some random person in your town.

The only way for them to know your personal info is if pharmacies pass that info along to them, which would be a violation of hipaa on the pharmacies part.

No pharmacy discount network sees your personal info unless you choose to share it with them by some sort of signup and opt-in. GoodRX does not require that.

Spot on . . .

 

[myinsurebiz]

Maybe they are enthusiasm meetings. Is there such a thing as a multi level marketing drug discount card program?

There use to be, but they never could get the claims paid and lost momentum.

I could take the RX program and use it as a product for a MLM concept. But - $2 / $3 only goes so far.