Can I use SingleCare if I have Medicaid?

In this article:

• How do you use SingleCare if you have Medicaid?
• When can you use SingleCare instead of Medicaid?
• What’s the catch?

In this article

• How do you use SingleCare if you have Medicaid?
• When can you use SingleCare instead of Medicaid?
• What’s the catch?

At SingleCare, we believe that you should be able to get the best price possible for your prescription, no matter your insurance status. Meaning, you can use your SingleCare prescription discount card to reduce prices on your prescriptions even if you’re eligible for Medicare or Medicaid benefits.  

How do you use SingleCare if you have Medicaid?

SingleCare can help you save up to 80% on prescription medications, reducing drug costs so you have more money left for your other essential expenses. All you have to do is visit our website. You can text the Rx card to yourself or print it immediately. Whether you text, print, or email it to yourself, you can use any of the three versions at the pharmacy. 

There’s also a SingleCare app you can use to access your savings card and easily compare medication prices on the go.

Here’s how to use SingleCare if you have Medicaid:

1. Check your Medicaid copay for your prescription.
2. Check the cost of your prescription with SingleCare. You can do this by entering the name of your medication on SingleCare.com or on the SingleCare app on your mobile device. 
3. If SingleCare’s price is lower than your Medicaid copay, tell your pharmacist you’d like to use your SingleCare coupon or discount card instead of Medicaid.
4. They’ll ring up your prescription using the SingleCare price, and you’ll pay out of pocket at checkout.

It’s important to note: You can’t use SingleCare and Medicaid benefits at the same time. But you can use SingleCare if our prices are lower than Medicaid, or if a prescription isn’t covered by your benefits. When you use your SingleCare card, the pharmacy processes it instead of your Medicaid card, not in conjunction with your Medicaid card. Meaning, you get a savings on the self-pay price for that medication.

When can you use SingleCare instead of Medicaid?

There are a few situations where it makes more sense to use SingleCare instead of Medicaid. 

1. When Medicaid doesn’t cover a prescription

Prescription drug coverage is an optional Medicaid benefit under federal law. Currently, however, all states offer it and cover the costs of many, but not all, prescriptions. It’s up to each state to decide which medications are preferred and which are excluded from coverage altogether. 

Let’s say you need a medication that costs $50, and Medicaid doesn’t cover it. Depending on medication and location, the SingleCare price could be only $10. In this situation, you can show your SingleCare card or coupon to pharmacy staff at checkout, and they’ll charge you the $10 price, which you’ll pay out of pocket.  

2. When SingleCare prices are lower than your copay 

States can impose copays on Medicaid services and prescriptions. What you’re responsible for out-of-pocket is typically income-based. Depending on your or your family’s income and resources, your prescription copay could be $4, $8, or up to 20% of what the agency pays for non-preferred drugs. The SingleCare price for a prescription may be lower than your Medicaid copay. In that case, you can ask the pharmacist to use your SingleCare prescription discount card or coupon at checkout instead.

3. To compare prices on your prescriptions

You can use SingleCare.com or the SingleCare app to compare prices at different pharmacies. Enter your location, then type in your prescription name. You’ll see various pharmacies and the discounted pricing options. You’ll also be able to compare our prices to the average retail price of each drug. You can use SingleCare to secure lower prices at major pharmacies, including CVS, Walmart, Walgreens, Albertsons, Kroger, Target, Duane Reade, and many more.

4. If you lose your coverage

There are various reasons why people lose Medicaid coverage. Reasons you may lose coverage include:

• Failure to complete your annual renewal: Every state requires Medicaid enrollees to renew their coverage annually. If you forget or miss the deadline, you may lose coverage. Sometimes, even people who have completed their renewal paperwork are disenrolled because of mistakes on their forms or clerical mistakes. If you reapply, using your SingleCare card would be a worthwhile way of keeping costs down while you await a coverage approval from Medicaid. 
• Moving to a new address: One common reason that eligible Medicaid recipients lose coverage is that they’ve changed addresses and forgotten to notify Medicaid. As such, they don’t receive their renewal information, and coverage is dropped. Moving to a different state is a major factor causing a drop in coverage, since coverage varies by state.
• Financial ineligibility: If your modified adjusted gross income is too high, you may lose Medicaid coverage.
• Other changes in household status: There are some life changes that may affect one’s Medicaid eligibility, including a marriage or divorce, the end of a pregnancy, a child turning 18, or a change in family size.

If you lose Medicaid coverage and believe you should still be eligible, contact your state Medicaid office and ask how to file an appeal. All states must provide individuals with the opportunity to request a fair hearing when denied coverage. SingleCare can help you save on the cost of your medication during any gaps in coverage. 

What’s the catch?

There isn’t one! SingleCare partners directly with pharmacies, which lets us offer you lower prices. We receive a small fee from our pharmacy partners when you use your SingleCare card to save, which is how we can offer the service to you for free. Pharmacies choose to do business with us because we keep our business practices transparent, our prices consistent, and we help bring customers to their pharmacy.

If you have any more questions, feel free to call us at 1-844-234-3057 or find us on Facebook.