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NerdWallet's Smart Money Podcast

How to Pay Less for Your Prescriptions and Brace for a Health Insurance Shake-Up

NerdWallet's Smart Money Podcast

NerdWallet Personal Finance

Business, Education, Investing, How To

4.2665 Ratings

🗓️ 18 August 2025

⏱️ 29 minutes

🧾️ Download transcript

Summary

Learn how to cut prescription costs and prepare for steep health insurance hikes if ACA tax credits expire. How can you make prescription drugs more affordable? What can you do if subsidies in the Affordable Care Act expire and health insurance costs spike? Hosts Sean Pyles and Elizabeth Ayoola discuss rising prescription costs and looming changes to health insurance premiums to help you find ways to save and protect your budget. Joined by Dan Weissmann, host of the podcast An Arm and a Leg, they begin with a discussion of the structural problems in the U.S. prescription drug system, with tips on comparing prices across pharmacies, using discount programs like GoodRx, and checking for manufacturer coupons. Then, personal finance Nerd Kate Ashford joins Sean and Elizabeth to discuss how ACA premium tax credit changes could impact your wallet. They explore strategies such as comparing marketplace plans carefully, shifting to different tiers of coverage, considering employer-based insurance, and preparing for open enrollment. They also highlight the risks of going uninsured, ways to use preventive care benefits to save money, and why America’s healthcare system ended up so tied to employment. Want us to review your budget? Fill out this form — completely anonymously if you want — and we might feature your budget in a future segment! https://docs.google.com/forms/d/e/1FAIpQLScK53yAufsc4v5UpghhVfxtk2MoyooHzlSIRBnRxUPl3hKBig/viewform?usp=header In their conversation, the Nerds discuss: prescription drug costs, how to save on prescriptions, GoodRx, Mark Cuban Cost Plus Drugs, pharmacy benefit managers, drug manufacturer coupons, ACA subsidies, ACA premium tax credits, Affordable Care Act healthcare costs, ACA marketplace plans, health insurance open enrollment, formulary, health insurance tiers, high deductible health plan, bronze vs silver plan ACA, health savings account, ACA premium increases, ACA subsidies expiring, ACA tax credits 2025, how to compare health insurance plans, employer sponsored health insurance, self-employed health insurance options, preventive care coverage, avoiding medical debt, risks of going uninsured, Vermont ACA costs, ACA premium increase by state, ACA cost saving strategies, how to check if prescriptions are covered, negotiating prescription costs, medical bankruptcy risk, Medicare and Medicaid differences, US vs UK healthcare costs, ACA income thresholds, ACA marketplace eligibility, losing ACA subsidies impact, choosing an ACA plan, and ACA open enrollment dates. To send the Nerds your money questions, call or text the Nerd hotline at 901-730-6373 or email [email protected]. Like what you hear? Please leave us a review and tell a friend. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

If you love free stuff, this message is for you. We're always looking for ways to improve the podcast, which is why right now, we're giving out prizes for seven lucky winners who fill out our listener survey. It only takes a few minutes and you'll be entered to win some really cool prizes. One winner will get a pair of Sony ULT Wireless Noise Canceling Headphones. And six winners will get the Bagu Cloud Carry Onon bag. And full disclosure, I have one of these bags, and it's one of my favorite travel bags. Just go to nerdwollet.com slash pod survey and complete the form by September 15th for a chance to win. You can read the official rules for more details, which again can be found at nerdwollet.com slash pod survey. Thank you and good luck.

0:39.5

Have you ever gone to pick up a prescription and found it cost much more than you were expecting

0:43.4

or your insurance suddenly decided to stop paying for your medicine?

0:47.1

The former has happened, Sean, and unfortunately I had to pay for it because I still needed

0:52.0

the prescription. So what's a girl to do?

0:54.1

Yeah, what a bind.

0:55.0

Well, I know a lot of folks have found themselves in the same exact situation.

0:58.3

So this episode will have some tips for how people can make prescriptions a little more manageable.

1:07.5

Welcome to Nerd Wallet's Smart Money Podcast, where you send us your money questions and we answer them with the help of our genius nerds. I'm Sean Piles.

1:15.4

And I'm Elizabeth Ayola. This episode, we answer listeners' question about how to manage health care expenses if health care tax credits expire later this year, which is expected to make affordable care act plans 75% more expensive on average.

1:30.9

But first, we're going to dive deep into another aspect of health care, prescription drugs.

1:35.2

I don't know about you, Elizabeth, but paying for prescriptions can sometimes feel like a weird hybrid game of hide-and-seek and whack-a-mole.

1:42.0

Like, it's hard to find the best price for your prescription, and then once you have it settled, your insurance suddenly decides to change the pricing or drop covers for the drug entirely. This sounds like a nightmare. I mean, luckily, I don't have prescription drugs often, but the few times I have, I've been shocked at the cost of them. Now, as a girl coming from London where we had universal

2:00.8

health care, I still marvel at how much I pay out of pocket for prescriptions and how much

2:05.9

work can go into finding a cost-effective option. Well, this episode, we're joined by Dan Weissman,

2:11.8

host of the NPR podcast, an arm and a leg, which helps listeners navigate the truly dysfunctional

2:16.6

and absolutely maddening

2:18.0

world of health care in the United States. Dan's going to help us figure out how to make these

2:21.9

often vital prescriptions a little more affordable. Dan, welcome to smart money. Thanks for having me.

2:27.8

So you did a really helpful two-part series just about how people can navigate the cost of

2:32.5

prescription drugs. And even though you said folks don't need to take note because you have a really helpful

2:36.7

newsletter, I was taking notes while listening to your podcast.

...

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