q. a. q. patient-centric | efficient | comprehensive ... · what medications does the program...
TRANSCRIPT
A Co-Payment Assistance Program for Insured Patients
Providing Critical Financial Support for Patients
Are your services free? Yes,ourservicesarecompletelyfree.
Asapubliccharity,wearecommitted
tohelpingpatientswithcomplexsituations.
Can anyone, other than the patient, apply to the program? Yes,anyonecanapplyforassistanceon
thepatient’sbehalf;however,thepatient,
alegalguardianoranindividualwith
powerofattorneymustultimatelysign
theapplication.
I have health insurance but it does not cover my treatment and/or medications. Can CPR help? No,CPRisunabletomakepayments
forpharmaceuticaltreatmentsand/or
prescriptionmedicationsrelativetoyour
diagnosisthatarenotcoveredbyyour
healthinsurance.
What medications does the program cover? Ourprogramisnotdrugspecific.
Weassistwithco-payments,co-insurance
anddeductiblesforbothcurativeand
supportivepharmaceuticaltreatments
and/ormedicationsprescribedforyour
diagnosisaslongastheproducts
arecoveredbyyourinsurancepolicy.
I would love to donate to your program. What do I need to do? First,PAFwouldliketosay“Thankyou!”
Ifyouwouldliketomakeadonationonline,
pleasevisitourfoundation’swebsiteat
www.patientadvocate.org/donate.
SincethelaunchoftheCo-PayReliefprogramin2004,
wehaveadheredtoasetofguidingprinciplesthathave
createdasecure,supportiveandsustainablepatient
service.Theseprinciplesremainourcompassforthe
futureevolutionoftheprogram.
Patient-Centric | Efficient | Comprehensive
Supportive | Compassionate | Compliant
Program ComplianceAsapioneerinthefieldofco-paymentsupportprograms,
wenotonlyoperateourprogramincompliancewith
theguidanceprovidedbytheOfficeofInspectorGeneral
(OIG),butweholdourselvestothehigherstandardof
keepingtheneedsofthepatientsweserveatthecenter
ofallprogrammaticdecisionmaking.Ourprogramisone
oftheonlyfullyOIG-compliantmethodstosupportthe
prescriptiondrugco-paymentandinsurancepremium
coststhatareincurredbypatientswhoareinsured
bygovernment-sponsoredplansincludingMedicare,
TricareandMedicaid.
CPRisanOfficeofInspectorGeneralapprovedco-payment
assistanceprogramforinsuredAmericansofferedthroughPatient
AdvocateFoundation.PAFisa501(c)(3)non-profitorganization
thatprovidesprofessionalcasemanagementservicestoAmericans
withchronic,life-threateninganddebilitatingillnesses.
Q.
Q.
Q.
Q.
Q.
A.
A.
A.
A.
A.
Scan for a full list of FAQs
TollFree:1-800-532-5274|www.patientadvocate.org [email protected]|TaxID#54-1806317
TollFree:1-866-512-3861| www.copays.org
Fax:757-952-0119|[email protected]
©PatientAdvocateFoundation
PAF_148944_CoPayReliefBro_FINAL.indd 1 5/20/14 3:53 PM
Applying is Easy and Convenient
You, afriendorfamilymembercanapply
forassistanceviathepatientportal
atwww.copays.org/patients
Your Treating Physiciancanassistyouwith
submittingtheapplicationforassistanceviathe
providerportalatwww.copays.org/providers
Your Pharmacydispensingtheprescribed
medicationscanassistyouwiththe
applicationforassistanceviathepharmacy
portalatwww.copays.org/pharmacy
Our Program Specialistscanbereached
tollfreeat1-866-512-3861andwillpersonally
guideyouthroughtheenrollmentprocess
1-866-512-3861 | www.copays.org
Eligibility Requirements •Patientsmustbeinsuredandhave
insurancecoverageforthemedication(s)
forwhichtheyseekassistance
•Patientsmusthaveaqualifying,verified
diagnosisofthediseaseorconditionfor
whichtheyseekfinancialassistance
•Patientsmustresideandreceivetreatment
intheUnitedStates
•Patient’sincomemustfallatorbelow400%
oftheFederalPovertyGuideline(FPG)with
considerationoftheCostofLivingIndex
andnumberinthehousehold
Access Financial Assistance Simply and EfficientlyPatientAdvocateFoundation’s(PAF)Co-Pay
ReliefProgram(CPR)isafreeservicethat
providesdirectfinancialsupporttomedically
andfinanciallyqualified,insuredpatients,
includingthosecoveredbygovernment-
sponsoredplansMedicare,TricareandMedicaid,
forco-payments,co-insuranceanddeductibles
relatedtopharmaceuticaltreatmentsand
prescriptionmedications.
Receive a Personalized Patient ExperienceWearecommittedtohelpingpatientsgetand
stayontherapy.Toinsurethatpatientsreceive
therightamountofassistanceattherighttime,
ourprogramspecialistsworkdirectlywith
thepatient,providerofcareandpharmacy
tocompletethesimple,streamlinedapplication
andprovidearapideligibilitydecision.
•User-friendlyonlineapplicationportals
•Easydocumentationofincomeanddiagnosis
•LiveSpanishlanguageservices
•Rapidqualificationdetermination
•Look-backperiodforrecently
incurredexpenses
•Paymentsmaybedirectedtotheprovider,
pharmacyorpatient
“Not only was I struggling with trying to beat this horrible disease, I was also carrying a very heavy burden of trying to stay above water while the bills kept rolling in… To have even just part of what I owed paid for, brought me to tears. This was the best news that I could have heard. A little calm in my storm.”
SuzanneN.
Consistently selected by oncology practice managers as the best co-pay foundation for helping patients. OncologyMarketAccess,U.S. KantarHealth
PAF_148944_CoPayReliefBro_FINAL.indd 2 5/20/14 3:53 PM
Applying is Easy and Convenient
You, afriendorfamilymembercanapply
forassistanceviathepatientportal
atwww.copays.org/patients
Your Treating Physiciancanassistyouwith
submittingtheapplicationforassistanceviathe
providerportalatwww.copays.org/providers
Your Pharmacydispensingtheprescribed
medicationscanassistyouwiththe
applicationforassistanceviathepharmacy
portalatwww.copays.org/pharmacy
Our Program Specialistscanbereached
tollfreeat1-866-512-3861andwillpersonally
guideyouthroughtheenrollmentprocess
1-866-512-3861 | www.copays.org
Eligibility Requirements •Patientsmustbeinsuredandhave
insurancecoverageforthemedication(s)
forwhichtheyseekassistance
•Patientsmusthaveaqualifying,verified
diagnosisofthediseaseorconditionfor
whichtheyseekfinancialassistance
•Patientsmustresideandreceivetreatment
intheUnitedStates
•Patient’sincomemustfallatorbelow400%
oftheFederalPovertyGuideline(FPG)with
considerationoftheCostofLivingIndex
andnumberinthehousehold
Access Financial Assistance Simply and EfficientlyPatientAdvocateFoundation’s(PAF)Co-Pay
ReliefProgram(CPR)isafreeservicethat
providesdirectfinancialsupporttomedically
andfinanciallyqualified,insuredpatients,
includingthosecoveredbygovernment-
sponsoredplansMedicare,TricareandMedicaid,
forco-payments,co-insuranceanddeductibles
relatedtopharmaceuticaltreatmentsand
prescriptionmedications.
Receive a Personalized Patient ExperienceWearecommittedtohelpingpatientsgetand
stayontherapy.Toinsurethatpatientsreceive
therightamountofassistanceattherighttime,
ourprogramspecialistsworkdirectlywith
thepatient,providerofcareandpharmacy
tocompletethesimple,streamlinedapplication
andprovidearapideligibilitydecision.
•User-friendlyonlineapplicationportals
•Easydocumentationofincomeanddiagnosis
•LiveSpanishlanguageservices
•Rapidqualificationdetermination
•Look-backperiodforrecently
incurredexpenses
•Paymentsmaybedirectedtotheprovider,
pharmacyorpatient
“Not only was I struggling with trying to beat this horrible disease, I was also carrying a very heavy burden of trying to stay above water while the bills kept rolling in… To have even just part of what I owed paid for, brought me to tears. This was the best news that I could have heard. A little calm in my storm.”
SuzanneN.
Consistently selected by oncology practice managers as the best co-pay foundation for helping patients. OncologyMarketAccess,U.S. KantarHealth
PAF_148944_CoPayReliefBro_FINAL.indd 2 5/20/14 3:53 PM
Applying is Easy and Convenient
You, afriendorfamilymembercanapply
forassistanceviathepatientportal
atwww.copays.org/patients
Your Treating Physiciancanassistyouwith
submittingtheapplicationforassistanceviathe
providerportalatwww.copays.org/providers
Your Pharmacydispensingtheprescribed
medicationscanassistyouwiththe
applicationforassistanceviathepharmacy
portalatwww.copays.org/pharmacy
Our Program Specialistscanbereached
tollfreeat1-866-512-3861andwillpersonally
guideyouthroughtheenrollmentprocess
1-866-512-3861 | www.copays.org
Eligibility Requirements •Patientsmustbeinsuredandhave
insurancecoverageforthemedication(s)
forwhichtheyseekassistance
•Patientsmusthaveaqualifying,verified
diagnosisofthediseaseorconditionfor
whichtheyseekfinancialassistance
•Patientsmustresideandreceivetreatment
intheUnitedStates
•Patient’sincomemustfallatorbelow400%
oftheFederalPovertyGuideline(FPG)with
considerationoftheCostofLivingIndex
andnumberinthehousehold
Access Financial Assistance Simply and EfficientlyPatientAdvocateFoundation’s(PAF)Co-Pay
ReliefProgram(CPR)isafreeservicethat
providesdirectfinancialsupporttomedically
andfinanciallyqualified,insuredpatients,
includingthosecoveredbygovernment-
sponsoredplansMedicare,TricareandMedicaid,
forco-payments,co-insuranceanddeductibles
relatedtopharmaceuticaltreatmentsand
prescriptionmedications.
Receive a Personalized Patient ExperienceWearecommittedtohelpingpatientsgetand
stayontherapy.Toinsurethatpatientsreceive
therightamountofassistanceattherighttime,
ourprogramspecialistsworkdirectlywith
thepatient,providerofcareandpharmacy
tocompletethesimple,streamlinedapplication
andprovidearapideligibilitydecision.
•User-friendlyonlineapplicationportals
•Easydocumentationofincomeanddiagnosis
•LiveSpanishlanguageservices
•Rapidqualificationdetermination
•Look-backperiodforrecently
incurredexpenses
•Paymentsmaybedirectedtotheprovider,
pharmacyorpatient
“Not only was I struggling with trying to beat this horrible disease, I was also carrying a very heavy burden of trying to stay above water while the bills kept rolling in… To have even just part of what I owed paid for, brought me to tears. This was the best news that I could have heard. A little calm in my storm.”
SuzanneN.
Consistently selected by oncology practice managers as the best co-pay foundation for helping patients. OncologyMarketAccess,U.S. KantarHealth
PAF_148944_CoPayReliefBro_FINAL.indd 2 5/20/14 3:53 PM
A Co-Payment Assistance Program for Insured Patients
Providing Critical Financial Support for Patients
Are your services free? Yes,ourservicesarecompletelyfree.
Asapubliccharity,wearecommitted
tohelpingpatientswithcomplexsituations.
Can anyone, other than the patient, apply to the program? Yes,anyonecanapplyforassistanceon
thepatient’sbehalf;however,thepatient,
alegalguardianoranindividualwith
powerofattorneymustultimatelysign
theapplication.
I have health insurance but it does not cover my treatment and/or medications. Can CPR help? No,CPRisunabletomakepayments
forpharmaceuticaltreatmentsand/or
prescriptionmedicationsrelativetoyour
diagnosisthatarenotcoveredbyyour
healthinsurance.
What medications does the program cover? Ourprogramisnotdrugspecific.
Weassistwithco-payments,co-insurance
anddeductiblesforbothcurativeand
supportivepharmaceuticaltreatments
and/ormedicationsprescribedforyour
diagnosisaslongastheproducts
arecoveredbyyourinsurancepolicy.
I would love to donate to your program. What do I need to do? First,PAFwouldliketosay“Thankyou!”
Ifyouwouldliketomakeadonationonline,
pleasevisitourfoundation’swebsiteat
www.patientadvocate.org/donate.
SincethelaunchoftheCo-PayReliefprogramin2004,
wehaveadheredtoasetofguidingprinciplesthathave
createdasecure,supportiveandsustainablepatient
service.Theseprinciplesremainourcompassforthe
futureevolutionoftheprogram.
Patient-Centric | Efficient | Comprehensive
Supportive | Compassionate | Compliant
Program ComplianceAsapioneerinthefieldofco-paymentsupportprograms,
wenotonlyoperateourprogramincompliancewith
theguidanceprovidedbytheOfficeofInspectorGeneral
(OIG),butweholdourselvestothehigherstandardof
keepingtheneedsofthepatientsweserveatthecenter
ofallprogrammaticdecisionmaking.Ourprogramisone
oftheonlyfullyOIG-compliantmethodstosupportthe
prescriptiondrugco-paymentandinsurancepremium
coststhatareincurredbypatientswhoareinsured
bygovernment-sponsoredplansincludingMedicare,
TricareandMedicaid.
CPRisanOfficeofInspectorGeneralapprovedco-payment
assistanceprogramforinsuredAmericansofferedthroughPatient
AdvocateFoundation.PAFisa501(c)(3)non-profitorganization
thatprovidesprofessionalcasemanagementservicestoAmericans
withchronic,life-threateninganddebilitatingillnesses.
Q.
Q.
Q.
Q.
Q.
A.
A.
A.
A.
A.
Scan for a full list of FAQs
TollFree:1-800-532-5274|www.patientadvocate.org [email protected]|TaxID#54-1806317
TollFree:1-866-512-3861| www.copays.org
Fax:757-952-0119|[email protected]
©PatientAdvocateFoundation
PAF_148944_CoPayReliefBro_FINAL.indd 1 5/20/14 3:53 PM
A Co-Payment Assistance Program for Insured Patients
Providing Critical Financial Support for Patients
Are your services free? Yes,ourservicesarecompletelyfree.
Asapubliccharity,wearecommitted
tohelpingpatientswithcomplexsituations.
Can anyone, other than the patient, apply to the program? Yes,anyonecanapplyforassistanceon
thepatient’sbehalf;however,thepatient,
alegalguardianoranindividualwith
powerofattorneymustultimatelysign
theapplication.
I have health insurance but it does not cover my treatment and/or medications. Can CPR help? No,CPRisunabletomakepayments
forpharmaceuticaltreatmentsand/or
prescriptionmedicationsrelativetoyour
diagnosisthatarenotcoveredbyyour
healthinsurance.
What medications does the program cover? Ourprogramisnotdrugspecific.
Weassistwithco-payments,co-insurance
anddeductiblesforbothcurativeand
supportivepharmaceuticaltreatments
and/ormedicationsprescribedforyour
diagnosisaslongastheproducts
arecoveredbyyourinsurancepolicy.
I would love to donate to your program. What do I need to do? First,PAFwouldliketosay“Thankyou!”
Ifyouwouldliketomakeadonationonline,
pleasevisitourfoundation’swebsiteat
www.patientadvocate.org/donate.
SincethelaunchoftheCo-PayReliefprogramin2004,
wehaveadheredtoasetofguidingprinciplesthathave
createdasecure,supportiveandsustainablepatient
service.Theseprinciplesremainourcompassforthe
futureevolutionoftheprogram.
Patient-Centric | Efficient | Comprehensive
Supportive | Compassionate | Compliant
Program ComplianceAsapioneerinthefieldofco-paymentsupportprograms,
wenotonlyoperateourprogramincompliancewith
theguidanceprovidedbytheOfficeofInspectorGeneral
(OIG),butweholdourselvestothehigherstandardof
keepingtheneedsofthepatientsweserveatthecenter
ofallprogrammaticdecisionmaking.Ourprogramisone
oftheonlyfullyOIG-compliantmethodstosupportthe
prescriptiondrugco-paymentandinsurancepremium
coststhatareincurredbypatientswhoareinsured
bygovernment-sponsoredplansincludingMedicare,
TricareandMedicaid.
CPRisanOfficeofInspectorGeneralapprovedco-payment
assistanceprogramforinsuredAmericansofferedthroughPatient
AdvocateFoundation.PAFisa501(c)(3)non-profitorganization
thatprovidesprofessionalcasemanagementservicestoAmericans
withchronic,life-threateninganddebilitatingillnesses.
Q.
Q.
Q.
Q.
Q.
A.
A.
A.
A.
A.
Scan for a full list of FAQs
TollFree:1-800-532-5274|www.patientadvocate.org [email protected]|TaxID#54-1806317
TollFree:1-866-512-3861| www.copays.org
Fax:757-952-0119|[email protected]
©PatientAdvocateFoundation
PAF_148944_CoPayReliefBro_FINAL.indd 1 5/20/14 3:53 PM