0 Copay Insurance

Posted : admin On 1/2/2022

‡ The EYLEA Copay Card Program covers up to $15,000 in assistance per year toward product-specific copay, coinsurance, and insurance deductibles for EYLEA treatments. You pay as little as a $0 copay of each treatment and any additional copay costs that. WE OFFER 2 CO-PAY SUPPORT PROGRAMS TO HELP YOU GET STARTED ON—AND STAY ON—GILENYA: Once you're prescribed GILENYA and your health care professional submits the Start Form, the Go Program will call you to discuss your insurance coverage, check your eligibility for our co-pay support programs, and make your treatment as affordable as possible—for many, this means a $0. co-pay. Even if you have health insurance through your employer, you’re eligible to pay $0 each month for Otezla. Covered by Medicare or Medicaid If you’re covered by Medicare or Medicaid, give Otezla SupportPlus a call at 1-844-4OTEZLA. A copay is a fixed amount you pay for a health care service, usually when you receive the service. The amount can vary by the type of service. How it works: Your plan determines what your copay is for different types of services, and when you have one. You may have a copay before you’ve finished paying toward your deductible.

  1. What Does $0 Copay Mean
  2. Is $0 Copay Good

GO PROGRAM is a registered trademark of Novartis AG.

*Limitations apply. Valid only for those with private insurance. The Program includes the Co-pay Card, Payment Card (if applicable), and Rebate, with a combined annual limit up to $18,000. Patient is responsible for any costs once limit is reached in a calendar year. Program not valid (i) under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care program, (ii) where patient is not using insurance coverage at all, (iii) where the patient's insurance plan reimburses for the entire cost of the drug, or (iv) where product is not covered by patient's insurance. The value of this program is exclusively for the benefit of patients and is intended to be credited towards patient out-of-pocket obligations and maximums, including applicable co-payments, coinsurance, and deductibles. Program is not valid where prohibited by law. Patient may not seek reimbursement for the value received from this program from other parties, including any health insurance program or plan, flexible spending account, or health care savings account. Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. Valid only in the United States and Puerto Rico. This Program is not health insurance. Program may not be combined with any third-party rebate, coupon, or offer. Proof of purchase may be required. Novartis reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice.

As of November 11, 2020. Novartis Pharmaceuticals Corporation does not endorse any particular plan. Check with your individual health plans.

Medical co-pay support for covered initial assessments/examinations or for first-dose observations (FDO) is provided without regard to whether the patient continues on with GILENYA therapy. People for whom GILENYA has been prescribed are required to report any benefits they receive under the GILENYA Medical Co-Pay Support Program to their insurance company. This offer is not valid for prescriptions and medical assessments for which payment may be made in whole or in part under federal or state health programs, including but not limited to Medicare or Medicaid, or for residents of RI. Valid only for those with commercial insurance. This program is subject to termination or modification at any time.

Eligible patients with commercial insurance may pay as little as a $0 copay for each EYLEA treatment with the EYLEA Copay Card. Subject to annual assistance limit.

THE EYLEA COPAY CARD PROGRAM

Patients diagnosed with Wet Age-related Macular Degeneration (Wet AMD), Diabetic Macular Edema (DME), Diabetic Retinopathy (DR), or Macular Edema following Retinal Vein Occlusion (MEfRVO) who have private insurance may qualify for copay assistance:

  • Your insurance covers EYLEA
  • You have a copay for EYLEA
  • You’re a resident of the USA or its territories or possesions

Apply by calling an EYLEA4U® Support Specialist at 1-855-EYLEA4U (1-855-395-3248) and press Option 4. Hours: Mon-Fri 9 a.m. – 8 p.m. Eastern Time.

Other assistance options

If you have government insurance (like Medicare), are uninsured, or if your health plan doesn’t cover EYLEA, there are still financial assistance options available for eligible patients.

Alternate Coverage Referral may be an option if you have government insurance. The Patient Assistance Program may help eligible patients get EYLEA free of charge if you are uninsured or if your health plan doesn’t cover EYLEA.

Additional assistance options

Regeneron does not influence or control the operations of independent charitable foundations and cannot guarantee assistance will be provided.

Medical

How does the EYLEA Copay Card Program work?

Here’s an example: You have commercial health coverage, and pay $490 in out-of-pocket copay/coinsurance for each EYLEA treatment. If you enroll in the EYLEA Copay Card Program, the program would cover the $490 if you have not exceeded the $15,000 per-year limit. You would be responsible for any additional copay costs that exceed the program assistance limit.

The EYLEA Copay Card Program covers up to $15,000 in assistance per year toward product-specific copay, coinsurance, and insurance deductibles for EYLEA treatments. You pay as little as a $0 copay of each treatment and any additional copay costs that exceed the program limits.

EYLEA4U Offers Live Support.

EYLEA4U® Support Specialists are here to listen to your story and answer your questions. These Specialists can help by:

CopayWhat is $0 copay
  • Determining the support program that may be right for you
  • Providing information about your health plan
  • Working with your doctor’s office and health plan to help determine your coverage

Receive support by calling an EYLEA4U® Support Specialist at 1-855-EYLEA4U (1-855-395-3248) Monday through Friday 9 AM to 8 PM Eastern Time. Press 2 for Medical Information questions, 3 to report an adverse event, 4 for patient assistance programs, or 6 if you need help getting to and from your eye appointments.

What Does $0 Copay Mean

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