Medicare and Patient Assistance Programs

Many Medicare patients feel that their Medicare coverage prevents them from being eligible for Patient Assistance Programs. That is not case, the truth is if a person with Medicare is paying high copay Cheap Polo Ralph Lauren Sale  premiums or is in coverage gap or ‘donut hole” then they likely qualify for these Prescription Assistance Programs (PAP). Prescription Assistance Programs were designed to assist uninsured and under-insured Americans in affording their prescribed medications. There are over 200 manufacturers in the US that offer assistance programs and believe it or not, most of them will approve Medicare patients without any hassle.

Medicare Part-D coverage provides prescription medications at a low and manageable copay premium in most cases. However, the Part-D coverage isn’t sufficient enough for the entire year, if the patient is taking a handful of medications. Medicare Part-D will cover the medications at a low copay, once Medicare Part-D covers the patient for their allotted amount of coverage, the patient will enter what is referred to as a gap in coverage or the ‘donut hole.’ At this point, the patient is left to bear the full cost of the prescription medication. nbrc  For those who are familiar, anything that happens to be a brand name medication can cost upwards of $200 each.  Medicare patients are already on fixed income and an extreme increase to prescription prices can be devastating to them and their families. Many times they go with out their medications, which only causes further health issues and health decline over time.

Prescription Assistance Programs were designed to help Americans in this type of situation to afford their medications, so they can continue maintaining their health and well-being. For most Patient Assistance Programs, the Medicare Part-D patient is not even required to be in the coverage gap or ‘donut hole’ to get approved. For patients on fixed income and who are paying over $50 per month for medications, there is help out there! Patients do not need to feel that hope is lost and that their only option is to spend their hard earned savings or what little income they may have. The benefit and uniqueness about the Patient Assistance Programs allow direct access to the manufacturing pharmaceutical companies. Upon qualifying, the patient receives their brand name medications for little or no cost at all. When approved for Prescription Assistance Programs, the patient’s medications are mailed to their home or doctor’s office.

Most manufacturing companies do not exactly make the enrollment process easy. Its actually rather difficult and confusing to enroll into the Patient Assistance Programs. It can be a very tedious process to actually fill out the lengthy forms correctly, then get approved, and then to stay enrolled to continue receiving refills on time. Large manufacturers would much rather have patients go to the pharmacy and pay the full retail prices for their expensive medication. After all pharmaceutical drug companies are businesses, and like any other business,  their main goal is to generate revenue and keep the board of directors pleased.

To add to the tedious application process, Patient Assistance Programs are constantly changing requirements. There is a lot of paperwork that needs to be filled out for the patient as well as the patient’s doctors office. Any minor errors in the Patient Assistance paperwork or application forms will usually result in the patient being denied right away. In addition,  most programs require the patient to provide additional supporting documents with their Patient Assistance application forms which prove that they are qualified.

The reasons discussed here are the main purpose for Patient Assistance advocacy groups. Advocacy groups work on the patients behalf to get them approved for the Prescription Assistance Programs. Typically, for a small fee, the advocacy group will handle all paperwork applications, doctor contact, and refill processes. Advocacy groups such as The Rx Connection are very experienced with getting patients approved and keeping them enrolled for free medication. They work to assist the patient in every step as well as provide updates on any new updates for the programs. On average the price of the advocacy program saves patients anywhere from 40%-90% on their drug costs. And the best part, the patient can rest assured that their approval and refill process will be seamless.

Free medications are available to more people than many would think. Having private insurance, coverage through an employer, or Medicare insurance does not mean that a patient will not qualify for Patient Assistance Programs. Having a high prescription copay, or being on Medicare usually means that a patient is eligible for direct assistance. The Rx Connection takes the time to discuss your situation and help in any way they can.

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