Co-Pay & Premium Assistance FAQ's
Patient Access Network Foundation provides premium assistance for patients who are being treated for either Homozygous Familial Hypercholesterolemia or Short Bowel Syndrome.
Who qualifies for PAN's Premium Assistance programs?
The criteria for PAN's Premium Assistance programs are:
» The patient must be getting treatment for the disease named in the assistance program to which he or she is applying.
» Patient should have access to insurance that covers the medication/s for which patient seeks assistance.
» The medication must treat the disease directly.
» Patient must reside and receive treatment in the United States.
» Patient’s income must fall below 500% of the Federal Poverty Level.
Are Medicare patients eligible for PAN's Premium Assistance program?
Yes. PAN's Premium Assistance programs is open to all patients with access to a plan that will cover the medication/s.
Does PAN's Premium Assistance programs cover the individual premium or the premium for the family?
PAN's Premium Assistance programs will provide assistance for the patient’s portion of the premium associated with their coverage. This may involve an individual or family plan for those patients approved for assistance.
What happens if I am receiving assistance from PAN's Premium Assistance program but I have to stop my treatments?
Once approved for PAN's Premium Assistance programs, a patient will receive assistance for their full 12 months of eligibility regardless of their ongoing treatments. A patient will not qualify for an additional year of assistance if they are not receiving treatments of a covered therapy.
If approved for assistance through PAN's Premium Assistance program, who will make my premium payments?
Patients approved for the program can either make the payments and be reimbursed by PAN or, depending on the employer and or payor situation, PAN can make the premium payments directly to the payor. This will be assessed and payment processes will be established as part of the approval process.
Can I receive grant benefits from a co-pay assistance program and PAN's Premium Assistance program at the same time? If so, how can I apply?
Patient may receive grant benefits from both programs if they meet eligibility criteria for each program. Patients may inquire with the Patient Access Network associate regarding both programs.
Do I need to provide income documentation as part of the application process?
Patients will not need to provide income documentation as part of the eligibility process. A small number of randomly selected patients will need to provide income documentation as part of our auditing process after their applications have been reviewed.
Will I be eligible for additional assistance if I exhaust the benefit cap within my eligibility period?
Upon patient request to the foundation, the Patient Access Network may be able to provide additional assistance should funding be available.